All citations for Concordia Nursing & Rehab, LLC
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.
Last standard health inspection on record
May 6, 2025
Showing 1 to 25 of 37 citations
Immediate jeopardy to resident health or safety
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.
The home gave a date the problem would be corrected (October 7, 2025).
Immediate jeopardy to resident health or safety
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
The home gave a date the problem would be corrected (June 6, 2025).
Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
The home gave a date the problem would be corrected (June 6, 2025).
Immediate jeopardy to resident health or safety
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.
The home gave a date the problem would be corrected (June 6, 2025).
Immediate jeopardy to resident health or safety
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.
The home gave a date the problem would be corrected (June 6, 2025).
Immediate jeopardy to resident health or safety
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.
The home gave a date the problem would be corrected (June 6, 2025).
Harm to a resident
Provide enough food/fluids to maintain a resident's health.
The home gave a date the problem would be corrected (February 29, 2024).
No harm, with potential for more than minimal harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
The home gave a date the problem would be corrected (October 7, 2025).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (June 6, 2025).
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.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Provide training in compliance and ethics.
The home gave a date the problem would be corrected (June 6, 2025).
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.
The home gave a date the problem would be corrected (February 29, 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.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
The home gave a date the problem would be corrected (October 7, 2025).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
The home gave a date the problem would be corrected (June 6, 2025).
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.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
The home gave a date the problem would be corrected (October 7, 2025).
No harm, with potential for more than minimal harm
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
The home gave a date the problem would be corrected (October 7, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (June 6, 2025).
No harm, with potential for more than minimal harm
Maintain 15 months of resident assessments in the resident's active clinical record.
The home gave a date the problem would be corrected (February 29, 2024).
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.