Embassy of Huntingdon Park

In the surveyor’s words

From the most serious findings on record at Embassy of Huntingdon Park, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851May 21, 2024

  Based on facility requirements according to the Affordable Care Act (ACA), review of Payroll Based Journal (PBJ) Staffing Data Reports, and staff interviews, it was determined that the facility failed to electronically submit direct care staffing information for one of four quarters reviewed (fiscal year quarter one 2024). Findings include: Review of Section 6106 of the ACA requires facilities to electronically submit direct care staffing information (including agency and contract staff) based on payroll and other auditable data to the Centers for Medicare and Medicaid Services (CMS). Submission must be received by the end of the 45th calendar day (11:59 p.m. Eastern Standard Time) after the last day of each fiscal quarter to be considered timely. […]

• No harm, potential for more than minimal, patternF684Mar 5, 2026

  Based on review of facility policy and clinical record reviews, as well as staff interviews, it was determined that the facility failed to ensure that physicians orders regarding medication administration were followed for three of 47 residents reviewed (Residents 2, 63, and 85). Findings include:The facility policy for medication administration dated July 10, 2025, included that medications are administered by licensed nurses, or other staff that are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice.A Quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 2, dated February 5, 2026, revealed that the resident was cognitively impaired, could… […]

• No harm, potential for more than minimal, patternF803Mar 5, 2026

  Based on review of planned, written menus, as well as observations and staff interviews, it was determined that the facility failed to follow their pre-approved planned menu. Findings included:Interview with Resident 44 on March 4, 2026, at 3:30 p.m. revealed that her pureed food never tastes good. Interview with Resident 87 on March 4, 2026, at 3:30 p.m. revealed that her pureed food tastes off and not right. Review of the posted menus for the lunch meal on Wednesday, March 4, 2026, revealed that residents were to receive BBQ glazed meatloaf, mashed potatoes, green beans, fruit cup, peanut butter brownie, 2% milk, and unsweetened iced tea.Observations of a test tray for the lunch meal service on March 4, 2026 revealed that the pureed meat was not pureed BBQ meatloaf, it was a pureed angus… […]

• No harm, potential for more than minimal, patternF812Mar 5, 2026

  Based on facility policies, observations, and staff interviews, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety.Findings Include:A facility policy regarding food storage, dated July 10, 2025, revealed that foods that are stored on ladder/speed racks must be fully covered to prevent contamination from airborne contaminates as well as dripping condensation. Either use a bag that covers the entire cart, or cover each individually.Observations of the walk in cooler on March 2, 2026, at 9:58 a.m. revealed an uncovered wheeled tray cart. The top tray had individual cookies on Styrofoam plates that were not wrapped and were open to air. […]

• No harm, potential for more than minimal, patternF684Aug 19, 2025

  Based on review of facility policy and clinical record reviews, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders regarding medication administration were followed for one of seven residents reviewed (Resident 2). Findings include: The facility policy for medication administration dated July 10, 2025, indicated that medications are administered by licensed nurses, or other staff that are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice. […]