Hospital de la Concepcion Inc

In the surveyor’s words

From the most serious findings on record at Hospital de la Concepcion Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Mar 5, 2026

  Based on review of the responsibilities assigned to the Charge Nurse position and staff interview , on 03/04/2026 at 1:22 PM, it was determined that the facility failed to ensure that the Charge Nurse performed all the responsibilities assigned during each shift. Findings include: On 03/04/2026 at 1:22 PM, during an interview with the Nursing Supervisor (employee #2), stated that the facility assigns a Nurse leader on each shift. The nursing staff are not formally designated as nurse leaders, and the facility have not ensured that these nurses perform all the responsibilities associated with the nurse leader position. […]

• No harm, potential for more than minimal, widespreadF726Mar 5, 2026

  Based on staff interview and review of staff competency practice, it was determined that the facility failed to ensure that the per diem nursing staff assigned to the skilled nursing facility completed annual competency evaluation.Findings include: On 03/05/2026 at 9:51 AM, during an interview with the Nursing Supervisor (employee #2), stated that per diem nursing is hired by the hospital. The supervisor further indicated that competency evaluations for per diem staff were conducted only at the time of initial hiring.The facility failed to ensure that all staff who provide direct care to residents must maintain current competencies that are evaluated on a periodic basis, including per diem staff.

• No harm, potential for more than minimal, widespreadF550Sep 12, 2024

  Based on review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with resident right and Exercise of right. Findings include: During the survey process it was requested to the facility the resident right manual and the personnel in charge to monitor compliance with resident rights and it was found the following: 1. No personnel were assigned to be in charge or monitor compliance of facility with resident rights. 2. The resident right and Exercise facility policy and procedure was requested to the facility on [DATE] at 10:00 AM and no evidence was provided. […]

• No harm, potential for more than minimal, widespreadF551Sep 12, 2024

  Based on review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with resident right to designate a representative in accordance with State law and any legal surrogate so designated may exercise the resident's rights to the extent provided by state law. Findings include: During the survey process it was requested to the facility the resident right manual and the personnel in charge to monitor compliance with resident rights and it was found the following: 1. No personnel were assigned to be in charge or monitor compliance of facility with resident rights. 2. […]

• No harm, potential for more than minimal, widespreadF552Sep 12, 2024

  Based on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to be informed of and participate in his or her treatment. Findings include: During the survey process it was requested to the facility the resident right manual and the personnel in charge to monitor compliance with resident rights and it was found the following: 1. No personnel were assigned to be in charge or monitor compliance of facility with resident rights. 2. The resident right and Exercise facility policy and procedure was requested to the facility on [DATE] at 10:00 AM and no evidence was provided. […]