All citations for Concordia at Arbutus Park

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Concordia at Arbutus Park

Last standard health inspection on record

August 21, 2025

Showing 1 to 25 of 48 citations

Harm to a resident
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level G.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (March 8, 2024).
Harm to a resident
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Isolated (one or a few residents). CMS level G.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (March 8, 2024).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (March 8, 2024).
No harm, with potential for more than minimal harm
Install a two-hour-resistant firewall separation.
Widespread (many residents). CMS level F.
Fire safety citation K-0133, Construction Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Install a two-hour-resistant firewall separation.
Widespread (many residents). CMS level F.
Fire safety citation K-0133, Construction Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 21, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 20, 2025).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 9, 2025. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (April 2, 2025).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 8, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 8, 2024).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 11, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 6, 2023).
No harm, with potential for more than minimal harm
Meet other general requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0200, Egress Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2023).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 19, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.