Concho Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Concho Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 29, 2022

  Based on observation, interview, and record review, the facility failed to ensure resident's environment remained free of accident hazards for one of four residents reviewed for accident hazards. (Resident #1) The facility failed to: Ensure Resident #1 was unloaded from the facility van in a manner to prevent an accident. Transport Aid A failed to properly use the lift gate and lower Resident #1 to the ground. Resident #1 sustained multiple rib fractures, a compression fracture to her lower back causing her pain and psychosocial harm due to injuries that required hospitalization for pain management, physical therapy, and the need to readmit to a long-term care facility to continue rehabilitation, which prevented her from discharging home as planned. […]

• No harm, potential for more than minimal, widespreadF812May 23, 2024

  Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the facility's only kitchen in that: The facility failed to ensure kitchen staff wore facial hair restraints during meal preparation. These failures could place residents who received meals prepared in the kitchen at risk for food borne illness and cross-contamination. Findings include: During an observation and interview on 05/21/24 at 10:24 AM Dietary [NAME] D and Dietary Aide C were not wearing facial hair restraints as they each had a moustache and beard. Dietary [NAME] D and Dietary Aide C said they normally wore their facial hair restraints but had forgotten to put them on this morning. […]

• No harm, potential for more than minimal, patternF584Aug 11, 2026

  Based on observation, interview and record review the facility failed to ensure residents had the right to comfortable and homelike environment including but not limited to receiving treatment and supports for daily living safely for 2 of 3 halls reviewed (Halls, A, C and D) for environment. The facility installed screamer alarms on doors used multiple times a day disrupting the resident's life and care. This failure could place residents at risk for a diminished quality of life. Findings include:Observation on 8/11/26 at 1:00 p.m., screamer alarms were noted placed on exit doors for halls A, C, and D. The alarm on D-Hall was for housekeeping. The alarm on A-hall was for the smokers. The alarms could be heard down the hall into the lobby at the nurse's station. […]

• No harm, potential for more than minimal, patternF880May 23, 2024

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 3 (Resident #5, #9 and #31) of 5 residents reviewed for infection control. The facility failed to ensure: CNA E did not turn off the faucet with her bare hands after washing them and before performing personal care for Resident #5. CNA's E and F change their gloves after they became contaminated during incontinent care while assisting Resident #9. CNA B change her gloves after they became contaminated during incontinent care while assisting Resident #31. […]

• No harm, potential for more than minimal, patternF552Apr 12, 2023

  Based on interviews and record reviews the facility failed to ensure the resident's had the right to be informed of the risks, and participate in, his or her treatment which included the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she preferred, for 2 of 10 residents (Resident #44, Resident # 148) reviewed for resident rights . The facility failed to obtain informed consent from Resident #44 prior to administering Bupropion, an antidepressant used to treat depression. […]