Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hospital De La Concepcion Inc during CMS and state inspections, most recent first.
A facility failed to ensure that the Charge Nurse completed all assigned duties on each shift. During an interview, the Nursing Supervisor stated that a nurse leader is assigned each shift, but the nursing staff are not formally designated as nurse leaders and the facility had not ensured they carried out all responsibilities tied to the role, including staff supervision, emergency coordination, physician liaison duties, and direct resident care.
The facility failed to ensure that per diem nursing staff had current competency evaluations. During an interview, the Nursing Supervisor stated that per diem nurses were hired by the hospital and that competency checks for those staff were done only at initial hire, rather than on a periodic basis for all direct-care staff.
Failure to provide required Medicare discharge notification: The facility did not ensure that Medicare-eligible residents received the Important Medicare Message in writing at admission and at least 48 hours before discharge for 3 reviewed residents. Records for residents admitted with orthopedic and post-op cervical diagnoses lacked documentation of the notice, and staff interviews confirmed the message was not being provided to SNF residents, with ABNs used for residents with primary Medicare.
Uncomfortable Room Temperatures: Three residents reported cold room conditions during interview, and environmental observations found room temperatures below the facility’s required 70 F to 75 F range. No thermometer was available in the rooms, and measured temperatures were 67.8 F, 69.7 F, and 66.9 F for residents admitted with knee arthroplasty.
A resident admitted with a Prosthetic Joint Infection of the L hip had weight documented only on admission, with no further weight monitoring in the record. The Nursing Supervisor stated the facility had no routine weight monitoring policy at the time care was provided, and a new policy was only produced after surveyor request.
Charge Nurse Responsibilities Not Fully Performed
Penalty
Summary
The facility failed to ensure that the Charge Nurse performed all responsibilities assigned during each shift. During an interview on 03/04/2026 at 1:22 PM, the Nursing Supervisor stated that the facility assigns a Nurse leader on each shift, but the nursing staff are not formally designated as nurse leaders. The Nursing Supervisor also stated that the facility had not ensured these nurses performed all responsibilities associated with the nurse leader position. The report identifies the Charge Nurse as a licensed nurse with specific facility-designated responsibilities that may include staff supervision, emergency coordination, physician liaison duties, and direct resident care.
Per Diem Nursing Staff Competency Evaluations Not Maintained
Penalty
Summary
The facility failed to ensure that per diem nursing staff assigned to the skilled nursing facility completed annual competency evaluations. During an interview on 03/05/2026 at 9:51 AM, the Nursing Supervisor stated that per diem nursing staff were hired by the hospital and that competency evaluations for per diem staff were conducted only at the time of initial hiring. The report states that all staff who provide direct care to residents must maintain current competencies that are evaluated on a periodic basis, including per diem staff.
Failure to Provide Required Medicare Discharge Notification
Penalty
Summary
The facility failed to ensure that Medicare-eligible residents were informed in writing of the Important Medicare Message at admission and at least 48 hours before discharge for 3 of 3 reviewed residents. Resident #63, a female admitted with a diagnosis of right total knee replacement and later discharged home, had no evidence in the record that the Important Medicare Message was provided in writing at admission or 48 hours before discharge. Resident #64, a 78-year-old male admitted with a diagnosis of right total knee replacement and discharged home, also had no documentation showing the message was provided in writing at admission or before discharge. Resident #65, a 70-year-old female admitted with a diagnosis of post-operative posterior cervical condition and discharged home, likewise had no evidence in the record that the Important Medicare Message was given in writing at admission and at least 48 hours before discharge. During interviews, the nurse supervisor stated the resident records did not contain documentation of the Important Medicare Message and that the admission clerk said it was not being provided to residents. The admission register official stated that since the last survey, the previous supervisor had been informed that the Important Medicare Message was not being provided to SNF residents, and that residents with primary Medicare were informed of the ABN instead.
Uncomfortable Room Temperatures
Penalty
Summary
The facility failed to ensure a comfortable room temperature for 3 of 29 residents, specifically Residents #24, #36, and #39. The facility policy, "monitoreo Temperaturas y Humedades - Monitoring of Temperature and Humidity in the Skilled Nursing Facility- SNF," dated May 2025, states that resident room temperatures must be maintained between 70 F and 75 F based on ASHRAE recommendations. During interviews and environmental observations on 03/04/2026, Resident #24, a 64-year-old female admitted with Left Knee Arthroplasty, stated that her room was excessively cold; no thermometer was available in the room, and the measured temperature was 67.8 F. Resident #36, a female admitted with Right Knee Arthroplasty, stated that her room was cold; no thermometer was available in the room, and the measured temperature was 69.7 F. Resident #39, a female admitted with Left Knee Arthroplasty, also stated that her room was cold; no thermometer was available in the room, and the measured temperature was 66.9 F.
Failure to Monitor and Document Resident Weight After Admission
Penalty
Summary
The facility failed to ensure that a resident's weight was monitored and documented after admission to assess the resident's status. Resident #42, a [AGE]-year-old male admitted with Prosthetic Joint Infection of the Left Hip, had weight documentation only at the time of admission, and the clinical record contained no additional weight monitoring after admission. During interview, the Nursing Supervisor stated that the facility did not have a policy regarding routine weight monitoring for residents. The facility later provided a newly developed weight monitoring policy after the surveyors requested it, confirming that no such policy was in place when the resident's care was provided.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near San German
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Servicios Integrados De Rehabilitacion (siro) Inc | 7.5 mi | ★★★★★ | 9 | 0 |
| Damas Hospital Snf | 28.8 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.