Concordia At Sumner
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
of doors with the wanderguard keypad leading to vestibule and a second set of doors that lead to the parking lot. LPN #205 tested the alarm by bringing a resident with a wandergaurd bracelet near the door.
The keypad turned red (from green) and would not open when the nurse briefly pushed on it. The keypad was reset by the nurse after removing the resident from the area.Interview on 11/13/25 at 4:12 with Administrator and DON revealed DON learned of Resident #28's elopement on 11/08/25 by LPN #600. She stated all residents' wanderguards were checked and Resident #28 was assessed. DON found out on 11/08/25 first shift did not know about the every 15-minute checks because of Door #2 malfunctioning. She was unable to determine if the prior shift shared that in report or not as they claimed to tell the next shift and the staff on 11/08/25 dayshift denied getting it in report. DON expected them to start every 15-minute checks at that point. Wanderguards were moved to residents' wrist if it was on ankle. Orders were changed
on Monday to check the wanderguard bracelet every Monday. They started using a handheld device to check the bracelets wherever the resident was instead of taking them to a door. The DON provided education to staff starting 11/08/25.Review of the every 15-minute checks forms revealed some pages had initials for all four residents who used a wanderguard bracelet plus initials of the staff. Staff also drew arrows down the page instead of making an entry for every 15 minute increment. DON verified on 11/13/25 at 4:22 P.M. the form was blank on 11/08/25 for the dayshift until after the elopement occurred.Review of facility policy titled Elopements and Wandering Resident, dated 12/22/2023, revealed the policy read the facility was equipped with door locks/alarms to help avoid elopements. Alarms were not a replacement for necessary supervision. Adequate supervision would be provided to help prevent accidents or elopements.This deficiency represents non-compliance investigated under Complaint number 2664797.
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CONCORDIA AT SUMNER in COPLEY, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COPLEY, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CONCORDIA AT SUMNER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.