A list of the most recent deficiencies for Concord Health and Rehab Ctr. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-08 | 2024-02-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-02-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-02-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-23 | 2023-09-01 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-07-11 | 2022-10-18 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-07-18 | 2022-08-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-07-18 | 2022-08-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-07-18 | 2022-08-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-18 | 2022-08-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-18 | 2022-08-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-18 | 2022-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-18 | 2022-08-16 | 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 | 2022-07-18 | 2022-08-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-18 | 2022-08-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-18 | 2022-08-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-18 | 2022-08-16 | 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 | 2022-07-18 | 2022-08-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-11 | 2022-08-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-24 | 2022-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-07 | 2021-09-13 | Y |
| Post nurse staffing information every day. | Health | 2021-09-07 | 2021-09-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-10-31 | 2019-11-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-31 | 2019-11-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-10-31 | 2019-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-29 | 2018-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-29 | 2018-09-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-29 | 2018-09-13 | N |
