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CONCORDIA MANOR Inspection Report, Violations & Safety Grade (SAINT PETERSBURG, Florida)

321 13TH AVE N, SAINT PETERSBURG, Florida 33701

Phone: 7278223030

CMS Overall:1/5

Overview & Bed Count

Certified Beds
39
Avg Residents/Day
31.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Pinellas
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day0.710.73-0.02
Total Nurse Hours per Resident per Day3.973.86+0.11
CMS Staffing Rating3/53.3/5-
Nursing Staff Turnover73.6%41.5%-

Health Citation History

17 health citations on record

DateCategoryDescriptionSeverity
2025-09-10Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2025-09-10Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2025-09-10Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.K – Immediate Jeopardy
2025-09-10Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-04-23Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2025-04-23Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-04-23Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-04-23Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-03-07Quality of Life and Care DeficienciesHonor each resident's preferences, choices, values and beliefs.D – Moderate Harm Potential
2025-03-07Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential
2024-05-09Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-05-09Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2024-05-09Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2024-05-09Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2022-03-09Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2022-03-09Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2021-03-05Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential

Fire Safety Citation History

13 fire safety citations on record

DateCategoryDescriptionSeverity
2024-05-09Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).D – Moderate Harm Potential
2024-05-09Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.D – Moderate Harm Potential
2024-05-09Emergency Preparedness DeficienciesDevelop a communication plan.D – Moderate Harm Potential
2024-05-09Emergency Preparedness DeficienciesEstablish staff and initial training requirements.D – Moderate Harm Potential
2024-05-09Egress DeficienciesMeet other general requirements.D – Moderate Harm Potential
2024-05-09Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2024-05-09Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.D – Moderate Harm Potential
2024-05-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-05-09Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2024-05-09Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2024-05-09Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.D – Moderate Harm Potential
2022-03-09Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2022-03-09Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$132,259
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-09-10Fine$97,747-
2025-03-07Fine$34,512-

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