Ditmas Park Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880May 3, 2022

  Based on observations, record review and interviews conducted during the Recertification survey, the facility did not ensure infection control practices were maintained. This was evident for 1 of 5 units (4th floor), 1 of 3 residents reviewed for Respiratory Care (Resident #179), and 1 of 4 residents reviewed for Infections (Resident #496) out of a sample of 38 residents. Specifically, 1) a Registered Nurse (RN) was observed wearing a surgical mask improperly; 2) there were multiple observations of Resident #179's oxygen tubing on the floor; and 3) Resident #496 was not placed on contact/droplet precautions (CDP) following exposure and positive test for COVID-19. […]

• No harm, potential for more than minimal, isolatedF656Jul 14, 2026

  Based on record review and staff interviews during a survey, the facility failed to ensure a comprehensive person-centered care plan develop and implemented to address the residents' medical, physical, mental, and psychosocial needs. This was evident for one out of four residents (Resident #1) sampled. Specifically, a comprehensive care plan was not developed with interventions for use of diuretic medication and Resident #1's diagnoses. The findings are:The facility Policy and Procedure titled Care Plan Policy with a review date of October 1,2025 documented It is the policy of Ditmas children's Nursing and Rehab that a Comprehensive Care Plan will be completed for each new resident in the facility , the Comprehensive Care Plan will reflect the resident's current status and must include the… […]

• No harm, potential for more than minimal, isolatedF684Jul 14, 2026

  Based on record reviews and staff interviews, during a survey the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice, and comprehensive person-centered care plan. This was evident for one out of four residents (Resident #1) sampled. Specifically, Resident # 1 was given 14 milligrams of Hydrochlorothiazide (diuretic) at once at 10:00 AM on 06/04/2026, instead of 7 milligrams. Registered Nurse #1 did not follow the physician's order for Hydrochlorothiazide 7 milligrams every 12 hours. […]

• No harm, potential for more than minimal, isolatedF711Jul 14, 2026

  Based on observation, record review and staff interviews during a survey, the facility failed to ensure the physician write, sign, and date a telephone order. This was evident for one out of four residents (Resident #1). Specifically, Resident #1 was administered Tylenol suppository 240 milligrams rectally on 05/15/2026 at 9:30 PM. Resident #1 was transferred to the emergency room on [DATE] to be evaluated for Tylenol toxicity. Resident #1 returned to facility same day with no interventions recommended. Attending Physician #1 did not write, sign, or date the telephone order received by Registered Nurse #1 on 05/15/2026. […]

• No harm, potential for more than minimal, isolatedF812Aug 28, 2024

  Based on observation, record review, and interview conducted during the Recertification Survey from [DATE] to [DATE], the facility did not ensure that food was stored, prepared, and distributed in accordance with professional standards for food service safety. Specifically, 1.) Staff was observed handling resident's food with bare hands. This was evident in 1 (6th Floor) of 6 units during dining observation. 2.) The kitchen walk-in refrigerator contained expired and undated food items. The findings are: 1.) The facility policy titled Resident Dining with a revision date of [DATE] documented that employees may not use bare hand contact with any foods, ready to eat or otherwise. […]