HOSPITAL DE LA CONCEPCION INC
CARR 2 KM 173 4 BO CAIN ALTO, SAN GERMAN, PR, 00683 · 7878921860
Legal business name: HOSPITAL DE LA CONCEPCION INC
On the CMS record
- Overall rating (CMS)
- 2 / 5
- Health inspection rating
- 2 / 5
- Staffing rating
- 3 / 5
- Certified beds
- 30
- Ownership type
- Non profit - Corporation
Inspection findings on record (51)
Quoted exactly as CMS published them. We do not rewrite findings.
— Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Recorded as corrected on .
— Nursing and Physician Services Deficiencies
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.
Recorded as corrected on .
— Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Recorded as corrected on .
— Resident Rights Deficiencies
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.
Recorded as corrected on .
— Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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— Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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— Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
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— Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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— Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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— Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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— Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
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— Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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— Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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— Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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— Resident Rights Deficiencies
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
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— Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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— Resident Rights Deficiencies
Provide immediate access to any resident.
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— Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
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— Resident Rights Deficiencies
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
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— Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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— Resident Rights Deficiencies
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
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— Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
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— Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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— Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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— Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
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— Resident Rights Deficiencies
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
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— Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
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— Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
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— Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
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— Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
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— Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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— Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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— Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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— Resident Rights Deficiencies
Provide information about how to apply for and use Medicare and Medicaid benefits.
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— Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Recorded as corrected on .
— Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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— Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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— Resident Rights Deficiencies
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
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— Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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— Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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— Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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— Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
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— Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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— Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
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— Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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— Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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— Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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— Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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— Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Recorded as corrected on .
— Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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— Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Recorded as corrected on .
Source: Centers for Medicare & Medicaid Services (CMS) · CMS Certification Number 405032