Facility profile · CCN 045143
Concordia Nursing & Rehab, Llc
37 federal citations on record , including 6 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $121,855.
Record summary
Federal record · Q1 202637
Total citations
33
Last 3 years
7
Actual harm+
3
Federal penalties
$121,855
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 6, 2025 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | Complaint |
| May 6, 2025 | F946 | Provide training in compliance and ethics. | F | Standard |
| May 6, 2025 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard |
| May 6, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 6, 2025 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | Standard |
| May 6, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard |
| May 6, 2025 | F844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | F | Standard |
| May 6, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Standard |
| May 6, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| May 6, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Standard |
| May 6, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 6, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | L | Standard |
| May 6, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Standard |
| May 6, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | K | Standard |
| May 6, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| May 6, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard |
| May 6, 2025 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | J | Standard |
| May 6, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| May 6, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| May 6, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| May 6, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| May 6, 2025 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard |
| May 6, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Feb 1, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 1, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Feb 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 1, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard |
| Feb 1, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Feb 1, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Feb 1, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard |
| Feb 1, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Feb 1, 2024 | F639 | Maintain 15 months of resident assessments in the resident's active clinical record. | E | Standard |
| Feb 1, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Oct 27, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 27, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Oct 27, 2022 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Oct 27, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $121,855 and 1 payment-denial actions spanning 62 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 6, 2025 | Fine | $111,647 | — |
| May 6, 2025 | Payment Denial | — | Aug 6, 2025 · 62 days |
| Feb 1, 2024 | Fine | $10,208 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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