CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Concordia at Arbutus Park
View the most recent health deficiencies and inspection results for Concordia at Arbutus Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Concordia at Arbutus Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-08-21 | 2025-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-21 | 2025-09-26 | 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 | 2025-08-21 | 2025-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-21 | 2025-09-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-21 | 2025-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-01 | 2025-09-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-21 | 2025-08-20 | 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 | 2025-08-21 | 2025-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-21 | 2025-08-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-08-21 | 2025-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-09 | 2025-04-02 | 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 | 2024-09-19 | 2024-11-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-19 | 2024-11-11 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-09-19 | 2024-11-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-19 | 2024-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-19 | 2024-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-19 | 2024-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-19 | 2024-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-19 | 2024-11-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-09-19 | 2024-11-11 | 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 | 2024-09-19 | 2024-11-08 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-09-19 | 2024-11-08 | 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 | 2024-09-19 | 2024-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-19 | 2024-11-08 | 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 | 2024-09-19 | 2024-11-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-19 | 2024-11-08 | 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 | 2024-09-19 | 2024-11-08 | 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 | 2024-09-19 | 2024-11-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-19 | 2024-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-19 | 2024-11-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-19 | 2024-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-11-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-19 | 2024-11-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-03-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-14 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-03-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-19 | 2023-12-16 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-10-19 | 2023-12-16 | N |
| Meet other general requirements. | Fire Safety | 2023-10-19 | 2023-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-19 | 2023-12-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-10-19 | 2023-12-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-19 | 2023-12-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-19 | 2023-12-16 | 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 | 2023-10-19 | 2023-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-12-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-19 | 2023-12-06 | N |