Hospital De La Concepcion Inc.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Rule F0582. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Provide enough food/fluids to maintain a resident’s health.

Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

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.

Rule F0726. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Give the resident’s representative the ability to exercise the resident’s rights.

Rule F0551. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 11, 2024.

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Rule F0553. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Allow residents to self-administer drugs if determined clinically appropriate.

Rule F0554. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Honor the resident’s right to choose his or her attending physician.

Rule F0555. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

Rule F0557. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Rule F0559. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Protect a residents’ right to refuse some types of non-requested transfers within the nursing home.

Rule F0560. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Rule F0561. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Provide immediate access to any resident.

Rule F0562. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Honor the resident’s right to receive visitors of his or her choosing, at the time of his or her choosing.

Rule F0563. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Rule F0564. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Honor the resident’s right to organize and participate in resident/family groups in the facility.

Rule F0565. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.

Rule F0566. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Honor the resident’s right to manage his or her financial affairs.

Rule F0567. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.

Rule F0568. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Rule F0569. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Assure the security of all personal funds of residents deposited with the facility.

Rule F0570. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Limit the charges against residents’ personal funds for items or services for which payment is made under Medicare or Medicaid.

Rule F0571. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Give residents a notice of rights, rules, services and charges.

Rule F0572. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 11, 2024.

Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.

Rule F0573. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

The resident has the right to receive notices in a format and a language he or she understands.

Rule F0574. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

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.

Rule F0575. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Ensure residents have reasonable access to and privacy in their use of communication methods.

Rule F0576. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

Rule F0577. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 11, 2024.

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.

Rule F0578. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 11, 2024.

Provide information about how to apply for and use Medicare and Medicaid benefits.

Rule F0579. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Keep residents’ personal and medical records private and confidential.

Rule F0583. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

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.

Rule F0585. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

Rule F0586. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 16, 2024.

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Rule F0604. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

Rule F0605. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Rule F0636. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 15, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Provide routine and 24-hour emergency dental care for each resident.

Rule F0790. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 20, 2024.

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.

Rule F0803. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 3, 2024.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Rule F0804. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 8, 2024.

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Rule F0949. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 23, 2024.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Rule F0806. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 3, 2024.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Rule F0851. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 10, 2024.