Ivy Park Post Acute

In the surveyor’s words

From the most serious findings on record at Ivy Park Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jan 9, 2026

  Based on review of the American Heart Association (AHA) Guidelines, clinical records, facility policies, and staff interviews it was determined that the facility failed to ensure consistent care by initiating Cardiopulmonary Resuscitation (CPR) to an unresponsive resident for one of 73 residents (Closed Record Resident CR1), resulting in immediate jeopardy.Findings include: The Pennsylvania Code Title 49, Professional and Vocational Standards through the Department of State indicates under Responsibilities of the Registered Nurse 21.11 General functions (a) The registered nurse assesses human responses and plans, implements, and evaluates nursing care for individuals or families for whom the nurse is responsible. […]

• Actual harm, isolatedF689Aug 1, 2022

  Based on review of facility policies, clinical records, incident reports, and staff interview, it was determined that the facility failed to provide adequate assistance during a transfer, resulting in actual harm (fracture of the right humerus [upper arm bone]) for one of three residents (Resident R1). Findings include: A review of the facility policy Mechanical Lift reviewed 8/12/21, indicated the purpose is to move immobile or obese residents for whom manual transfer poses potential for staff or resident injury and to verify transfer assist needed per Kardex. Obtain additional assistance and needed equipment as indicated. […]

• Actual harm, isolatedF600Jun 22, 2022

  Based on review of facility policy, clinical records and incident reports, and staff interviews, it was determined that the facility failed to ensure that residents were free from neglect by not performing a safe bed positioning for one of four residents reviewed (Resident R2), which resulted in actual harm of a laceration to the head requiring 14 sutures and transfer to the hospital for treatment. Findings include: A review of the facility's policy, Patient Protection - Abuse, Neglect, Mistreatment, and Misappropriation Prevention, dated 4/18/22, indicated that the resident has the right to be free from neglect. A review of the facility's policy, Bed positioning, dated 4/18/22, indicated to verify the transfer assist needed. […]

• No harm, potential for more than minimal, widespreadF835Jan 9, 2026

  Based on review of job descriptions, clinical records and staff interviews, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to effectively manage the facility to ensure consistent care was provided to initiate Cardio Pulmonary Resuscitation (CPR) to an unresponsive resident, which created an immediate jeopardy situation for one (Resident R1) of 131 residents.Findings include: The job description for the Nursing Home Administrator (NHA) dated 2/2024, stated the primary purpose is to direct the day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations that govern nursing facilities to assure that the highest degree of quality care can be provided to our residents at all… […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2025

  Based on review of facility policy, observations and staff interview, it was determined that the facility failed to properly store food products in the walk in cooler and reach in cooler which created the potential for cross contamination (Main Kitchen). Findings include: Review of facility policy Food Receiving and Storage dated 5/20/25 indicates foods shall be received and stored in a manner that complies with safe food handling practices. During an observation of the main designated kitchen on 6/23/25, at 9:15 a.m. the following was observed: Walk in cooler: -cinnamon bread(3)-no date -bagels(2)-no date -deli ham (3)-no date or label Reach in cooler -salads(3)- no label or date -sandwiches(5)-no label or date During an interview on 6/23/25, at 10:00 a.m. […]