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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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2025-01-22 | 2025-02-06 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2025-01-22 | 2025-02-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-22 | 2025-02-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-11 | 2024-12-20 | 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 | 2024-12-11 | 2024-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-11 | 2024-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-11 | 2024-12-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-11 | 2024-12-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-12-11 | 2024-12-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-11 | 2024-12-11 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-12-11 | 2024-12-11 | Y |
| 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 |
| 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 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-02-14 | 2022-03-11 | 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-14 | 2022-03-11 | 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 | 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 |
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