Garden Park Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF802May 23, 2023

  Based on observation, interview, facility P&P review, and facility document review, the facility failed to ensure the kitchen staff were competent in the position related duties when: 1. Two of four cooks (Cooks 1 and 4) failed to perform the following: a. Failed to prevent cross contamination, b. Failed to perform proper hand hygiene during food preparation, c. Failed to sanitize food preparation equipment when washed manually, d. Failed to sanitize food preparation surfaces, and e. Failed to follow the recipes. 2. One of four cooks (Cook 1) failed to know the final cooking temperature of chicken. 3. One of seven DA (DA 1) failed to know the manual dish washing procedure. 4. One of seven DA (DA 2) failed to follow the resident menu. […]

• No harm, potential for more than minimal, widespreadF812May 23, 2023

  Based on observation, interview, facility document review, and P&P review, the facility failed to ensure the professional standards for food safety and sanitation guidelines were followed when: 1. Potential for cross contamination (the process by which bacteria or other microorganisms are unintentionally transferred from one substance or object to another, with harmful effect) was not prevented. A scoop was stored in the instant mash potato container and the kitchen staff did not use proper color coded cutting board when cutting raw chicken and vegetable. 2. […]

• No harm, potential for more than minimal, patternF689Apr 28, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary care and services to prevent or minimize injuries from a fall for three of six sampled residents (Residents 2, 3, and 6) reviewed for falls. * Resident 2 had a history of a fall, however, the care plan for the floor mats were not resident centered for Resident 2's fall. * Resident 3 had a history of falls, however, the facility failed to ensure the 72-hour neurological assessments (assessment of the brain, and nervous system used to detect, manage, and track neurological changes or damage) were conducted completely. […]

• No harm, potential for more than minimal, patternF812Jun 3, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen as evidenced by: * The facility failed to ensure the kitchen utensils were clean and free of food particles or residues. * The facility failed to ensure the kitchen utensils had smooth cleanable surface and in good condition. * The facility failed to ensure the heavy-duty blender used for puree preparation, the scoops used for food portioning, and the plastic bucket containers used for the fruits and food storage were air dried prior to storing and stacking. * The facility failed to ensure the cutting boards were kept in a sanitary condition and with cleanable surface. […]

• No harm, potential for more than minimal, patternF695May 23, 2023

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure seven of 24 final sampled residents (Residents 52, 54, 60, 67, 85, 99, and 422) were provided with the appropriate respiratory care when: * The facility failed to administer the oxygen therapy as ordered and failed to ensure the titration oxygen order included the parameters as to how to titrate the oxygen flow rate. * The facility failed to ensure Residents 85 and 422 were provided with continuous oxygen therapy per the physician's order. […]