Concordia at Sumner

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jan 25, 2021

  Based on review of a closed medical record, the facility policy related to Cardiopulmonary Resuscitation, the American Red Cross Cardiopulmonary Resuscitation (CPR) steps, Department of Public Health and Human Services CPR information, Emergency Medical Service (EMS) care record, and staff interview the facility failed to initiate CPR timely for one resident (Resident #40) who was found unresponsive, without a pulse or respirations, and was identified as a full code status. This resulted in Immediate Jeopardy and life-threatening harm when Resident #40 did not immediately receive CPR and expired in the nursing facility. This affected one of three residents reviewed for full code status and death. […]

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on observations, interview, and policy review the facility failed to serve food in a sanitary manner. This had the potential to affect all residents who ate meals prepared in the kitchen. The census was 43. Findings include: Observations on 02/13/25 from 12:03 P.M. to 12:55 P.M. revealed [NAME] #100 plating food and Kitchen Aide (KA) #101 placing food trays consisting of open roast beef sandwiches with mashed potatoes, gravy, fruit cup and coleslaw into the food cart for transportation. KA #101 did not cover the fruit or coleslaw before putting the trays in the transport cart. [NAME] #100 was observed donning and doffing gloves throughout lunch service without washing his hands between glove changes. […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2024

  Based on observations, interview, and facility policy review, the facility failed to ensure the kitchen was clean and sanitary. This had the potential to affect 35 residents that received meals from the facility. No residents were identified as receiving nothing by mouth. Findings Include: A tour of the kitchen on 02/20/24 from 8:00 A.M. to 8:15 A.M. revealed the reach-in refrigerator had dried milk on the bottom of it and a container of gravy was not labeled or dated and had a plastic spoon in it, the microwave had dried food splatter inside, the steam table had food splatter on it, the reach-in freezer had a bag of chicken not labeled or dated and stuck to the bottom of the freezer. This was verified by the Administrator on 02/20/24 at 8:17 A.M. Interview on 02/22/24 at 10:27 A.M. […]

• No harm, potential for more than minimal, widespreadF838Feb 26, 2024

  Based on record review and interview, the facility failed to ensure the facility assessment was accurate and thorough regarding facility staffing. This had the potential to affect all 35 residents in the facility. Findings Include: Review of the facility assessment dated [DATE] revealed staffing was sufficient regarding the current amount of staff needed to care for the number and acuity of residents. There was no indication of the type and number of staff needed to provide care and services. Interview on 02/21/24 at 11:09 A.M. with Corporate Registered Nurse (RN) #298 confirmed the facility assessment was not thorough and accurate.

• No harm, potential for more than minimal, widespreadF812Feb 24, 2022

  Based on observation, staff interview, and review of facility policy the facility failed to ensure kitchen staff wore appropriate hair coverings. This had the potential to affect 39 residents who received food from the kitchen. The facility census was 39. Findings include: Observation on 02/22/22 at 8:30 A.M. during tour of the kitchen, revealed Food Service Manager (FSM) #538 was not wearing a hairnet. Interview on 02/22/22 at 8:30 A.M. with FSM #538 confirmed he was not wearing a hairnet. Observation on 02/22/22 at 11:02 A.M. of the kitchen located on the [NAME] unit revealed Cook #580 was not wearing a hairnet. Interview on 02/22/22 at 11:02 A.M. with Cook #580 revealed she did not wear a hairnet because she wore her hair in braids and the hairnets did not fit. […]