Brookdale Parkplace

A relicensure survey was completed on 8/28/25. Deficiencies were cited. Based on observation, interview and record review, the residence failed to ensure staff documented in progress notes all out-of-the-ordinary events or issues that affected the resident' s physical, behavioral, cognitive, or functional condition, along with the action taken by staff to address the resident' s changing needs, affecting three of four resident progress notes reviewed (#1, #2, #4). (Cross-reference U1412)Findings include:1. Resident #4 was admitted to the residence on 1/16/23 with diagnoses including dementia, Alzheimer' s disease, muscle weakness, lack of coordination and protein-calorie malnutrition.Progress notes for Resident #4 in August 2025 revealed the following:On 8/12/25 Resident #4 stated she had pain in her buttocks.On 8/13/25 Resident #4 reported pain when she was being c.. Based on record review and interview the residence failed to have at least one staff member onsite at all times who was certified in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization, affecting 59 current residents.Findings include:On 8/26/25, the residence provided all CPR certifications for all certified staff; however, no staff were CPR certified on the following dates:8/22/25 morning and evening shifts.8/23/25 evening shift.On 8/26/25 at 1:20 p.m., the administrator acknowledged there was no CPR-trained person on 8/22/25 morning and evening and 8/23/25 evening shifts, as required. Based on record review and interview, the residence failed to document and implement effective actions that were to be taken by staff to prevent reoccurrence of falls, affecting three of four residents (#1, #2, #4) who fell.Specifically, Resident #1 fell 15 times in July and August 2025. Resident #1 fell on 8/1/25 and had a bruised leg and expressed pain. On 8/5/25 Resident #1 fell during the overnight shift and on 8/6/25 bruises were observed on his upper and lower back. On 8/23/25 Resident #1 fell and had an abrasion on his right forearm. Resident #1' s care plan was last updated in May 2025 and did not include actions that were to be taken by staff to prevent reoccurrence of falls, nor were staff able to detail any resident specific actions to prevent reoccurrence of falls for Resident #1. Findings include:1. Resid.. Based on record review and interview, the residence failed to follow the residence' s policies and procedures for the identification, reporting, and investigation of injuries of unknown origin, affecting three of four sample residents (#1, #4, #5). (Cross-reference U2230)Findings include:On 8/28/25 at approximately 10:15 a.m., the administrator was asked to provide the residence' s investigation notes or supporting documentation for Resident #1, #4 and #5' s skin abrasions and bruises that were progress noted by the residence in July and August 2025. Resident #1 was admitted to the residence on 11/13/20 with diagnoses including insomnia and prostatic hyperplasia.On 8/4/25 an external hospice representative documented that Resident #had a large bruise on his lower back. There was investigation for this inju..