Inspection Reports for Concordia at the Cedars

The inspection was conducted as a complaint investigation at Concordia at the Cedars to review compliance with regulations and assess the submitted plan of correction.

The inspection identified multiple deficiencies including tripping hazards in resident rooms, unsecured medications found accessible on the floor, and incomplete resident support plans regarding fall risk. The facility submitted and implemented plans of correction for all deficiencies.

The visit was complaint-related as indicated by the inspection reason. The submitted plan of correction was reviewed and determined to be fully implemented.

The inspection was conducted as a complaint investigation during an unannounced partial licensing inspection on 09/04/2025.

No regulatory citations or deficiencies were identified as a result of this inspection.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

The inspection was conducted as a complaint investigation with an unannounced partial inspection on 06/23/2025.

Multiple deficiencies were found related to medication security, labeling, following prescriber's orders, and resident records storage. The facility had unlocked medications and resident records accessible, incorrect medication labeling, and failure to follow medication administration orders. Plans of correction were accepted and implemented by 09/22/2025.

The inspection was triggered by a complaint, as stated under Inspection Information on page 2.

The inspection was conducted as a partial, unannounced visit triggered by a complaint and incident involving alleged resident abuse and mistreatment.

The inspection found multiple violations including failure to timely report suspected resident abuse, inappropriate and disrespectful treatment of residents by staff, and incomplete resident assessments related to wound care. Staff person B was terminated following these findings.

The visit was complaint-related involving allegations of resident abuse and mistreatment. The abuse allegation was substantiated by the findings, and staff person B was terminated. The facility was found to have delayed reporting the abuse to the local Area Agency on Aging and the Department.

The inspection was conducted as a complaint and incident investigation at Concordia at the Cedars.

The inspection found a violation of resident dignity and respect when a staff member was observed using profanity and arguing on the phone while assisting a resident, causing distress. The staff member was suspended and terminated, and corrective actions including resident interviews and staff education were implemented.

The visit was complaint-related and substantiated by the observation of staff misconduct causing resident distress.

The inspection was conducted as a complaint and incident investigation during an unannounced partial inspection on 03/04/2024.

The inspection identified multiple deficiencies including misuse of resident funds by a staff member, incorrect medical evaluation dates, incomplete medication administration records, and inaccurate support plan documentation regarding financial management. The facility submitted a plan of correction which was fully implemented by 04/16/2024.

The inspection was complaint-driven and incident-related, with a follow-up plan of correction submission required and completed.

The inspection visit on 01/08/2024 was a partial, unannounced follow-up inspection triggered by a complaint to verify the implementation of a previously submitted plan of correction.

The facility was found to have fully implemented the submitted plan of correction related to resident assessments and support plan signatures. The inspection confirmed compliance with regulations after addressing deficiencies in resident mobility assessments and support plan documentation.

The inspection was complaint-related, focusing on verifying correction of deficiencies in resident assessments and support plan signatures. The submitted plan of correction was accepted and fully implemented.

The inspection was conducted as a follow-up to review the submitted plan of correction related to an incident at the facility.

The submitted plan of correction was determined to be fully implemented, with corrective actions including staff termination, resident interviews, and staff education to prevent neglect and abuse.

The inspection was conducted as a full, unannounced visit for renewal, complaint, and incident reasons.

The inspection identified multiple deficiencies including lack of privacy signage for video surveillance, missing rabies vaccination certificate for a cat, failure to use alternate exit routes during fire drills, incomplete medical evaluations for residents, and failure to follow prescriber's orders for insulin administration. Plans of correction were accepted and implemented by 10/30/2023.

The inspection was conducted as a partial, unannounced visit due to an incident at the facility.

No regulatory citations or deficiencies were identified as a result of this inspection.

The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for previous violations.

The facility was found to have repeated violations related to resident abuse reporting, written incident reporting, activities of daily living assistance, and treatment of residents with dignity and respect. The plan of correction was accepted and fully implemented by 07/24/2023, including termination of the involved staff member and staff education.

The inspection visit occurred as a follow-up to review the submitted plan of correction related to an incident involving resident abuse and treatment of residents.

The facility was found to have previously failed to report suspected abuse timely and had incidents of staff speaking disrespectfully to a resident. The submitted plan of correction was determined to be fully implemented as of the follow-up date.

The inspection was conducted as a renewal licensing inspection of the facility Concordia at the Cedars on 02/09/2022 and 02/10/2022.

Several deficiencies were cited related to fire safety and documentation, including inadequate lighting signage on emergency exit doors, failure to conduct an unannounced fire drill in January 2022, outdated fire safety inspection and drill, prolonged evacuation times during fire drills in 2021, and an incomplete preadmission screening form for a resident.

The inspection was conducted as a renewal licensing inspection of the facility on 05/04/2021, 05/05/2021, and 05/07/2021 to assess compliance with Department statutes and regulations.

The inspection identified several deficiencies including unlabeled poisonous materials, unlocked poisonous materials accessible to residents, inaccurate medical evaluations, and medication labeling errors. Plans of correction were accepted and documented as implemented with ongoing audits and staff training.

The document serves as a response to the renewal application submitted on February 9, 2021, for the operation of the Personal Care Home and informs that a regular license is being issued. It also notifies that an onsite annual inspection will be conducted within the next twelve months.

No inspection findings are reported in this document; it is a licensing and renewal notice confirming the issuance of a regular license and outlining the requirement for a future annual inspection.