A list of the most recent deficiencies for The Concierge. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-19 | 2023-10-16 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-01-05 | 2023-02-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-05 | 2023-02-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-01-05 | 2023-02-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-21 | 2021-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-21 | 2021-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-21 | 2021-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-21 | 2021-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-21 | 2021-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-21 | 2021-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-10-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-12 | 2020-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-12 | 2020-02-14 | 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 | 2019-12-12 | 2020-02-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-12 | 2020-02-14 | 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 | 2019-12-12 | 2020-02-14 | 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 | 2019-12-12 | 2020-02-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-12 | 2020-02-14 | 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 | 2019-12-12 | 2020-02-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-13 | 2020-02-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-13 | 2020-02-06 | N |
