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CONCORD VILLAGE SKILLED NURSING & REHABILITATION Inspection Report, Violations & Safety Grade (CONCORD, Ohio)

10955 CAPITAL PARKWAY, CONCORD, Ohio 44077

Phone: 3309206472

CMS Overall:5/5

Overview & Bed Count

Certified Beds
72
Avg Residents/Day
54.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lake
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityOhio AvgDifference
RN Hours per Resident per Day0.640.64-0.00
Total Nurse Hours per Resident per Day4.083.71+0.37
CMS Staffing Rating3/52.4/5-
Nursing Staff Turnover80.2%49%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2024-05-22Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-01-30Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2020-01-23Infection Control DeficienciesImplement a program that monitors antibiotic use.F – Moderate Harm Potential
2020-01-23Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2020-01-23Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2020-01-23Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2020-01-23Nursing and Physician Services DeficienciesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D – Moderate Harm Potential
2020-01-23Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2020-01-23Pharmacy 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
2020-01-23Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2020-01-23Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2020-01-23Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2025-06-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-06-26Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2025-06-26Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-06-26Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2025-06-26Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.E – Moderate Harm Potential
2025-06-26Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-06-26Services DeficienciesMeet other general requirements that are deficient.E – Moderate Harm Potential
2025-06-26Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2023-01-19Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2023-01-19Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2023-01-19Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2023-01-19Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2020-01-23Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2020-01-23Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2020-01-23Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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