Azria Health Park Place

In the surveyor’s words

From the most serious findings on record at Azria Health Park Place, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Sep 11, 2025

  Based on direct observation, clinical record review, resident and staff interview, and facility policy review, the facility failed to maintain the kitchen in a safe and hygienic manner that is free from pests and protects food safety and prevents food borne illness. It further failed to maintain regular kitchen and dietary cleaning logs to maintain and ensure cleanliness in the kitchen. The facility reported a census of 59. The Stage Agency informed the facility of the Immediate Jeopardy (IJ) on 09/03/2025 at 03:55 PM. The IJ began on at least 04/29/2025. Facility Staff removed the Immediate Jeopardy on 09/04/2025. The facility staff removed the IJ by implementing the following actions:1. Facility ceased operations of food service from the kitchen on 9/3/25 at 3:55pm. […]

• Immediate jeopardy, isolatedF627May 5, 2026

  Based on clinical record review, hospitalization record review, facility policy review, resident and staff interviews, the facility failed to safely discharge 1 of 3 residents (Resident #1) reviewed for discharge planning, by discharging the resident to a location that did not meet his health and safety needs. On 4/21/26, Resident #1 with a history of a traumatic brain injury and cognitive impairment was assisted by nursing staff to sign an Against Medical Advice form after the resident became upset when reminded of the facility smoking policy and stated he would just leave. Resident #1 signed the AMA form, took his belongings and left the facility via a cab. […]

• Actual harm, isolatedF686Mar 14, 2024

  Based on observations, resident and staff interviews, record review, facility policy and procedure, the facility failed to provide care consistent with professional standards of practice to prevent pressure ulcers from developing on residents with history of pressure ulcers for two of two residents reviewed (Resident #1 and #2). The facility reported a census of 48 residents. Findings include: The Minimum Data Set (MDS) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. […]

• Actual harm, isolatedF725Jul 28, 2021

  Based on facility record review, resident and staff interview, and review of facility fall protocol the facility failed to ensure residents call lights and needs were answered/met in a timely manner for 3 of 19 residents, (Resident #15, #32, and #41). The facility failed to answer a call light timely to prevent Resident #15 from assisting herself in her wheelchair and the wheelchair getting stuck resulting in the resident falling out of the wheelchair and fracturing her left distal (far end of) femur. The facility reported a census of 55. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #15 reported a Brief Interview for Mental Status (BIMS) of 15 which indicated intact cognition. The resident was able to make herself understood and understood others. […]

• No harm, potential for more than minimal, widespreadF584Sep 11, 2025

  Based on observations, resident and staff interviews, and policy review, the facility failed to provide a clean, comfortable and homelike environment. The facility also failed to maintain and ensure adequate supplies of the appropriate sized briefs to meet the needs of all residents who used briefs and pull-ups, and failed to ensure an adequate supply of resident care supplies and linens for two of two units. The facility identified a census of 59 residents.Findings include: Observations on the North Hall on 9/3/25 starting at 12:34 PM revealed the following: a. The window air conditioner (AC) vent in room [ROOM NUMBER] had a black substance that appeared to be mold and dirt inside the vents. The AC was on during this time. b. […]