Concord Ridge Health and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Nov 28, 2022

  Based on interview, review of daily staffing sheets, and review of the Facility Assessment the facility did not ensure they had Registered Nurse (RN) Coverage at least eight consecutive hours on 11/20/22. This had the potential to affect all 78 residents residing at the facility on 11/20/22. Findings include: Review of daily staffing sheets from 11/06/22 to 11/20/22 revealed there was no RN coverage on 11/20/22. Interview on 11/28/22 at 12:48 P.M. with Human Resource/ State tested Nursing Assistant (STNA)/ Staffing Coordinator #606 revealed she completed the nurses and STNA schedule at the facility. She verified the facility did not have any RN coverage on 11/20/22. Interview on 11/28/22 at 3:21 P.M. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2022

  Based on observation, interview, and record review the facility failed to maintain a clean and sanitary kitchen area. This had the potential to affect 88 residents who received meals in the facility. The facility identified Residents #22 and #26 as receiving no food from the kitchen. Findings include: Observation of the kitchen during the initial tour with Corporate Certified Dietary Manager (CDM) #399 on 06/13/22 at 9:55 A.M. revealed the steamer and stove range with food debris and splatter running down sides. Dark blackened grease build up was observed on stove top grates. There was a dark sticky substance on the floor around and behind the steamer, oven, and grill top. […]

• No harm, potential for more than minimal, widespreadF804Nov 17, 2021

  Based on observation, interview and policy review revealed the facility failed to ensure residents were served hot and cold foods at appropriate and appetizing temperatures. This had the potential to affect 95 of 96 residents currently residing in the facility with the exception of Resident #23 who received nutrition by tube feeding. Findings include: Observation on 11/09/21 at 12:10 P.M. of tray line revealed low food temperatures. Temperatures taken by the surveyor and Dietary Manager (DM) #809 revealed the macaroni and cheese was 109 degrees Fahrenheit (F) and the pureed chicken was 121 degrees F. DM #809 verified the cold foods and removed them from tray line to be warmed to appropriate temperatures. Observation on 11/09/21 from 1:45 P.M. through 2:15 P.M. […]

• No harm, potential for more than minimal, patternF809Jul 27, 2022

  Based on interview, observation, record review, and policy review the facility failed to serve meals in a timely manner and per resident preference. This affected four residents (Resident's #21, #70, #71 and #55) of six residents (Resident's #21, #55, #59, #70, #71 and #82) reviewed for timeliness of meals. This had the potential to affect 85 residents of the 87 residents residing at the facility as Resident's #17 and #73 did not receive a meal tray. Findings include: 1. Review of the medical record for Resident #70 revealed an admitted d of 05/11/21 with diagnoses including [CONDITION(S)] of coronary artery without [CONDITION(S)], dysphagia, chronic obstructive pulmonary disease, and [CONDITION(S)] and [CONDITION(S)] following cerebral infarction affecting right dominant side. […]

• No harm, potential for more than minimal, isolatedF698Aug 15, 2024

  Based on interview, record review, and facility policy review the facility failed to ensure pre and post dialysis assessments were completed as ordered for Resident #3. This affected one resident (#3) of one resident review for dialysis services. The facility census was 77. Findings include: Review of the medical record for Resident #3 revealed an admitted [DATE]. Diagnosis included heart failure, diabetes, end stage renal disease, obesity, anemia, and insomnia. Review of the physician's orders for August 2024 revealed an order for dialysis Monday, Wednesday, and Friday. A dialysis communication form was to be sent with Resident #3 for each visit. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 was cognitively intact. […]