CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Hospital De La Concepcion Inc
View the most recent health deficiencies and inspection results for Hospital De La Concepcion Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hospital De La Concepcion Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-03-05 | 2026-05-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-03-05 | 2026-05-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-03-05 | 2026-05-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-05 | 2026-05-01 | 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 | 2026-03-05 | 2026-05-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-03-05 | 2026-05-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2026-03-05 | 2026-05-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2026-03-05 | 2026-05-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-09-12 | 2024-10-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-12 | 2024-10-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-12 | 2024-10-23 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-09-12 | 2024-10-23 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-09-12 | 2024-10-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-09-12 | 2024-10-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-12 | 2024-10-23 | N |
| Provide information about how to apply for and use Medicare and Medicaid benefits. | Health | 2024-09-12 | 2024-10-23 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-09-12 | 2024-10-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-12 | 2024-10-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-12 | 2024-10-23 | N |
| Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | Health | 2024-09-12 | 2024-10-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-12 | 2024-10-15 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-09-12 | 2024-10-11 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-09-12 | 2024-10-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-09-12 | 2024-10-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-12 | 2024-10-08 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-09-12 | 2024-10-08 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-09-12 | 2024-10-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-12 | 2024-10-08 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-09-12 | 2024-10-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-12 | 2024-10-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-09-12 | 2024-10-08 | 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 | 2024-09-12 | 2024-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-08 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2024-09-12 | 2024-10-08 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2024-09-12 | 2024-10-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-12 | 2024-10-08 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-09-12 | 2024-10-08 | N |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2024-09-12 | 2024-10-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-09-12 | 2024-10-08 | N |
| Provide immediate access to any resident. | Health | 2024-09-12 | 2024-10-08 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-09-12 | 2024-10-08 | N |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2024-09-12 | 2024-10-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-09-12 | 2024-10-08 | N |
| 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. | Health | 2024-09-12 | 2024-10-08 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-09-12 | 2024-10-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-09-12 | 2024-10-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-09-12 | 2024-10-08 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-09-12 | 2024-10-08 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-09-12 | 2024-10-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-12 | 2024-10-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-12 | 2024-10-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-09-12 | 2024-09-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-09-12 | 2024-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-12 | 2024-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-12 | 2024-09-16 | N |
| Post nurse staffing information every day. | Health | 2024-09-12 | 2024-09-12 | N |