Concordia at RP Home

In the surveyor’s words

From the most serious findings on record at Concordia at RP Home, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 28, 2023

  Based on review of facility policy, facility provided documents, resident clinical record, observation, and staff interviews, it was determined the facility failed to ensure resident safety and to prevent the elopement (a situation in which a resident leaves the premises or a safe area without the facility's knowledge) of a resident which resulted in an Immediate Jeopardy situation for one of 55 residents (Resident R1). Findings include: Based on a review of facility policy titled Elopement Prevention and Response last reviewed 9/9/22, informed the [facility] strives to promote resident safety and protect the rights and dignity of residents. […]

• Actual harm, isolatedF600May 5, 2026

  Based on review of facility policy, facility provided documents and clinical records, and staff interviews, it was determined that the facility failed to protect residents from abuse and neglect which resulted in actual harm of a hematoma to right forehead, patella (kneecap) fracture, and ankle sprain for one of three residents (Resident R1). This deficiency is cited as past non-compliance. Findings include: Review of the facility policy Prevention of Abuse and Response dated 7/15/25, indicated abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. […]

• Actual harm, isolatedF689May 5, 2026

  Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervision and assistance for wheelchair transport to prevent accidents which resulted in actual harm of a hematoma to right forehead, patella (kneecap) fracture, and ankle sprain for one of three residents (Resident R1). This deficiency is cited as past non-compliance. Findings include: Review of the facility policy Fall Prevention dated 7/15/25, indicated a Fall Risk Assessment will be used to screen residents for fall risk on admission, quarterly, annually, and significant change. […]

• No harm, potential for more than minimal, widespreadF812Aug 14, 2026

  Based on a review of facility policy, observations, and staff interviews, it was determined that the facility failed to properly maintain sanitary conditions which created the potential for cross contamination. (Main Kitchen) Findings include:Review of facility policy Food Safety and Sanitation dated 7/15/26, indicated all local, state and federal standards and regulations will be followed in order to assure a safe and sanitary food and nutrition services department. During an observation with Food Service Director Employee E5 in the main kitchen on 8/11/26, at 9:15 a.m., revealed five kitchen ceiling fans with brown debris. During an observation with Food Service Director Employee E5 in the main kitchen on 8/11/26, at 10:00 a.m. revealed brown debris covering wall in the dishwasher area. […]

• No harm, potential for more than minimal, widespreadF812Jun 18, 2025

  Based on a review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly monitor food temperatures and failed to properly maintain kitchen equipment in a sanitary condition creating the potential for cross contamination in the main kitchen of the facility. Findings include: A review of facility policy Food Safety and Sanitation, dated 6/30/24, indicated that all local, state and federal standards and regulations will be followed in order to assure a safe and sanitary food and nutrition services department. A review of facility policy Food Temperatures, dated 6/30/24, indicated the temperatures of all food items will be taken and properly recorded prior to service of each meal. […]