Harrington Park Health And Rehabilitation

In the surveyor’s words

From the most serious findings on record at Harrington Park Health And Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 6, 2023

  Based on record review, staff and family interviews, review of audio and video recordings, and review of the facility policy titled Abuse Prohibition, the facility failed to ensure one resident (R) (R#1) was protected from neglect from licensed nursing staff, by failing to promptly assess a decline in respiratory status. Specifically, R#1 exhibited symptoms of respiratory distress, became hypoxic and unresponsive, and required emergency intubation by the Emergency Medical Services (EMS) prior to transport to the hospital. […]

• Immediate jeopardy, isolatedF656Apr 6, 2023

  Based on observation, record review, interviews, and review of the facility policy titled Patient's Plan of Care, the facility failed to develop a person-centered comprehensive care plan with planned interventions for one resident (R) (R#1) related to respiratory care, who was admitted to the facility with diagnoses of aspiration pneumonia, congestive heart failure (CHF) and Physician's order for inhalers and a high risk for aspiration. The sample size was 12. On 4/4/2023, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, isolatedF695Apr 6, 2023

  Based on record review, staff and family interviews, the facility failed to provide respiratory care and services for one resident (R) (R#1) exhibiting signs of respiratory distress. Specifically, R#1 had a rapid decline in respiratory status and staff failed to administer oxygen in an emergent situation, resulting in resident becoming hypoxic and unresponsive. The sample size was 12 residents. On 4/4/2023, a determination was made that a situation in which the facility's non-compliance with one or more requirements of participation had caused, or had the likelihood to cause, serious injury, harm, impairment, or death to residents. The facility Administrator, Director of Nursing (DON), and the Regional Nurse Consultant were informed of the Immediate Jeopardy on 4/4/2023, at 10:07 a.m. […]

• No harm, potential for more than minimal, widespreadF761Mar 5, 2026

  Based on observations, staff interviews, record reviews and reviews of the facility policy titled, Medication Storage in the Care Center, the facility failed to ensure the legible expiration dates were on two bottles of Aspirin on two of two sampled medication carts. This failure had the potential to administer expired medications to residents which could potentially be harmful.Finding include:Review of the facility policy titled, Medication Storage in the Care Center, reviewed 12/21/2025 documented. Intent to facilitate that medications are administrated as prescribed, in accordance with good nursing principles. […]

• No harm, potential for more than minimal, patternF880Mar 5, 2026

  Based on observations, staff interviews, and a review of the facility's policies titled Hand Hygiene, Infection Prevention and Control Program, Infection Prevention Plan, and Foley Catheter Care, the facility did not follow basic infection control practices while caring for four of the 29 sampled residents(R) (R16, R13, R32, and R6). This failure could allow infections and germs to spread from one resident to another.Findings include:Review of the facility policy titled Hand Hygiene, reviewed 12/27/2025, revealed Intent-It is the intent of this facility to promote and facilitate appropriate hand washing as set forth by the guideline of CDC. Purpose-Hand hygiene was the single most important means of preventing the spread of infection. The use of gloves does not replace handwashing. […]