HOSPITAL DE LA CONCEPCION INC — Nursing Home in SAN GERMAN, PR

Health Inspection Findings & Deficiencies

HOSPITAL DE LA CONCEPCION INC had 46 health inspection deficiencies on its most recent inspection (September 12, 2024).

Inspection Findings — September 12, 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. (Level F)
  Corrected — October 8, 2024
• Protect a residents' right to refuse some types of non-requested transfers within the nursing home. (Level F)
  Corrected — October 8, 2024
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Level F)
  Corrected — October 8, 2024
• Provide immediate access to any resident. (Level F)
  Corrected — October 8, 2024
• Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (Level F)
  Corrected — October 8, 2024
• Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. (Level F)
  Corrected — October 8, 2024
• 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. (Level F)
  Corrected — October 8, 2024
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Level F)
  Corrected — October 23, 2024
• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (Level F)
  Corrected — October 8, 2024
• Provide routine and 24-hour emergency dental care for each resident. (Level F)
  Corrected — September 20, 2024
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Level F)
  Corrected — October 23, 2024
• Give the resident's representative the ability to exercise the resident's rights. (Level F)
  Corrected — October 11, 2024
• Ensure that residents are fully informed and understand their health status, care and treatments. (Level F)
  Corrected — October 8, 2024
• Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Level F)
  Corrected — October 8, 2024
• Allow residents to self-administer drugs if determined clinically appropriate. (Level F)
  Corrected — October 8, 2024
• Honor the resident's right to choose his or her attending physician. (Level F)
  Corrected — October 8, 2024
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Level F)
  Corrected — October 8, 2024
• Reasonably accommodate the needs and preferences of each resident. (Level F)
  Corrected — October 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. (Level F)
  Corrected — October 8, 2024
• Honor the resident's right to organize and participate in resident/family groups in the facility. (Level F)
  Corrected — October 8, 2024
• Honor the resident's right to manage his or her financial affairs. (Level F)
  Corrected — October 8, 2024
• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Level F)
  Corrected — October 8, 2024
• Assure the security of all personal funds of residents deposited with the facility. (Level F)
  Corrected — October 8, 2024
• Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. (Level F)
  Corrected — October 8, 2024
• Give residents a notice of rights, rules, services and charges. (Level F)
  Corrected — October 11, 2024
• Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (Level F)
  Corrected — October 8, 2024
• The resident has the right to receive notices in a format and a language he or she understands. (Level F)
  Corrected — October 8, 2024
• Ensure residents have reasonable access to and privacy in their use of communication methods. (Level F)
  Corrected — October 23, 2024
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Level F)
  Corrected — October 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. (Level F)
  Corrected — October 11, 2024
• Provide information about how to apply for and use Medicare and Medicaid benefits. (Level F)
  Corrected — October 23, 2024
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Level F)
  Corrected — October 23, 2024
• Keep residents' personal and medical records private and confidential. (Level F)
  Corrected — October 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. (Level F)
  Corrected — October 8, 2024
• Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. (Level F)
  Corrected — October 16, 2024
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (Level F)
  Corrected — October 23, 2024
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Level E)
  Corrected — October 23, 2024
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Level F)
  Corrected — October 15, 2024
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level E)
  Corrected — October 23, 2024
• Post nurse staffing information every day. (Level C)
  Corrected — September 12, 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. (Level D)
  Corrected — October 3, 2024
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Level D)
  Corrected — October 23, 2024
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Level C)
  Corrected — October 3, 2024
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (Level C)
  Corrected — October 10, 2024
• Provide and implement an infection prevention and control program. (Level F)
  Corrected — October 8, 2024
• Provide behavior health training consistent with the requirements and as determined by a facility assessment. (Level F)
  Corrected — October 23, 2024

Frequently Asked Questions

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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