Landmark of Hyde Park Rehabilitation and Nursing C

In the surveyor’s words

From the most serious findings on record at Landmark of Hyde Park Rehabilitation and Nursing C, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 3, 2021

  Based on interview and record review, the facility failed to monitor and supervise a resident who has a history of two elopement attempts. This failure affected one resident (R1) and has the potential to affect 6 other residents (R2, R3, R4, R5, R6 and R7) on elopement precautions. R1 jumped down through the window opening of the sixth-floor dining room and landed on the ground outside the building, without any staff witnessing the incident. R1 was later pronounced dead at the hospital. This failure resulted in an Immediate Jeopardy. According to the Administrator, the immediacy was removed on [DATE] when all the dining room windows were completely closed with deadbolt locks after the incident with R1. […]

• Actual harm, isolatedF600Apr 3, 2026

  Based on interview and record review, the facility failed to ensure four [R1, R4, R5, R13] of eight residents remained free from abuse. This failure resulted in: R2 sustained a closed fractured tooth, human bite, swollen lip and pain. R4 sustained displaced fracture of distal phalanx of right ring finger and displaced fracture of proximal phalanx of right little finger, and pain. R5 sustained forehead altered skin integrity, that required 911 transport for emergency treatment. Findings include: 1. R1's clinical record indicates the following in part: R1 is a fifty-four-year-old with medical diagnosis of: Displaced fracture of lateral Right Fibula, asthma, chronic heart failure, anemia, overactive bladder, schizophrenia, and major depression. […]

• Actual harm, isolatedF689Nov 24, 2025

  Based on interview, and record review, the facility failed to provide adequate supervision and implement fall prevention interventions for one of six residents (R1) reviewed for high risk for falls. These failures caused R1 to sustain a fall and was sent out to the local hospital with a laceration to the right eyebrow, a large subdural hematoma with mass effect, effacement of the right lateral ventricle, and a right zygomatic facial fracture.Findings include:R1 has a diagnosis of history of falling, weakness, cellulites of right lower limb, unspecified dementia, severity without behavioral disturbance psychotic disturbance mood disturbance and anxiety.R1 has a Brief Interview for mental status dated 10/15 25 with a score of 3 which indicates that R1 has some cognitive impairments.The… […]

• Actual harm, isolatedF600Jun 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents remained free from abuse. This failure affects two residents (R1, R2) reviewed for abuse. This failure lead to physical assault by R2, which resulted in R1 sustaining a laceration to the head. Findings include: R1 is a [AGE] year old with diagnosis including but not limited to: Transient Ischemic Attack (TIA), Cerebral Infarction without Residual Deficits, Osteoarthritis, Weakness, Chronic Obstructive Pulmonary Disease, Atherosclerotic Heart Disease, Schizophrenia, and bipolar disorder. R1's BIMS (Brief Interview of Mental Status) dated 4/18/2025 documents a score of 12, which indicates moderately impaired. […]

• Actual harm, isolatedF600Jul 25, 2024

  Based on interview and record review the facility failed to ensure a resident was free of physical abuse for one (R3) resident in a sample of three. This failure resulted in physical injury to R3's face requiring transfer to a hospital and R3 receiving three sutures to R3's face. Findings include: R3 is a [AGE] year old female with a diagnoses including Bipolar disorder, Schizoaffective disorder, Obesity, Auditory hallucinations and Depression. R3 has a BIMS (Brief Interview for Mental Status) score 15/15. R3 was first admitted to the facility on [DATE]. R3's care plan includes Abuse & or Neglect. Comprehensive assessment reveals a history of suspected abuse, neglect, exploitation, past trauma and/or other factors that may increase my susceptibility to abuse/neglect. […]