Federal Nursing-Home Survey Record
HOSPITAL DE LA CONCEPCION INC
Does HOSPITAL DE LA CONCEPCION INC have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), HOSPITAL DE LA CONCEPCION INC (CCN 405032), in SAN GERMAN, PR, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 46 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2024-09-12. The dated record below reflects everything CMS publishes for this facility in the current data snapshot. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
CMS does not publish an overall rating for this facility in the current data snapshot. The CMS-published state average is 3.3.
Deficiency timeline — full federal history
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Give the resident's representative the ability to exercise the resident's rights.
Ensure that residents are fully informed and understand their health status, care and treatments.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Allow residents to self-administer drugs if determined clinically appropriate.
Honor the resident's right to choose his or her attending physician.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide immediate access to any resident.
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Honor the resident's right to organize and participate in resident/family groups in the facility.
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
Honor the resident's right to manage his or her financial affairs.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Assure the security of all personal funds of residents deposited with the facility.
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Give residents a notice of rights, rules, services and charges.
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
The resident has the right to receive notices in a format and a language he or she understands.
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.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
Provide information about how to apply for and use Medicare and Medicaid benefits.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Keep residents' personal and medical records private and confidential.
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.
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide routine and 24-hour emergency dental care for each resident.
Provide and implement an infection prevention and control program.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Post nurse staffing information every day.
Document what happened
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