Center at Park West LLC, The

In the surveyor’s words

From the most serious findings on record at Center at Park West LLC, The, in the surveyor’s own words.

• Actual harm, isolatedF684Oct 23, 2025

  Based on record review and interviews, the facility failed to provide treatment and care in accordance with professional standards of practice for two (#1 and #5) of six residents out of 17 sample residents.Specifically, the facility failed to:-Provide timely, consistent and effective monitoring and appropriate documentation for Resident #1's left lower leg amputation surgical incision, which resulted in the resident's transfer to the hospital where she was hospitalized for 10 days with a diagnosis of a left below the knee amputation incision infection; and,-Obtain wound care orders for Resident #5's skin tear in a timely manner. Resident #1 was admitted to the facility on [DATE] after a hospital stay for a surgical amputation of her left lower leg. […]

• Actual harm, isolatedF686Oct 23, 2025

  Based on observations, record review and interviews, the facility failed to provide the necessary treatment and services to prevent pressure injuries to prevent or heal pressure injuries for two (#9 and #7) of six residents out of 17 sample residents.Specifically, the facility failed to:- Accurately identify, document, evaluate and monitor a pressure ulcer for Resident #9;- Ensure Resident #9's weekly skin assessments were documented thoroughly and accurately; and,- Ensure appropriate wound prevention interventions, including an air mattress, were implemented timely and consistently monitored for function and settings for Resident #9 and Resident #7.Resident #9, who was at risk for skin breakdown, was admitted to the facility on [DATE] following a hospitalization for a right hip fracture. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Based on observation, record review and staff interview, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the kitchen.Specifically, the facility failed to:-Ensure food items in the main kitchen refrigerator were labeled and dated;-Maintain the ice scoop holder and the microwave in a sanitary condition; and, -Ensure raw meat was stored in a manner that prevented cross contamination of ready-to-eat foods.Findings include:I. Failure to properly label and date food itemsA. […]

• No harm, potential for more than minimal, widespreadF803Jan 6, 2022

  Based on observations, interviews, and record review the facility failed to ensure menus were followed to meet the nutritional needs of residents. Specifically the facility failed to follow the menu, menu items were omitted without substitutions being made of the same nutritional value, and did not follow extensions for the pureed and mechanical soft diets. Findings include: I. Menu items were omitted for residents during the survey. Evening meal 1/5/22 -Regular diet: The menu called for eight ounces of 2% milk to be served. Observations at 4:00 p.m., in the kitchen revealed residents were not served or offered milk or a milk substitute. Observations at 4:45 p.m., on the 200 and 300 hall revealed residents were not served or offered milk or a milk substitute when served meal room trays. […]

• No harm, potential for more than minimal, widespreadF880Jan 6, 2022

  Based on observations, record review and interviews, the facility failed to follow infection prevention and control procedures during resident care. Specifically, the facility failed to: -Perform hand hygiene before entering or after leaving resident's rooms and in between tasks; -Perform hand hygiene for residents before meals; and, -Disinfect equipment in between resident use; Findings include: I. Facility policy and procedure The policy and procedure titled Infection prevention, control & immunizations, dated 5/15/2020, revised on 2/8/21, read in pertinent part, 2. Staff will use standard precautions (hand hygiene and appropriate PPE (personal protective equipment). 3. Staff will follow appropriate hand hygiene practice 6. […]