East Park Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Oct 28, 2025

  Based on interview, review of staff statements, medical record review, and review of facility policy, the facility failed to develop and implement a comprehensive and effective pressure ulcer program to ensure wound care was provided to prevent a decline Resident #150's wound status. Actual Harm occurred beginning on 07/24/25 when Resident #150 returned from a hospitalization and wound care orders to treat a chronic right heel wound were not transcribed into the facility's electronic health record (EHR) for implementation. Between 07/24/25 and 08/20/25, Resident #150 had no wound care orders in place and had no documented wound dressing changes recorded. […]

• Actual harm, isolatedF684Oct 28, 2024

  Based on observation, medical record review, hospital record review, facility policy review and interviews, the facility failed to ensure timely evaluation, physician notification and treatment following a fall with fracture for Resident #205. Actual Harm occurred for Resident #205 on 10/21/24 at 7:19 P.M. when the facility received results of a STAT (immediate) x-ray indicating the resident had a left elbow fracture but failed to seek medical intervention or treatment for the resident. The nurse practitioner (NP) was notified of the results on 10/22/24 at 8:42 A.M. at which time an order was obtained to transfer the resident to the hospital. […]

• Actual harm, isolatedF677Jul 29, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, facility policy review and interview, the facility failed to ensure Resident #99's received assistance with activities daily living (ADLs) to maintain adequate and necessary personal and oral hygiene. Actual harm occurred on 06/21/24 when Resident #99, who was totally dependent on staff assistance for ADLs, did not receive sufficient hygienic care and developed maggots in her mouth and nose, requiring hospitalization . This affected one resident (#99) of three residents reviewed for ADL care. The facility census was 47. […]

• No harm, potential for more than minimal, widespreadF812Oct 28, 2024

  Based on observations, staff interview and review of facility policy, the facility failed to maintain a clean and sanitary kitchen and further failed to ensure male staff with beards wore hair restraints while in the kitchen. This had the potential to affect all 50 residents. Findings include: 1. Observations on 10/21/24 from 8:36 A.M. to 8:56 A.M., during the initial kitchen tour with Dietary Manager (DM) #368, revealed various food splatter and stains on the outside of the steamer table and on the shelf underneath. The preparation (prep) table had three large, open bags of dried pasta stored on the shelf with clean pots and pans. Both shelves of the prep table were dirty with various dried food and debris. […]

• No harm, potential for more than minimal, widespreadF921Oct 28, 2024

  Based on observation, staff interview and resident interview, the facility failed to maintain a clean, sanitary and safe environment. This had the potential to affected all 50 residents residing in the facility. The facility census 50. Findings include: 1. Observation on 10/22/24 at 3:50 P.M. of the west hall shower room with Certified Nursing Assistant (CNA) #374 revealed a spa tub that appeared to be nonfunctional. The bottom side of the tub had a cover that was pulled off exposing a pipe and wires. Coinciding interview with CNA # 374 verified the finding and stated the chair portion to the tub broke about a month ago and the facility was waiting on a new part. 2. Observation on 10/23/24 between 2:00 P.M. […]