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Deficiency Records for Accordius Health at Concord

A list of the most recent deficiencies for Accordius Health at Concord. 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 Accordius Health at Concord. 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?
Have exits that are accessible at all times. Fire Safety 2023-08-23 2023-10-09 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2023-08-23 2023-10-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-23 2023-10-09 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-09-14 2023-10-06 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-07-28 2023-09-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-28 2023-09-14 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-07-28 2023-09-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-28 2023-09-14 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 2023-07-28 2023-09-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-28 2023-09-14 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-07-28 2023-09-14 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-07-28 2023-09-14 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 2022-07-29 2022-08-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-29 2022-08-15 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-07-29 2022-08-15 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-07-29 2022-08-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-29 2022-07-29 Y
Ensure that residents are free from significant medication errors. Health 2022-07-29 2022-07-29 Y
Have exits that are accessible at all times. Fire Safety 2022-03-23 2022-05-06 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 2022-02-14 2022-03-11 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-02-14 2022-03-11 N
Ensure each resident receives an accurate assessment. Health 2022-02-14 2022-03-11 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-02-14 2022-03-11 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 2022-02-14 2022-03-11 N
Post nurse staffing information every day. Health 2022-02-14 2022-03-11 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 2022-02-14 2022-03-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-14 2022-03-11 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-02-14 2022-03-11 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2022-02-14 2022-03-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-14 2022-03-11 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-02-14 2022-03-11 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-14 2022-03-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-14 2022-03-04 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-14 2021-09-30 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-21 2021-06-05 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-02-28 2020-03-23 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2020-02-28 2020-03-23 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2020-02-28 2020-03-23 N
Assess the resident when there is a significant change in condition Health 2020-02-28 2020-03-23 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2020-02-28 2020-03-23 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2020-02-28 2020-03-23 N
Ensure each resident receives an accurate assessment. Health 2020-02-28 2020-03-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2020-02-28 2020-03-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-28 2020-03-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-02-28 2020-03-23 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 2020-02-28 2020-03-23 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2020-02-28 2020-03-23 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-02-28 2020-03-23 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2020-02-28 2020-03-23 N
Provide and implement an infection prevention and control program. Health 2020-02-28 2020-03-23 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2020-02-28 2020-03-23 N
Establish emergency prep training and testing. Fire Safety 2020-02-28 2020-03-23 N

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