Forum Parkway Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Forum Parkway Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF686Sep 19, 2024

  Based on observation, interview, and record review the facility failed to ensure a resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable for 1 of 2 residents (Resident # 1) reviewed for quality of care. The facility did not prevent the development of one facility-acquired Stage IV pressure injury on the right calf for Resident #1. An Immediate Jeopardy (IJ) was identified on 09/18/2024. The IJ Template was provided to the facility on [DATE] at 12:55PM. […]

• No harm, potential for more than minimal, patternF695Jan 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 1 of 3 residents (Resident #47) reviewed for oxygen. The facility failed to have accurate physician orders for oxygen use for Resident #47. This failure could place residents who received oxygen therapy at risk for inadequate or inappropriate amounts of oxygen delivery and possible infection. Findings included: Record review of Resident #47's Admission Record dated 01/08/25 reflected the resident was a [AGE] year-old male admitted to the facility on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, patternF698Jan 13, 2025

  Based on interview and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 2 residents (Resident #48) reviewed for dialysis. The facility failed to ensure dialysis communication forms were completed for Resident #48 before going for dialysis and after returning from dialysis treatment. This failure could place residents at risk of inadequate communication between the facility and dialysis center. Findings included: Record review of Resident #48's admission MDS assessment, dated 11/25/24, reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF755Jan 13, 2025

  Based on observation, interview, and record review, the facility failed to monitor and verify that the feeding tube is in the right location (e.g., stomach or small intestine, depending on the tube) before administering medications to prevent complications for 1 of 1 resident (Resident #92) reviewed for feeding tubes and for 1 of 2 refrigerators and 2 of 2 medication rooms reviewed for pharmacy procedures. 1. The facility failed to ensure LVN J checked for residual (the amount of liquid remaining in the stomach after an enteral feeding) before administering medication to Resident #92. This failure could place residents at risk for adverse effects due to inappropriate management of g-tube care. 2. […]

• No harm, potential for more than minimal, patternF757Jan 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident's drug regimen was free of unnecessary medication for 1 of 5 residents (Resident #89) reviewed for adequate monitoring of unnecessary medication. The facility did not monitor Resident #89 for side-effects related to the use of the anti-anxiety medication Buspirone, hypnotic medication Zolpidem Tartrate, and the anti-psychotic medication Ingrezza. This failure could place the residents at risk for adverse consequences of medication. Findings included: Record review of Resident #89's admission record, dated 01/08/25, reflected the resident was a [AGE] year-old female who originally admitted to the facility on [DATE] and readmitted on [DATE]. […]