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Deficiency Records for Concord Post Acute
View the most recent health deficiencies and inspection results for Concord Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Concord Post Acute. Stay informed about quality of care issues.
| 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 | 2026-02-05 | 2026-03-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-05 | 2026-03-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-05 | 2026-03-02 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2025-12-11 | 2025-12-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-17 | 2025-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-17 | 2025-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-17 | 2025-06-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-17 | 2025-06-07 | 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 | 2025-04-17 | 2025-05-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-04-17 | 2025-05-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-17 | 2025-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-17 | 2025-05-06 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-04-17 | 2025-05-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-17 | 2025-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-17 | 2025-04-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-17 | 2025-04-28 | N |
| Use approved construction type or materials. | Fire Safety | 2025-04-17 | 2025-04-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-04-17 | 2025-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-22 | 2024-03-09 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-02-22 | 2024-03-09 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-16 | 2023-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2023-12-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-16 | 2023-12-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-11-16 | 2023-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2023-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-16 | 2023-12-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-16 | 2023-12-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-16 | 2023-12-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-16 | 2023-12-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-16 | 2023-12-16 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-16 | 2023-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-16 | 2023-12-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-16 | 2023-12-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-16 | 2023-12-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-20 | 2023-10-20 | Y |
| 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 | 2023-09-20 | 2023-10-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-12 | 2023-10-12 | 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 | 2023-09-05 | 2023-09-24 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-12 | 2023-07-03 | 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 | 2021-05-07 | 2021-08-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-05-07 | 2021-08-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-07 | 2021-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-07 | 2021-08-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-07 | 2021-08-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-07 | 2021-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-08-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-07 | 2021-08-02 | N |
| Keep all essential equipment working safely. | Health | 2021-05-07 | 2021-08-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-07 | 2021-08-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-07 | 2021-08-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-07 | 2021-08-02 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-05-07 | 2021-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-07 | 2021-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-07 | 2021-06-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-07 | 2021-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-07 | 2021-06-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-05-07 | 2021-06-16 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-07 | 2021-06-16 | N |