Center for Advanced Rehab at Parkside, The

In the surveyor’s words

From the most serious findings on record at Center for Advanced Rehab at Parkside, The, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 23, 2026

  Based on observations, staff and resident interviews, record review, a review of the facility's policies titled Medication Administration and Pain Management, and a review of the the facility's Standing Orders, the facility failed to ensure nursing staff provided appropriate pain management during care for one of six sampled residents (R) (R66) with suprapubic catheters reviewed for catheter care related to adhereing to the physician orders and ensureing safe medication administration practice. Harm was identified to have occurred on [DATE], when resident (R) 66 experienced unrelieved acute pain during suprapubic catheter care and received a medication without a valid physician order and at an incorrect dose, resulting in ineffective pain control. […]

• No harm, potential for more than minimal, widespreadF881Mar 13, 2025

  Based on observations, staff interviews, record review, and review of the facility's policies titled, [name of facility owner] Antibiotic Stewardship Program and Infection Prevention and Control Program, the facility failed to properly establish/implement a surveillance plan for identifying, tracking, monitoring and/or reporting of infections and antibiotic (ABT) use among residents and staff. This failure had the potential to delay detection of infection and care for all residents and increase the risk of infection transmission among staff and residents. The deficient practice had the potential to affect all residents residing in the facility. […]

• No harm, potential for more than minimal, patternF761Nov 10, 2022

  Based on observation, interview, and review of policies titled Medication Storage and Administering Medications, the facility failed to ensure that one of six medication carts (200 Hall Medication Cart) was secured when unattended; failed to date and label seven open multi-dose containers of opened ophthalmic drops in one of six medication carts (Mauve Hall); and failed to discard one expired multi-dose container of ophthalmic drops in one of six medication carts (Mauve Hall). Findings include: Review of the undated policy titled Medication Storage revealed all drugs and biologicals will be stored in locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature controls. […]

• No harm, potential for more than minimal, isolatedF584Apr 23, 2026

  Based on observations, staff interviews, and review of the facility policy titled Physical Environment: Electrical Equipment, the facility failed to ensure the environment was maintained in a safe, sanitary, and functional condition in three of 15 rooms (Rooms 134, room [ROOM NUMBER], and room [ROOM NUMBER]) on the [NAME] Hall related to the Packaged Terminal Air Conditioner (PTAC) air filters containing a significant amount of gray, fuzzy particulate matter. This deficient practice had the potential to contribute to respiratory problems for residents due to unclean air filters.Findings included:During an observation on 4/21/2026 at 11:20 am, the PTAC air filters in room [ROOM NUMBER] of the [NAME] Hall contained a significant amount of gray, fuzzy particulate matter. […]

• No harm, potential for more than minimal, isolatedF644Apr 23, 2026

  Based on record review, staff and resident interviews, and review of facility policy titled Resident Assessment-Coordination with PASARR Program, the facility failed to ensure a Preadmission Screening and Resident Review (PASARR) Level II was submitted for two of four sampled residents (R) (R3 and R7) reviewed for PASARR II. This deficient practice had the potential to place residents at increased risk of not receiving the required behavioral health support to meet their daily needs. Findings included:1. During an observation and interview on 4/21/2026 at 12:23 pm with R3 revealed she was admitted to the facility following a lithium overdose related to her diagnosis of bipolar disorder and reported a need for better medication regulation. […]