CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Concordia at Rebecca Residence
View the most recent health deficiencies and inspection results for Concordia at Rebecca Residence. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Concordia at Rebecca Residence. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-12-31 | 2026-02-18 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-03-13 | 2025-04-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-13 | 2025-04-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-13 | 2025-04-30 | 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 | 2025-03-13 | 2025-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-13 | 2025-04-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-15 | 2024-10-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-15 | 2024-10-07 | 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 | 2024-08-15 | 2024-10-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-15 | 2024-10-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-15 | 2024-10-07 | 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 | 2024-08-15 | 2024-10-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-15 | 2024-10-07 | 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 | 2024-08-15 | 2024-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-15 | 2024-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-15 | 2024-09-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-10 | 2023-11-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-10 | 2023-11-30 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-06-30 | 2023-08-21 | 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 | 2023-06-30 | 2023-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-30 | 2023-08-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-06-30 | 2023-08-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-30 | 2023-08-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-30 | 2023-08-21 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-30 | 2023-08-21 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-06-30 | 2023-08-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-30 | 2023-08-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-30 | 2023-08-21 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-30 | 2023-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-30 | 2023-08-20 | N |