CONCORD CARE AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Concord Care and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CONCORD CARE AND REHABILITATION CENTER
620 W STRUB RD
SANDUSKY, OH 44870
(419) 626-5373

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

80%

Number of Residents and Certified Beds

  • Residents: 40
  • Certified Beds: 50

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Huron | Milan | Norwalk

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Concord Care and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-160.9%
ADL Index Range: 6-102.3%
ADL Index Range: 0-58.3%
Total Percent:11.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1624.0%
ADL Index Range: 0-517.9%
Total Percent:42.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1619.0%
ADL Index Range: 6-102.5%
Total Percent:21.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.6%
ADL Index Range: 0-55.1%
Total Percent:6.7%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
0.2%
ADL Index Range: 2-16
- Isolation for active infectious disease
0.4%
Total Percent:0.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
3.1%
Total Percent:3.1%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
0.4%
ADL Index Range: 6-10
- Signs of depression
2.2%
ADL Index Range: 0-1
- No Signs of depression
4.7%
Total Percent:7.2%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
2.5%
ADL Index Range: 0-1
- Less restorative nursing
0.7%
Total Percent:3.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
2.7%
ADL Index Range: 6-10
- Less restorative nursing
1.4%
Total Percent:4.2%
 

Rating Details For Concord Care and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours39 Minutes1 Hour and 17 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 26 Minutes2 Hours and 32 Minutes
Total Licensed Nurse Hours1 Hour and 39 Minutes1 Hour and 59 Minutes
Total Nurse Hours4 Hours and 5 Minutes4 Hours and 31 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Ohio are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOhio Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination33%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season81%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%11%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%48%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%10%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain9%5%
Percent of Long-Stay Residents Who Were Physically Restrained7%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination30%83%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season75%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores22%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%24%
Percent of Short-Stay Residents Who Have Delirium9%3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/20/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/09/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 01/20/2011
  • Correction Date: 02/28/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/20/2011
  • Correction Date: 02/28/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/09/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/09/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 10/29/2009
  • Correction Date: 11/09/2009

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/20/2008
  • Correction Date: 12/29/2008

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)10/29/2009$3,218

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Concord Care and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/19/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/18/2008
  • Correction Date: 12/29/2008

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/28/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 11/18/2008
  • Correction Date: 12/29/2008

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 11/18/2008
  • Correction Date: 12/29/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/18/2008
  • Correction Date: 05/20/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 11/18/2008
  • Correction Date: 12/29/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/19/2011
  • Correction Date: 02/28/2011
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011