Elim Park Baptist Home, Inc

In the surveyor’s words

From the most serious findings on record at Elim Park Baptist Home, Inc, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 27, 2023

  Based on clinical record reviews, facility documentation, facility policies and interviews for one of three sampled residents (Resident #1) reviewed for falls, the facility failed to ensure a gait belt was utilized when ambulating the resident in accordance with facility policy. The finding includes: Resident #1's diagnoses included Alzheimer's Disease, left artificial knee joint, and osteoarthritis. The Minimum Data Set assessment dated [DATE] identified Resident #1 had short- and long-term memory problems, required maximum assistance with toileting, bathing, and dressing, required moderate assistance with transfers and ambulation, and utilized a walker for mobility. […]

• No harm, potential for more than minimal, widespreadF812Sep 13, 2024

  Based on the tour of the Dietary Department, interviews and facility documentation, the facility failed to ensure open items were dated, failed to identify expiration dates, failed to ensure food was served under sanitary conditions, and failed to ensure correct dishwasher temperatures. The findings included: During a tour of the Dietary Department on [DATE] at 9:15AM with the Dietary Manager and Sous Chef the following was identified: 1a. The walk-in refrigerator was noted to contain an opened 5 pound bag of cheddar cheese (,d+[DATE] full), wrapped with plastic cling, with no date when opened, an opened 5 pound bag of cheddar cheese (,d+[DATE] full), wrapped in plastic, with no open date, an opened 5 pound bag of cheddar cheese (,d+[DATE] full), wrapped in plastic with no open date, an… […]

• No harm, potential for more than minimal, patternF812May 5, 2026

  Based on observations of the kitchen, review of facility documentation and staff interview, the facility failed to ensure the dietary staff accurately recorded refrigerator and freezer temperatures, dishwasher and pot washer temperatures on the temperature logs when they were found consistently recorded below the acceptable temperature ranges. The facility failed to provide documented evidence of any corrective action for the out-of-range temperatures. The findings included: An observation of the kitchen with the Dietary Manager on 4/30/2026 starting at 9:24 AM identified the following:Recorded temperatures of the refrigerator, freezer, dishwasher and pot washer to be below the acceptable range and without any corrective action recorded from January 2026 through May 30, 2026, identified… […]

• No harm, potential for more than minimal, patternF880May 5, 2026

  Based on clinical record reviews, observations, facility documentation, facility policy and interviews for 13 of 16 sampled residents (Residents #2, Resident #6, Resident #10, Resident #22, Resident #26, Resident #34, Resident #35, Resident #62, Resident #63, Resident #73, Resident #81, Resident #90, and Resident #100) reviewed for infection control, the facility failed to ensure that appropriate Enhanced Barrier Precaution (EBP) infection control practices were implemented per Center of Disease Control (CDC) guidelines for residents with a history of Multiple Drug Resistant Organisms (MDROs) and any indwelling lines, catheters, or wounds, including ensuring Personal Protective Equipment (PPE) was readily accessible at the point of care and based on observation of the environment for 1 of… […]

• No harm, potential for more than minimal, patternF684Sep 13, 2024

  Based on obsevations, staff interviews, record reviews, and review of facility policy for 1 of 4 residents (Resident #18) reviewed for nutrition, the facility failed to appropriately supervise a resident during a meal per the meal ticket and failed to obtain weights per the physician's order, for 1 of 3 residents (Resident #53) reviewed for a skin condition the failed to apply TEDS (compression stockings) according to the physician's order, and for 1 of 2 residents (Resident #72) reviewed for edema, the facility failed to obtain a daily weight daily for a resident with Congestive Heart Failure (CHF) per the facility policy. The findings include: 1. […]