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Deficiency Records for Concordia Nursing and Rehab, LLC

A list of the most recent deficiencies for Concordia Nursing and Rehab, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Concordia Nursing and Rehab, LLC. 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?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-01 2024-02-29 N
Maintain 15 months of resident assessments in the resident's active clinical record. Health 2024-02-01 2024-02-29 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-01 2024-02-29 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-02-01 2024-02-29 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 2024-02-01 2024-02-29 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-01 2024-02-29 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-02-01 2024-02-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-01 2024-02-29 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-02-01 2024-02-29 N
Provide and implement an infection prevention and control program. Health 2024-02-01 2024-02-29 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 2024-01-29 2024-02-27 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-01-29 2024-02-27 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 2022-10-27 2022-11-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-27 2022-11-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-27 2022-11-25 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 2022-10-24 2022-11-25 N
Have proper medical gas storage and administration areas. Fire Safety 2022-10-24 2022-11-25 N
Ensure each resident receives an accurate assessment. Health 2022-10-27 2022-10-27 N
Provide properly protected cooking facilities. Fire Safety 2021-07-06 2021-10-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-06 2021-10-08 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2021-07-06 2021-10-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-06 2021-10-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-07-06 2021-10-08 N
Use approved construction type or materials. Fire Safety 2021-07-06 2021-08-30 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 2021-07-06 2021-08-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-07-06 2021-08-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-07-06 2021-08-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-07-13 2021-08-11 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 2021-07-13 2021-08-11 N
Respond appropriately to all alleged violations. Health 2021-07-13 2021-08-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-13 2021-08-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-13 2021-08-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-13 2021-08-11 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 2021-07-13 2021-08-11 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2021-07-13 2021-08-11 N
Ensure medication error rates are not 5 percent or greater. Health 2021-07-13 2021-08-11 N
Ensure that residents are free from significant medication errors. Health 2021-07-13 2021-08-11 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2021-07-13 2021-08-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-13 2021-08-11 N
Provide and implement an infection prevention and control program. Health 2021-07-13 2021-08-11 N
Keep all essential equipment working safely. Health 2021-07-13 2021-08-11 N

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