Concord Royale

FACILITY EVALUATION REPORT

The inspection was conducted unannounced as a case management visit following a Death Report (LIC624A) for a resident. The Licensing Program Analyst reviewed the resident's file and conducted interviews with the Executive Director. No deficiencies were cited during today's visit.

The facility underwent a 1-Year Annual Required inspection on May 21, 2025. The inspection noted several positive aspects, such as adequate lighting and functioning safety equipment. However, one Type B deficiency was cited regarding the cleanliness and repair of kitchen equipment, specifically a freezer door issue and freezer burn.

The unannounced case management visit was conducted following an unusual incident report (UIR) received on 1/8/25. The evaluator met with the Executive Director and reviewed the incident regarding a resident's hospitalization for urinary retention. The report explicitly states, "No deficiency issue on today date."

The investigation was conducted following a complaint regarding facility safety. The allegation that passageways were obstructed was found to be substantiated. The primary deficiency cited relates to maintaining clear egress paths for the protection of life and safety.

The facility underwent a 1-Year Annual Required inspection on May 3, 2024. The Licensing Program Analyst conducted a thorough tour and reviewed resident and staff records. No deficiencies were cited during the visit.

The facility underwent a Required 1 Year Annual inspection on 04/21/2023. The inspector noted several positive observations, such as adequate lighting, proper temperature control, and functioning safety equipment. No deficiencies were cited during the visit, though several documents were requested for follow-up submission.