Burbank Parke Care Center

In the surveyor’s words

From the most serious findings on record at Burbank Parke Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Dec 29, 2023

  Based on observation and interview, the facility failed to ensure cold, perishable food (milk) was maintained a proper temperatures. This had the potential to affect all 66 residents in the facility. Findings include: Interviews on 12/27/23 between 9:28 A.M. and 11:01 A.M. with Residents #34, #42, and #66 complained of the food temperatures of the meals when they received them in their rooms. Observation on 12/28/23 at 11:44 A.M. of tray line services for halls trays revealed three silver, open meal carts set up with meal trays that had pre-poured beverages including milk. Observation on 12/28/23 at 12:38 P.M. of the last tray served for the hall meal trays. At this time the test tray was preformed and revealed the beef stew and green beans very warm to hot and tasted very good. […]

• No harm, potential for more than minimal, widespreadF812Dec 29, 2023

  Based on observation and interviews, the facility failed to maintain a clean and sanitary nursing unit refrigerator and failed to ensure milk was stored safely to maintain proper temperature during meal service. This had the potential to affect all 66 residents. Findings include: 1. Observation on 12/28/23 between 8:16 A.M. and 8:28 A.M. of the nursing unit refrigerator on the 700 and 800 hall revealed in the freezer a large brownish frozen food splatter and in the refrigerator various food splatter and a black residue on the inside back wall. Interview at this time with Dietary Manager (DM) #836 verified the observations. 2. Observation on 12/28/23 at 8:38 A.M. of Registered Dietitian (RD) #805 passing breakfast trays on the 500 hall. […]

• No harm, potential for more than minimal, widespreadF926Nov 29, 2022

  Based on observations, interview and record review the facility failed to ensure the grounds were maintained in a clean manner and that cigarette butts were disposed of in approved containers. This had the potential to affect all 66 residents residing in the facility. Findings include: Observational tour of the facility was conducted on 11/29/22 starting at 8:06 A.M. with Director of Maintenance (DOM) #100 and the following areas of concern were identified: Off the back service hallway, there was a metal container with cigarette butts roughly three feet from the back of Exit Door #3. Off the back service hallway close to the 800 hall, there were seven cigarette butts on the ground and not in a container outside the back door. […]

• No harm, potential for more than minimal, widespreadF804Jan 20, 2022

  Based on observation, interview, review of a test tray, review of resident council minutes, diet list review and recipe review, the facility failed to ensure foods were served at safe and palatable temperatures and failed to ensure pureed items were prepared appropriately. This affected 66 of 67 residents residing in the facility as Resident #43 received nothing by mouth (NPO). Findings include: 1. Interviews on 01/10/22 from 10:36 A.M. to 5:08 P.M. and on 01/11/22 at 10:45 A.M. with Residents #10, #16, #27, #32, #34, #46, #51 and #68 indicated concerns regarding food being served cold and food not being palatable. Observation on 01/12/22 starting at 11:30 A.M. revealed Cook #317 tested temperatures of the meal to be served using the facility's self-calibrating thermometer. […]

• No harm, potential for more than minimal, widespreadF880Jan 20, 2022

  Based on record review, staff interview, observation, and review of facility policy, the facility failed to ensure staff screened for COVID-19 signs and symptoms prior to working, failed to ensure proper use and disposal of personal protective equipment (PPE) was in place. This had the potential to affect all 67 residents in the facility. Findings included: 1. Review of the facility COVID-19 testing revealed State tested Nursing Assistant (STNA) #349 tested positive on 01/11/21, STNA #390 tested positive on 01/10/22, and Therapy assistant #396 tested positive on 01/10/22. Review of the screening logs and time punches for three staff, STNA #349, STNA #390 and Therapy Assistant # 397 revealed the following: · STNA #349 worked on 01/01/22 from 6:17 A.M. […]