A list of the most recent deficiencies for Concordia at The Cedars. 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 stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-04-05 | 2023-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-05 | 2023-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-05 | 2023-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-04-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-05 | 2023-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-04-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-21 | 2022-05-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-21 | 2022-05-06 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-04-21 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-06 | 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 | 2022-04-04 | 2022-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-04 | 2022-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-04 | 2022-04-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-04 | 2022-04-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-04 | 2022-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-04 | 2022-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-04 | 2022-04-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-24 | 2021-10-01 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-04-20 | 2021-05-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-20 | 2021-05-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-20 | 2021-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-20 | 2021-05-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-16 | 2020-11-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-10-22 | 2020-11-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-22 | 2020-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-22 | 2020-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-22 | 2020-11-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-10-22 | 2020-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-22 | 2020-11-11 | N |
