Concord Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF550Apr 17, 2026

  Based on observation, clinical record review, resident and staff interviews, along with policy and procedure review, the facility failed to treat a resident with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life during morning cares for 1 out of 5 residents reviewed. (Resident #3). The facility identified a census of 40 residents.Findings include:Resident #3's Minimum Data Set (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 13 for which indicated intact cognitive decisions, was able to be understood and understand others, with no behaviors present. […]

• No harm, potential for more than minimal, isolatedF609Apr 17, 2026

  Based on clinical record review, facility investigation, resident and staff interview and review of policy and procedures, the facility failed to ensure all alleged violations of abuse involving mistreatment, verbal, and physical abuse, were reported to the Department of Inspection and Appeals and Licensing (DIAL) within 2 hours for 1 of 5 resident reviewed. (Resident #10). The facility reported a census of 40 residents.Findings include:Resident #10's Minimum Data Set (MDS) assessment dated [DATE], identified a Brief Interview for Mental Status (BIMS) score of 10, indicating moderate impaired cognitive decisions. Resident #10 could understand others and others understood them. They had adequate vision with glasses and no behaviors or delirium and a schedule pain medication given daily. […]

• No harm, potential for more than minimal, isolatedF684Apr 17, 2026

  Based on clinical record review, hospital encounter, and staff interview the facility failed to document on a resident with a change in condition for 1 of 6 residents reviewed. (Resident #2). The facility identified a census of 40 residents. Findings include:Resident #2's Minimum Data Set (MDS) assessment dated [DATE], identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognitive decisions. Resident #2 could understand others and others understood them, had adequate vision and hearing. Resident #2 was dependent with personal and toileting hygiene, dressing, transfers and was independent with oral cares and eating and no shortness of breath documented. […]

• No harm, potential for more than minimal, isolatedF684Sep 25, 2025

  Based on record review, staff, and resident interview, the facility failed to ensure adequate assessment and timely intervention of a resident's complaints, and adequate monitoring of a resident on Intravenous (IV) antibiotics for 1 resident reviewed (Resident #26). The facility reported a census of 35 residents.Findings include:According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #26 scored 15 on the Brief Interview for Mental Status (BIMS) indicating no cognitive impairment. The resident's diagnoses included heart failure, peripheral vascular disease, benign prostatic hyperplasia, diabetes, stroke, pacemaker, and a below the knee right leg amputation. The resident had an indwelling urinary catheter, and Intravenous (IV) access. […]

• No harm, potential for more than minimal, isolatedF868Sep 25, 2025

  Based on record review and staff interview, the facility failed to ensure the Quality Assessment and Assurance committee (QA) was attended by the required members to include 1) the Nursing Home Administer (NHA) or representative, 2) Director of Nursing (DON), 3) the Medical Director (MD) or representative and 4) 2 other members of the facility's staff present on a minimum of a quarterly basis. The facility reported a census of 77. Findings include: The Quality Assurance Committee Meeting Sign In sheets were provided by the facility since the facility's last recertification survey on 10/24/25. The first QA committee meeting was held on 2/28/25. The Medical Director or a designee for the Medical Director was not present. […]