Concord Healthcare & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 10, 2026

  Repeat DeficiencyBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) store potentially hazardous foods in a manner to prevent foodborne illness, b.) store unused disposable beverage accessories in a manner to prevent foodborne illness, and c.) maintain kitchen sanitation in a safe and consistent manner to prevent foodborne illness.This deficient practice was evidenced by the following:On 4/6/2026 at 5:05 PM, the surveyor conducted an initial tour of the kitchen and food storage areas with Cook.Findings include:1. A large grey plastic trash bin lined with clear plastic bag was uncovered with the lid on the floor. The bin was located next to the walk-in refrigerator. […]

• No harm, potential for more than minimal, widespreadF814Apr 10, 2026

  Based on observation, interview, and review of other facility documents, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to keep the garbage container area and parking area free of garbage and debris and failed to have a cover over the opening of 2 of 2 garbage containers/dumpsters.This deficient practice was evidenced by the following:On 4/6/2026 at 5:01 PM, the surveyor observed 2 green, 1 blue, and 1 grey plastic milk crates scattered in the parking lot next to a grey sports utility vehicle (SUV).On 4/6/2026 at 5:26 PM, during the tour of the designated garbage area with the Administrator in Training (AIT), the surveyor observed a green garbage dumpster/ compactor. The dumpster was half-open. […]

• No harm, potential for more than minimal, widespreadF812Dec 20, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to maintain kitchen equipment in a clean, safe, and sanitary manner and was evidenced by the following: On 12/16/24 at 09:45 AM, in the presence of the Food Service Director (FSD) the surveyor observed the ice machine which had a black sediment on the interior of the ice machine dispenser shoot. When the surveyor asked the FSD what it was, the FSD responded it was Black Mold and he would have it cleaned immediately. On 12/16/24 at 10:20 AM, the surveyor interviewed the FSD who stated the ice machine was cleaned quarterly but it seems to be needed more often. The FSD acknowledged that the interior of the dispensing shoot had black sediment in it. […]

• No harm, potential for more than minimal, patternF583Nov 3, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to provide privacy and promote dignity during medication administration for 3 of 8 residents observed (Residents #16, #34 and #93) on 1 of 2 nursing units and for 1 of 3 nurses observed. This deficient practice was evidenced by the following: During the medication administration observation of the A unit on 10/27/23 at 7:39 AM, the surveyor observed the Registered Nurse (RN) administer medications to Resident #16. The surveyor observed the resident awake and seated in their wheelchair in the doorway of their room. […]

• No harm, potential for more than minimal, isolatedF693Apr 10, 2026

  Based on observation, interview, review of medical records and other pertinent facility documentation, it was determined that the facility failed to administer enteral nutrition through tube feedings (delivery of nutrients directly into the stomach through a surgical opening) according to Physician's Order (PO). This deficient practice was identified for 2 of 2 residents (Resident #8 and Resident #41) reviewed for receiving nutrition via Tube Feeding (TF).This deficient practice was evidenced by the following:1.) On 4/6/2026 at 6:02 PM, the surveyor observed Resident #8 in bed. A tube feeding pump was located to the left of the resident's bed. The pump was observed off. There was no nutritional formula or free water being administered to the resident at this time. […]