Forest Park Health Campus

In the surveyor’s words

From the most serious findings on record at Forest Park Health Campus, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 27, 2021

  Based on observation, interview and record review the facility failed to provide supervision and assistance for a resident during toileting resulting in the resident falling off the toilet and acquiring an acute subdural hemorrhage (brain bleed) for 1 of 3 residents reviewed for accidents (Resident B). Finding include: Review of the record of Resident B on 10/25/21 at 1:00 p.m., indicated the resident's diagnoses included, but were not limited to, [CONDITION(S)], Alzheimer's disease, dementia, dysphagia, major depressive disorder, anxiety, hypertension, muscle weakness, difficulty walking, unsteadiness on feet, history of falling, Parkinson disease and traumatic brain injury. […]

• No harm, potential for more than minimal, patternF550Feb 25, 2026

  Based on interview and record review, the facility failed to maintain residents' dignity regarding timely answering call lights for provision of activities of daily living care for 12 of 56 residents in the facility. (Residents 5, 6, 8, 10, 12, 13, 24, 30, 38, 39, 42, and 44) Findings include:1. The clinical record for Resident 6 was reviewed on 2/23/2026 at 2:05 p.m. The resident's diagnoses included, but were not limited to, emphysema (a chronic, progress lung disease) and heart failure (a chronic, serious condition where the heart cannot pump enough blood and oxygen to support the body's needs). […]

• No harm, potential for more than minimal, isolatedF677May 15, 2026

  Based on interview and record review, the facility failed to assist a resident timely with incontinence care for 1 of 3 residents reviewed for Activities of Daily Living. (Resident B) Findings include:The clinical record for Resident B was reviewed on 5/14/26 at 12:06 p.m. The diagnoses included, but were not limited to, major depressive disorder, anxiety, and chronic obstructive pulmonary disease (progressive lung disease that blocks air-flow and causes severe breathing difficulty). […]

• No harm, potential for more than minimal, isolatedF585Feb 25, 2026

  Based on observation, interview, and record review, the facility failed to timely address a resident's family grievance, regarding missing pajamas, for 1 of 1 resident reviewed for personal property. (Resident 39) Findings include:The clinical record for Resident 39 was reviewed on 2/20/26 at 12:15 p.m. Her diagnoses included, but were not limited to: dysphagia, chronic kidney disease, chronic obstructive pulmonary disease (a progressive, treatable, but generally irreversible lung disease characterized by long-term inflammation and restricted airflow,) and diabetes. She received hospice services at the facility. An interview was conducted with Family Member 5 on 2/20/26 at 12:18 p.m. […]

• No harm, potential for more than minimal, isolatedF677Feb 25, 2026

  Based on interview, observation, and record review, the facility failed to provide nail care to an dependent resident for 1 of 4 residents reviewed for activities of daily living. (Resident 10) The clinical record for Resident 10 was reviewed on 2/24/2026 at 11:07 a.m. The medical diagnoses included, but were not limited to, acute respiratory failure and metabolic encephalopathy. An annual MDS assessment, dated 1/8/2026, indicated Resident 10 had mild cognitive impairment, did not exhibit behaviors of rejection of care, had impairments of one upper extremity and both lower extremities, substantial to maximal assistance with personal hygiene needs. An ADL care plan, revised 1/19/2026, indicated Resident 10 required staff assistance for self care and mobility. […]