Deficiency Records for Concord Care and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Concord Care and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-12-28 | 2024-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-04-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-03-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-20 | 2023-03-29 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-20 | 2023-03-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-25 | 2022-05-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-25 | 2022-05-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-25 | 2022-05-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-25 | 2022-05-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-04-25 | 2022-05-06 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-04-25 | 2022-05-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-25 | 2022-05-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-04-25 | 2022-05-06 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-04-25 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-25 | 2022-05-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-25 | 2022-05-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-25 | 2022-05-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-04-25 | 2022-05-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-20 | 2022-05-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-10 | 2021-05-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-30 | 2019-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-30 | 2019-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-30 | 2019-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-30 | 2019-06-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-04-19 | 2018-05-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-04-19 | 2018-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-19 | 2018-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-19 | 2018-05-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-19 | 2018-05-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-04-19 | 2018-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-05-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-16 | 2018-05-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-16 | 2018-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-16 | 2018-05-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-16 | 2018-05-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-16 | 2018-05-15 | N |
