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Deficiency Records for The Health Center at Concordia
A list of the most recent deficiencies for The Health Center at Concordia. 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 The Health Center at Concordia. 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? |
|---|---|---|---|---|
| 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 | 2024-11-19 | 2024-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-19 | 2024-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-19 | 2024-12-13 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-15 | 2024-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-18 | 2024-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-13 | 2023-10-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-13 | 2023-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-10-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-25 | 2022-09-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-25 | 2022-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-21 | 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 | 2022-08-31 | 2022-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-31 | 2022-09-18 | N |
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