Concord Care and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Concord Care and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Apr 25, 2022

  Based on observations and staff interview, the facility failed to have a director of food and nutrition services to provide oversight for the sanitation of the kitchen and the serving of physician ordered diets. This affected all 40 residents who reside in the facility. Findings include: Observations from 04/18/22 through 04/21/22 revealed no dietary staff member who was identified as in charge of kitchen. Observations and interviews between 04/19/22 and 04/21/22 revealed the facility failed to store food appropriately; failed to prepare food appropriately; failed to maintain a clean, sanitary kitchen; failed to serve food that was palatable, failed to provide adaptive equipment for meals, and failed to serve meals according to physician orders. […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2022

  Based on observation, staff interview, review of dishwasher sanitation logs, and review of the facility policies, the facility failed to store food in a safe manner, failed to maintain a clean and sanitary kitchen area, and failed to prepare and serve food in a sanitary manner. This had the potential to affect all residents in the facility. The facility census was 40. Findings include: 1. Observations during tour of the facility kitchen on [DATE] between 6:35 P.M. and 7:15 P.M. revealed the refrigerator had chopped cabbage and diced carrots dated [DATE], unsealed and undated shredded cheddar cheese, unsealed and undated mozzarella cheese, an undated bowl of potato salad, and approximately 20 single-serving green salads uncovered and undated. […]

• No harm, potential for more than minimal, widespreadF867Apr 25, 2022

  Based on staff interview and review of facility documents, the facility failed to have an effective quality assurance program to address repeated concerns identified during three consecutive annual surveys. This affected all residents in the facility. The facility census was 40. Findings include: Review of the Certification and Survey Provider Enhanced Reporting system (CASPER) report dated 02/18/22 revealed the facility received a deficiency for food procurement, food storage, food preparation during the annual surveys completed on 04/19/18 and 05/30/19. Interviews and observations between 04/19/22 and 04/21/22 revealed the facility failed to store food appropriately, failed to prepare food appropriately, and failed to maintain a clean, sanitary kitchen. Interview on 04/21/22 at 2:14 P.M. […]

• No harm, potential for more than minimal, widespreadF868Apr 25, 2022

  Based on staff interview and review of facility documents, the facility failed to ensure a quality assessment and assurance committee met at least quarterly. This affected all residents in the facility. The facility census was 40. Findings include: Review of the facility documents revealed no Quality and Performance Improvement (QAPI) committee sign-in sheets or minutes were available for 2021 and 2022. Interview on 04/21/22 at 2:14 P.M. with the Administrator revealed the facility could provide no documentation the Quality and Performance Improvement (QAPI) committee met in 2021 or 2022.

• No harm, potential for more than minimal, patternF689Jun 3, 2024

  Based on observation, resident and staff interview, medical record review, and review of a facility policy, the facility failed to provide residents with appropriate supervision while smoking and failed to maintain smoking materials in a safe manner. This affected six (#11, #17, #23, #24, #26, and #37) of 16 residents reviewed for smoking. The census was 41. Findings include: Observation on 05/29/24 at 9:11 A.M. revealed Resident #11 was standing outside in the smoking area by herself smoking unsupervised. Observation on 05/29/24 at 9:22 A.M. revealed Resident #37 had a pack of cigarettes laying on his bed. […]