Concord Health & Rehab CTR

In the surveyor’s words

From the most serious findings on record at Concord Health & Rehab CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF640Jun 30, 2026

  Based on medical record review and staff interview, the facility failed to properly submit a discharge assessment following its completion. This affected one resident (#1) of three residents reviewed for discharge assessments. The facility census was 74.Findings include:Record review for Resident #1 revealed the resident was admitted to the facility on [DATE] and discharged home on [DATE]. Diagnoses included acute respiratory failure, COVID-19, muscle weakness, dysphagia, lumbar compression fracture, low back pain, gastro-esophageal reflux disease, and chronic pain. […]

• No harm, potential for more than minimal, isolatedF655Jun 30, 2026

  Based on medical record review and staff interview, the facility failed to develop a baseline plan of care for Resident #87 upon admission who was admitted with a gastrostomy tube. This affected one resident (#87) of 20 residents reviewed for care plans. The facility census was 74.Findings include:Record review for Resident #87 revealed the resident was admitted to the facility on [DATE]. Diagnoses included Guillain Barre syndrome, chronic obstructive pulmonary disease, dysphagia, gastro-esophageal reflux disease, hematemesis, depression, gastrostomy, anxiety, depression, irritable bowel syndrome, and spinal stenosis. […]

• No harm, potential for more than minimal, isolatedF689Jun 30, 2026

  Based on observation, medical record review, interview and facility policy review, the facility failed to ensure care planned fall prevention interventions were in place. This affected one resident (#12) of two residents reviewed for falls. The facility census was 74.Findings Include:Review of the medical record for Resident #12 revealed an admission date of 03/13/26 with a readmission date of 05/29/26. Diagnoses included chronic obstructive pulmonary disease (COPD), vascular dementia, depression, generalized muscle weakness, abnormalities of gait and mobility, symbolic dysfunction, dysphagia, adult failure to thrive, protein calorie malnutrition, peripheral vascular disease, adjustment disorder with mixed anxiety and depressed mood, hypertension, insomnia, hypothyroidism, mixed anxiety… […]

• No harm, potential for more than minimal, isolatedF757Sep 12, 2024

  Based on interview and record review, the facility failed to have parameters for administration of two as needed pain medications for Resident #33. This affected one resident of five reviewed for unnecessary medications. The facility census was 73. Findings include: Review of the medical record for Resident #33 revealed an admitted [DATE]. Diagnoses included chronic pain. Review of the significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #33 was cognitively intact. Resident #33 had occasional moderate pain interfering with her activities of daily living. Review of the pain assessments dated 08/28/24 and 09/04/24 revealed Resident #33 had moderate pain described by the resident. […]

• No harm, potential for more than minimal, isolatedF758Sep 12, 2024

  Based on record review and staff interview, the facility failed to ensure Resident #31 had appropriate clinical reason/diagnosis for the use of an antipsychotic medication. This affected one (#31) of five residents reviewed for unnecessary medications. The facility census was 73. Findings include: Review of the medical record for Resident #31 revealed an admitted [DATE] with diagnoses including dementia with psychotic disturbance, anxiety disorder, major depressive disorder, psycho-physiologic insomnia, hallucinations, and delirium. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #31 was cognitively impaired with signs and symptoms of delirium, hallucinations, delusions and verbal behaviors directed to others. […]