Deficiency Records for Concordia at Rebecca Residence
Updated as of June 01, 2021
This is not the most recent data for Concordia at Rebecca Residence. For the most recent information, click here.
A list of the most recent deficiencies for Concordia at Rebecca Residence. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-04-30 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2021-03-31 | 2021-04-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-31 | 2021-04-09 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2020-03-11 | 2020-05-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-03-11 | 2020-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-11 | 2020-05-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-11 | 2020-05-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-03-11 | 2020-05-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-03-11 | 2020-05-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-11 | 2020-04-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-11 | 2020-04-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-11 | 2020-04-08 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2020-03-11 | 2020-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-11 | 2020-04-08 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-11 | 2020-04-08 | N |
| 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 | 2019-02-26 | 2019-04-12 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-02-26 | 2019-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-26 | 2019-04-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-26 | 2019-04-12 | Y |
| 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 | 2019-02-26 | 2019-04-12 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-02-26 | 2019-04-12 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-02-21 | 2019-03-22 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-12-14 | 2019-02-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-14 | 2019-02-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-14 | 2019-02-01 | Y |
