Copperfield Health & Rehabilitation
Copperfield Health & Rehabilitation in Concord, NC — inspection on February 27, 2026.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
thermostat, so he (Resident #6) spit on and punched him. No visible injuries were noted.A provider's
#117 reported he was spat on and struck three times in the right cheek. No injuries or marks were
2/18/26 at 3:48 PM.
The Psychiatric NP reported Resident #6 had diagnoses of bipolar disorder and schizophrenia and his mood swings were related to bipolar disorder.
She reported Resident #6 was aware and cognizant of his actions during the incidents (11/24/25, 1/8/26, and 2/13/26) and would likely respond the same way again if someone entered his environment and he was not redirected by staff.
The Psychiatric NP reported she adjusted Resident #6's mood stabilizer on 2/13/26 in response to his continued aggressive behaviors.
She stated that his earlier behaviors had appeared to be reactions to Resident #10, but she now believed the aggression was triggered by anyone altering or stressing his environment.
The Psychiatric NP reported Resident #6 refused to discuss the 2/13/26 incident with her or other staff.An interview with the Medical Director was conducted on 2/19/26 at 10:10 AM.
The Medical Director reported he was aware of the incidents on 11/24/25, 1/8/26, and 2/13/26 involving Resident #6 and other residents. He reported he was not aware of any severe injuries to Resident #10 or Resident #117 but stated his collaborating NP would notify him of any serious injury and he would conduct an onˆsite evaluation. He stated Resident #6 was followed by psychiatry and that he and the Psychiatric NP collaborated on care management. He reported Resident #6 was cognitively intact and had the ability to refrain from violent behavior but had developed a pattern of striking out when he did not get his way. He stated he did not believe Resident #6 felt threatened during the incidents but did not want other residents to enter his room.
The Medical Director stated that close observation and monitoring were the most effective interventions to protect other residents. He stated redirection and reducing the risk of wanderers entering Resident #6's environment were preferred strategies over increasing medications to avoid overmedicating Resident #6. He explained that the facility attempted to avoid over-medication to prevent cumulative side effects. He reported he had no concerns about Resident #6's safety in the facility and that the NP would continue to see Resident #6 as needed.
The Medical Director reported that the facility attempted to keep all residents safe from abuse.An interview with the Administrator was conducted on 2/17/26 at 2:30 PM.
She reported she was not present for the incidents on 11/24/25, 1/8/26, or 2/13/26.
She stated she was aware of Resident #6's aggressive behaviors before and since the incidents on 11/24/25, 1/8/26, and 2/13/26.
She reported that the facility implemented 1:1 observation and later close supervision for several weeks following the 11/24/25 incident.
She stated that after the 1/8/26 incident, 1:1 observation was put in place and remained in place for a few days after her returned from the hospital.
She reported Resident #6 was placed on 1:1 observation after the 2/13/26 incident and remained on 1:1 at present.
She reported Resident #6 would be more appropriate for an assisted living setting or small group home with fewer environmental stressors and that they had been referring the resident to other facilities but none of the referrals had been accepted.A followˆup interview with the Administrator was conducted on 2/19/26 at 2:30 PM.
The Administrator reported that Resident #6 would remain on 1:1 observation and close supervision as long as he posed a safety risk to other residents, himself, or staff.
She reported the facility worked to keep all residents at the facility safe and free from abuse.
345130 02/27/2026
Copperfield Health & Rehabilitation 515 Lake Concord Road NE Concord, NC 28025
Federal health inspectors cited Accordius Health at Concord in Concord, NC for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2026-02-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of Accordius Health at Concord.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-02-28.
Findings included: Resident #78 was admitted to the facility on [DATE] with diagnoses including protein calorie malnutrition, lipoprotein deficiency (inherited metabolic disorder where a defective gene prevents the body from producing the enzyme needed to break down dietary fat), and dysphagia (difficulty swallowing).
The significant change Minimum Data Set (MDS) dated [DATE] indicated Resident #78 was severely cognitively impaired.
The MDS was coded for Resident #78 receiving a mechanically altered diet.
Review of the physician order dated 1/7/2026 indicated Resident #78 required a mechanically altered diet with thin liquids for diagnosis of dysphagia.
The diet spread sheet for therapeutic diets for the lunch meal on 2/16/2026 revealed mechanically altered diets were to receive seasoned sauteed zucchini (soft, cooked and fork mashable) as their vegetable and apple sauce for dessert for their lunch meal.
The Diet Type Report revealed there were 24 residents on mechanically altered diets.Resident #78 was observed in the main dining room on 2/16/2026 at 11:57 AM. Resident #78's tray ticket indicated she was on a regular, mechanically altered diet with thin liquids.
Her lunch meal consisted of herb roasted pork chopped, pasta alfredo, broccoli with mixed vegetables, and tropical fruit.
There was no evidence of seasoned zucchini or apple sauce on Resident #78's meal tray. Resident #78 was observed in the main dining room on 2/17/2026 at 12:00 PM.
The diet spread sheet for the lunch meal indicated mechanically altered diets and Resident #78 should receive turkey cutlet ground with gravy, mashed potatoes, cut green beans (soft, cooked and fork mashable) and cherry cobbler for dessert. Resident #78's meal tray was observed with turkey cutlet with gravy chopped, red whole sliced potatoes, broccoli, and a cookie for dessert.
During an interview with the Dietary Manager on 2/18/2026 at 2:34 PM, she indicated she was aware of Resident #78's mechanically altered diet.
She stated Resident #78 had received the wrong vegetables and wrong dessert.
The Dietary Manager confirmed that all residents who were prescribed a mechanically altered diet, 24 total residents, received the wrong vegetables and wrong dessert on 2/16/2026 and 2/17/2026.
The Dietary Manager stated the expectation was to serve what is on the menu.
The Dietary Manager added that when items were not in supply, they must adjust the menu.
During an interview on 2/17/2026 at 12:25 PM, the Regional Dietary Manager indicated the facility had run out of food and this was why there were changes made in the menu.
The Regional Dietary Manager confirmed 24 total residents prescribed mechanically altered diets did not receive the correct vegetable or dessert for their lunch meal.
During an interview with the Administrator on 2/18/2026 at 2:49 PM she stated her expectation was the facility dietary staff follow the menu as planned.
She further revealed that if there are changes to the menu the facility dietary staff should log those changes and notify the residents.
345130 02/27/2026
Copperfield Health & Rehabilitation 515 Lake Concord Road NE Concord, NC 28025
During an initial observation of the facility's kitchen with the Regional Dietary Manager and the Dietary Manager on 2/16/2026 at 9:52 AM, the walk-in freezer was noted to have the following concerns: - An opened unsealed package of chicken tenderloins with signs of frost bite spots and discolored grayish brown patches; - An opened, unlabeled, and unsealed package of chicken breasts with signs of frost bite spots and discolored grayish brown patches; - One opened, unlabeled, unsealed box of chocolate chip cookies with signs of frost bite spots and discolored grayish brown patches and; - One opened, unlabeled, unsealed package of biscuit dough with ice crystal formation. b.
During an initial observation of the facility's kitchen with the Regional Dietary Manager and the Dietary Manager on 2/16/2026 at 10:00 AM the walk-in refrigerator was noted to have the following concerns: - An opened and unlabeled 5-pound (lb.) bag of parmesan fancy shredded cheese; -An opened, unlabeled, and unsealed box of herb thyme with signs of spoilage (brownish/ blackish in color) and; -An open, 1-quart size of pimento cheese spread with use by date of 2/2/2026. An interview was conducted with the Dietary Manager on 2/18/2026 at 2:34 PM.
The Dietary Manager stated that labels and dates on open food items should be checked weekly.
The Dietary Manager further stated the items in the walk-in freezer should not have been opened and needed to be discarded.
The Dietary Manager stated items in the walk-in cooler and in the walk-in refrigerator should have an open date, be closed and sealed in both areas.
She further indicated whenever a staff member used an item they were to label when opened and the item should be closed. An interview with the Administrator on 2/18/2026 at 2:49 PM revealed all food and beverage items should be dated when they were opened, food with signs of spoilage should be discarded, and food items should be used or discarded according to use-by policies.
She further stated the dietary department was responsible for food storage and safety daily.