Deficiency Records for Concordia at Rebecca Residence
Updated as of July 01, 2023
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-03 | 2023-02-13 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-22 | 2022-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-22 | 2022-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-22 | 2022-11-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-22 | 2022-11-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-25 | 2022-08-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-04 | 2022-05-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-06 | 2021-09-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-06 | 2021-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-04-30 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 requirements for the installation and maintenance of electrical systems. | 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 |
