A list of the most recent deficiencies for Concordia at Sumner. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-20 | 2024-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-20 | 2024-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-20 | 2024-03-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-26 | 2024-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-26 | 2024-03-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-26 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-26 | 2024-03-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-02-26 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-26 | 2024-03-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-06 | 2023-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-07-27 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-02-24 | 2022-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-24 | 2022-03-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-24 | 2022-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-24 | 2022-03-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-24 | 2022-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-03-30 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-02-23 | 2022-03-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-23 | 2022-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-23 | 2022-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-03-30 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-02-23 | 2022-03-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-28 | 2022-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-28 | 2022-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-17 | 2021-05-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-30 | 2019-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-30 | 2019-07-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-30 | 2019-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-07-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-05-30 | 2019-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-30 | 2019-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-30 | 2019-07-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-30 | 2019-07-01 | N |
