Health Central Park

In the surveyor’s words

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

• Immediate jeopardy, patternF600Sep 23, 2023

  Based on observation, interview and record review, the facility failed to protect the resident's right to be free from neglect by their failure to provide care and maintenance for a central line intravenous catheter (CVC) per standards of care for 1 of 1 resident reviewed for CVCs, of a total sample of 42 residents, (#65). Resident #65, was readmitted to the facility from the hospital on 11/15/22 with a central venous line intravenous catheter to the right side of his chest. The admitting nurse noted a treatment was ordered or required in the admission documentation, but only a weekly dressing change was ordered on 11/23/22 for 3 weeks. On 12/09/22, resident #65 was again hospitalized and readmitted back to the facility on [DATE]. […]

• Immediate jeopardy, patternF684Sep 23, 2023

  Based on observation, interview, and record review the facility failed to provide care and assessment of a central line intravenous catheter (CVC) for 1 of 1 resident reviewed for CVCs of a total sample of 42 residents, (#65). Resident #65, was readmitted to the facility from the hospital on 11/15/22 with a central venous line intravenous catheter to the right side of his chest. The admitting nurse noted a treatment was ordered or required in the admission documentation, but only a weekly dressing change was ordered on 11/23/22 for 3 weeks. On 12/09/22, resident #65 was again hospitalized and readmitted back to the facility on [DATE]. […]

• Immediate jeopardy, patternF726Sep 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure licensed nurses were knowledgeable and demonstrated competency to provide care and services for a central line intravenous catheter (CVC) for 1 of 1 residents reviewed for CVCs of a total sample of 42 residents, (#65). Resident #65, was readmitted to the facility from the hospital on 11/15/22 with a CVC to the right side of his chest. The admitting nurse noted a treatment was ordered or required in the admission documentation, but only a weekly dressing change was ordered on 11/23/22 for 3 weeks. On 12/09/22, resident #65 was again hospitalized and readmitted back to the facility on [DATE]. […]

• Immediate jeopardy, isolatedF578Sep 23, 2023

  Based on interview, and record review, the facility failed to timely follow procedures to ensure a resident's wishes related to health care treatments and procedures at the end of life were accurately recorded and available to nursing staff, and failed to honor an advance directive that reflected the decision to withhold Cardiopulmonary Resuscitation (CPR) for 1 of 1 resident reviewed for Death, of a total sample of 42 residents, (#108). These failures contributed to resident #108 receiving CPR against her explicit wish for a natural, dignified death. […]

• No harm, potential for more than minimal, widespreadF725Feb 24, 2022

  Based on interview and record review, the facility failed to maintain sufficient nurse staffing on the night shift to promote the highest practicable level of well-being for residents on 2 of 2 units; and failed to provide necessary care and services and ensure safety according to the plans of care for 7 of 16 residents reviewed for staffing concerns, (#2, #3, #10, #12, #45, #62, and #79). Findings: On 2/21/22 at 10:18 AM and 2/22/22 at 1:31 PM, resident #45, the Resident Council President, voiced a concern about the skeleton crew on the night shift. She explained there were nights when only 2 nurses and 2 Certified Nursing Assistants (CNAs) were assigned to take care of over 80 residents in the building. She explained that number of staff was not able to adequately care for everyone. […]