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Accordius Health At Concord

Inspection Results


Nursing Homes North Carolina Concord Accordius Health At Concord

Accordius Health At Concord has been cited for a total of 68 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Accordius Health At Concord.

There are 427 nursing homes in North Carolina with a total of 11,853 deficiencies resulting in an average of 27.76 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
J
Corrected:
03-23-2020

Honor 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.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
12-02-2019

Assist a resident in gaining access to vision and hearing services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
12-02-2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
J
Corrected:
10-04-2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-16-2019

Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
05-16-2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category:
Resident Rights Deficiencies
Scope:
B
Corrected:
03-23-2020

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-23-2020

Assess the resident when there is a significant change in condition
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-23-2020

Assure that each resident?s assessment is updated at least once every 3 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-23-2020

Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-23-2020

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-23-2020

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
03-23-2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-23-2020

Provide safe and appropriate respiratory care for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
03-23-2020

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
03-23-2020

Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category:
Administration Deficiencies
Scope:
F
Corrected:
03-23-2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-23-2020

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category:
Administration Deficiencies
Scope:
D
Corrected:
03-23-2020

Provide and implement an infection prevention and control program.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
03-23-2020

Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
03-23-2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
03-23-2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
11-26-2018

Honor 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.
Category:
Resident Rights Deficiencies
Scope:
C
Corrected:
05-16-2019

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-16-2019

Assure that each resident?s assessment is updated at least once every 3 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-16-2019

Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-16-2019

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-16-2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-16-2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-16-2019

Provide safe, appropriate pain management for a resident who requires such services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-16-2019

Post nurse staffing information every day.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
05-16-2019

Dispose of garbage and refuse properly.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
05-16-2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
B
Corrected:
05-16-2019

Have a plan that describes the process for conducting QAPI and QAA activities.
Category:
Administration Deficiencies
Scope:
D
Corrected:
05-16-2019

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
05-16-2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
05-16-2019

Honor the resident's right to organize and participate in resident/family groups in the facility.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
04-20-2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
04-20-2018

Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
04-20-2018

Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
04-20-2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
04-20-2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
04-20-2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
04-20-2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
04-20-2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
04-20-2018

Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
04-20-2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category:
Nursing and Physician Services Deficiencies
Scope:
E
Corrected:
04-20-2018

Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
04-20-2018

Keep all essential equipment working safely.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
04-20-2018

Establish emergency prep training and testing.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
03-23-2020

Add 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.
Category:
Egress Deficiencies
Scope:
E
Corrected:
07-31-2019

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Category:
Egress Deficiencies
Scope:
E
Corrected:
07-31-2019

Install proper backup exit lighting.
Category:
Egress Deficiencies
Scope:
E
Corrected:
07-31-2019

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
07-31-2019

Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
07-31-2019

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
07-31-2019

Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
D
Corrected:
07-31-2019

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
07-31-2019

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
07-31-2019

Add 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.
Category:
Egress Deficiencies
Scope:
E
Corrected:
06-10-2018

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
06-10-2018

Properly install and monitor supervisory attachments on automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
06-10-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
06-10-2018

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Category:
Services Deficiencies
Scope:
D
Corrected:
06-10-2018

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
06-10-2018

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
07-26-2017

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
07-26-2017



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Accordius Health At Concord


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