City Park Healthcare and Rehabilitation Center

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Environmental Deficiencies

Have enough outside ventilation via a window or mechanical ventilation, or both.

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

A complaint survey, prompted by #CO34868 and Incident #CO35052 was completed on 3/13/24 to 3/18/24. One deficiency was cited. Based on interviews and record review, the facility failed to ensure one (#1) of three residents was free from abuse out of six sample residents.Specifically, the facility failed to prevent and protect Resident #1 from verbal abuse by a staff member who yelled and cursed at Resident #1.Findings include:I. Facility policy and procedureThe Abuse and Neglect policy and procedure, revised 9/30/22 and 1/16/23 (after the incident with Resident #1), was provided by the nursing home administrator (NHA) on 3/13/24 at 2:44 p.m. by email. It revealed in pertinent part,"Each resident has the right to be free from abuse, neglect, misappropriation of property, exploitation, involuntary seclusion, and physical or chemical restraints imposed for the purpose of discipline or convenience not required to treat the resident' s medical symptoms. Residents will not be subjected to abuse by anyone, including staff (to include agency or contract vendors), residents, volunteers, consultants, family members or legal guardians, friends, or any other individuals. "Verbal abuse"The use of oral, written, or gestured language that willfully, consciously or with understanding is certain to cause harm and includes disparaging and derogatory terms to residents said within their hearing distance, regardless of their age, ability to comprehend, or their disability. Some examples of verbal abuse include threats of harm, saying things to frighten a resident such as telling a resident that he/she will never be able to see his/her family again, or using profanity to insult or scold a resident."II. Facility investigationOn 12/10/23 at approximately 1:00 p.m., Resident #1 went to a door outside the facility' s main kitchen and knocked. Resident #1 went to the kitchen to request bread which was not provided on his lunch tray. The dietary cook (DC) opened the door to the kitchen, yelled profanity at the resident and told him "I' m going to shove a bread up your ' expletive.' " The incident was witnessed by other staff members. Resident #1 was interviewed and said after the DC yelled at him he ..