Concord Healthcare & Rehabilitation Center

Inspectors wroteRepeat DeficiencyBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) store potentially hazardous foods in a manner to prevent foodborne illness, b.) store unused disposable beverage accessories in a manner to prevent foodborne illness, and c.) maintain kitchen sanitation in a safe and consistent manner to prevent foodborne illness. This deficient practice was evidenced by the following:On 4/6/2026 at 5:05 PM, the surveyor conducted an initial tour of the kitchen and food storage areas with Cook.

Inspectors wroteBased on observation, interview, and review of other facility documents, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to keep the garbage container area and parking area free of garbage and debris and failed to have a cover over the opening of 2 of 2 garbage containers/dumpsters. This deficient practice was evidenced by the following:On 4/6/2026 at 5:01 PM, the surveyor observed 2 green, 1 blue, and 1 grey plastic milk crates scattered in the parking lot next to a grey sports utility vehicle (SUV). On 4/6/2026 at 5:26 PM, during the tour of the designated garbage area with the Administrator in Training (AIT), the surveyor observed a green garbage dumpster/ compactor. The dumpster was half-open. There was no staff loading any trash in the dumpster. [...]

Inspectors wroteBased on observation, interview, review of medical records and other pertinent facility documentation, it was determined that the facility failed to administer enteral nutrition through tube feedings (delivery of nutrients directly into the stomach through a surgical opening) according to Physician's Order (PO). This deficient practice was identified for 2 of 2 residents (Resident #8 and Resident #41) reviewed for receiving nutrition via Tube Feeding (TF). This deficient practice was evidenced by the following:1.) On 4/6/2026 at 6:02 PM, the surveyor observed Resident #8 in bed. A tube feeding pump was located to the left of the resident's bed. The pump was observed off. There was no nutritional formula or free water being administered to the resident at this time. On 4/7/2026 at 8:55 AM, the surveyor observed the resident in bed. [...]

Inspectors wroteBased on observation, interview, record review and review of pertinent facility documents, it was determined that the facility failed to ensure that the medication error rates was not 5% or greater. This deficient practice was identified for 1 of 7 residents (Resident #80), observed during the Medication Administration task. The deficient practice was evidenced by the following:On 04/07/2026 at 10:05 AM on the B Unit, the surveyor observed Registered Nurse (RN) #1 prepare Resident #80's medications for administration. [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to follow appropriate use of Personal Protective Equipment (PPE) during care to residents who required a.) Enhanced Barrier Precautions (EBP) (an infection control strategy focused on reducing the spread of multidrug-resistant organisms [MDRO] in nursing homes) and b.) Contact Precautions (CP), to prevent the potential spread of infection in accordance with the Center for Disease Control and Prevention (CDC) guidelines and standards of clinical practice. This deficient practice was identified for 1of 2 residents (Resident #8) reviewed for Tube Feeding and 1 of 3 residents (Resident #7) reviewed for urinary catheter use. This deficient practice was evidenced by the following:Reference: [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to maintain kitchen equipment in a clean, safe, and sanitary manner and was evidenced by the following: On 12/16/24 at 09:45 AM, in the presence of the Food Service Director (FSD) the surveyor observed the ice machine which had a black sediment on the interior of the ice machine dispenser shoot. When the surveyor asked the FSD what it was, the FSD responded it was Black Mold and he would have it cleaned immediately. On 12/16/24 at 10:20 AM, the surveyor interviewed the FSD who stated the ice machine was cleaned quarterly but it seems to be needed more often. The FSD acknowledged that the interior of the dispensing shoot had black sediment in it. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide privacy and promote dignity during medication administration for 3 of 8 residents observed (Residents #16, #34 and #93) on 1 of 2 nursing units and for 1 of 3 nurses observed. This deficient practice was evidenced by the following: During the medication administration observation of the A unit on 10/27/23 at 7:39 AM, the surveyor observed the Registered Nurse (RN) administer medications to Resident #16. The surveyor observed the resident awake and seated in their wheelchair in the doorway of their room. The RN sanitized their hands, donned gloves, and without providing Resident #16 with privacy the RN cleaned Resident #16's finger with an alcohol swab and performed a capillary blood glucose test (finger prick to obtain a blood sugar level using a glucometer). [...]

Inspectors wroteBased on observation, interview, and review of facility documents, it was determined that the facility failed to follow professional standards of clinical practice with medication administration for 1 of 8 residents (Resident #93) observed for medication pass. This deficient practice was evidenced by the following: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11 Nursing Board, The Nurse Practice Act for the State of New Jersey state: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual or potential physical and emotional health problems, through such services as case finding, health teaching, health counseling, and provision of care supportive to or restorative of life and well-being, and executing a medical regimen as prescribed by a licensed or otherwise legally authorized physician or dentist. [...]

Inspectors wroteBased on observation, interview, record review, and review of facility documentation, it was determined that the facility failed to maintain infection control standards and procedures to address the risk of infection transmission by failing to perform proper hand hygiene for 1 of 3 nurses who administered medications to 1 of 8 residents (Resident # 93) observed during medication administration. This deficient practice was evidenced by the following: On 10/27/23 at 8:16 AM, the surveyor observed the Registered Nurse (RN) administer insulin and medications via a gastrostomy tube (a tube inserted through the belly that brings nutrition directly to the stomach) to Resident # 93. The surveyor then observed the RN remove her gloves to wash her hands. The RN applied soap and lathered her hands for seven seconds out of the stream of running water. [...]