Concord Village Skilled Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Concord Village Skilled Nursing & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Jan 30, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to post oxygen in use signs per acceptable standards of nursing practice for Residents #10, #21, #22, #34, #47, #48 and #64. This affected seven residents (#10, #21, #22, #34, #47, #48 and #64) of 27 residents reviewed for respiratory care. The census was 67. Findings include: 1. Record review revealed Resident #10 was admitted on [DATE]. Diagnoses included pneumonia due to methicillin resistant staphylococcus aureus (MRSA), acute respiratory failure with hypoxia, and chronic bronchitis. The physician order dated 01/27/24 indicated oxygen continuous at 2 LPM (liters per minute) via nasal cannula. 2. Record review revealed Resident #21 was admitted on [DATE]. […]

• No harm, potential for more than minimal, isolatedF695May 22, 2024

  Based on observation, interview, medical record review, and review of facility policy, the facility failed to ensure oxygen was administered according to physician orders. This affected one resident (Resident #2) out of three residents reviewed for oxygen. The facility census was 70. Findings include: Review of the medical record for Resident #2 revealed an admitted [DATE] with diagnoses including pleural effusion, long term use of anticoagulants, atrial fibrillation, anemia, moderate protein-calorie malnutrition, hyperlipidemia, heart failure, essential (primary) hypertension, type two diabetes mellitus, osteoarthritis, cataract extraction status, stage four chronic kidney disease, and neuromuscular dysfunction of the bladder. […]

• No harm, potential for more than minimal, isolatedF641Mar 31, 2023

  Based on interview, closed record review, and Centers for Medicare & Medicaid Services guidelines, the facility failed to ensure Resident #40's Minimum Data Set (MDS) assessment accurately documented the stage of a pressure ulcer injury. This affected one resident (Resident #40) of three residents reviewed for pressure ulcers. Findings include: Review of the closed medical record for Resident #40 revealed an admitted [DATE] and a discharge date of [DATE]. Diagnoses included surgical aftercare, dementia, diabetes mellitus, heart disease, and hypertension. Review of the surgical discharge summary dated 11/21/22, revealed Resident #40 was at risk for post-surgical infection due to gangrenous gallbladder and pressure injury. […]