Park Shore

Failed to implement systems to support safe medication services for 2 of 2 sampled residents; medication parameters not followed and medications missed.

The facility failed to ensure a care staff member completed the required first aid training.

Failed to monitor food temperatures and staff failed to follow proper hand sanitation guidelines.

Failed to obtain physician-prescribed medication in a timely manner.

Failed to ensure Negotiated Service Agreements were signed at least annually for 6 of 6 sampled residents.

The facility failed to ensure documentation of previous positive TST, blood test, or adequate TB therapy for 2 of 2 sampled staff.

Failed to follow criteria for nurse delegation; non-licensed staff administered medication (pain patches) without delegation training.

Failed to notify the physician and evaluate for negative outcomes when a resident refused prescribed medications.

The facility failed to ensure a caregiver completed a fingerprint background check within 120 days of hire.

The facility failed to follow a Respiratory Protection Program (RPP). Specifically, they did not ensure care staff completed medical evaluations or received annual fit-testing for N95 respirator masks while caring for residents during a COVID-19 outbreak.

The licensee failed to ensure one staff had the required specialized training for dementia and mental health to fulfill their expected responsibilities, placing 24 residents at risk.

Facility failed to ensure 1 of 2 sampled staff had required specialized training for dementia and mental health.

The facility failed to include on-duty staff responsibilities, alternate locations, and provision of resident medications in their Disaster Manual.

Facility failed to secure hazardous chemicals, leaving them accessible to cognitively impaired residents in unlocked cabinets and on an unattended housekeeping cart.

Facility failed to report an incident of alleged abuse involving 1 resident (Resident 7) to local law enforcement.

Items stored in front of electrical panels in 15th floor fan room and 1st floor electrical closet; loose wiring found in electrical closet.

Facility unable to provide documentation for annual fire wall inspection.

Facility failed to provide documentation for 12 planned and unannounced fire drills in the previous 12 months.

Missing ceiling tiles on 4th and 15th floors.

Facility unable to provide documentation for 4-year fire and smoke damper inspection.

Missing CO detectors near gas fireplaces; missing monthly testing records.

Missing documentation for annual emergency generator servicing.

Use of unapproved multiplug adapters and power strips in multiple office and laundry locations.

Facility unable to provide documentation for annual fire door inspection.

Missing documentation for semi-annual kitchen suppression system servicing.

15th floor west stairwell emergency light failed test.

Facility failed to provide written emergency plan covering required items.

Missing documentation for semi-annual hood cleaning.

Magnetic hold opens failed; doors propped open with wedges; fire doors failing to latch properly.

Missing documentation for annual fire alarm system testing.

Missing documentation for annual 90-minute and monthly 30-second emergency light testing.

Missing documentation for annual, 5-year, 3-year, and quarterly inspections; sprinkler heads in kitchen loaded/dirty.

15th floor emergency exit door did not open.

Unsecured compressed gas tank behind 15th floor grill bar.