Chariton Park Health Care Center

In the surveyor’s words

From the most serious findings on record at Chariton Park Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 30, 2026

  Based on interview and record review, the facility failed to provide adequate supervision for one resident (Resident #88), who was under guardianship, resided on a locked behavior unit, and had a history of elopement and polysubstance abuse, in a review of 30 residents, to ensure the resident did not leave the facility without staff's knowledge. Staff identified the resident was at risk for elopement. Staff reported they were to conduct 15-minute checks, and the resident's care plan identified staff were to ensure the resident was in view when outside in the courtyard. Staff did not consistently document 15 minute checks were completed. […]

• Immediate jeopardy, isolatedF689Mar 12, 2026

  Based on interview and record review, the facility failed to provide protective oversight and complete 15 minute safety checks (procedure for staff to verify the resident's location) as directed for one resident (Resident #1), in a review of seven residents. Resident #1 was a known elopement risk and was on 15 minute face checks for safety when the resident removed the security block from the windowsill (a rubber block screwed into the windowsill preventing the slide window from opening more than five inches) in his/her room, opened the window, removed the screen and climbed through the window to the exterior fenced courtyard. […]

• Actual harm, isolatedF550Apr 30, 2026

  Based on interview and record review, the facility failed to treat one resident (Resident #79), in a review of 30 sampled residents, with dignity and respect when staff did not provide reasonable accommodation with toileting and told the resident to urinate and defecate in his/her bed. The facility census was 85. Review of the facility policy, Promoting/Maintaining Resident Dignity, revised 9/21/25, showed the following:-It is the practice of this facility protect and promote resident rights and treat each resident with respect and dignity as well as care for each resident in a manner and in an environment, that maintains or enhances resident's quality of life by recognizing each resident's individuality;-Every resident has a right to be treated with dignity and respect;-All staff will… […]

• Actual harm, isolatedF600Apr 30, 2026

  Based on record review and interview, the facility failed to ensure one resident (Resident #4) was free from physical abuse when Resident #3 hit Resident #4 in the head multiple times. The facility also failed to ensure one resident (Resident #7) was free from verbal abuse and intimidation when Residents #3, #5, and #6 entered Resident #7's room and verbally intimidated and threatened to harm Resident #7 if he/she snitched on them for doing drugs and/or bringing drugs into the facility. The facility census was 111. […]

• Actual harm, isolatedF742Apr 30, 2026

  Based on interview and record review, the facility failed to develop and implement meaningful interventions, including non-pharmacological interventions and alternate strategies, to ensure residents on the secured locked unit were not witness to or personally affected by one resident's (Resident #5's) known, sexually inappropriate behaviors when Resident #5 made sexual comments to other residents, exposed his/her genitals to residents, and rubbed his/her genitals on other residents. Residents were upset by Resident #5's actions. The facility failed to investigate an incident involving three residents (Resident #3, #5 and #6) to identify and address the root cause for their behaviors after the residents intimidated and verbally threatened to harm one resident (Resident #7). […]