Mission Park Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Jun 2, 2022

  Based on interview, and record review, the facility failed to follow its infection control policies and procedures when: 1. Six Residents (Resident 1, Resident 3, Resident 4, Resident 5, Resident 6 and Resident 7) tested positive for Coronavirus OC43 (an infectious transmissible disease that can cause mild to severe respiratory illness) while at the facility and were not placed on isolation precautions (additional safety measures taken by a facility to reduce the spread of infectious disease). 2. […]

• No harm, potential for more than minimal, isolatedF582Aug 27, 2026

  Based on record review and interview, the facility failed ensure Medicare guidelines were followed related to Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN - a form required and issued to Medicare beneficiaries when benefits days are ending for that period) for two of three discharged residents when:Resident 76 - last cover day (LCD - last day of Medicare benefit coverage), dated 5/15/26. Resident 76 continued to live in the facility.Resident 82 - last cover day, dated 4/2/26. Resident 82 continued to live in the facility.This failure resulted in facility's non-compliance with Medicare guidelines. […]

• No harm, potential for more than minimal, isolatedF656Aug 27, 2026

  Based on interview and record review, the facility failed to ensure a comprehensive care plan was developed and implemented for one sampled resident (Resident 138), when moderate depressive symptoms where not care planned. This failure had the potential to result in significant clinical, psychological and physical harm to Resident 138. During a review of Resident 138's admission Record (AR), dated [undated], the AR indicated, .XXX[AGE] year-old male admitted on [DATE] for other specified sepsis. […]

• No harm, potential for more than minimal, isolatedF695Aug 27, 2026

  Based on observation, interview and record review, the facility failed to provide respiratory care and services in accordance with professional standards of practice for one sampled resident, (Resident 90) when: there was no posting of cautionary and safety signs indicating the use of oxygen on residents room doorway. This failure had the potential to cause harm as an explosive without precautions taken.During a concurrent observation on 08/25/2026 at 9:22 AM in resident 90's room, resident 90 was observed with oxygen in use. During interview on 08/26/2026 at 12:00 PM interview with Infection Preventionist (IP), the IP stated there should be an oxygen in use sign placed on door frame. During a review of Inservice Meeting Minutes titled Oxygen Tubing Dated 6/24/26. […]

• No harm, potential for more than minimal, isolatedF761Aug 27, 2026

  Based on observation, interview and record review, the facility failed to ensure medications used for the treatment of respiratory (lung) conditions were administered in accordance with the facility's policy and procedures.This failure had the potential to compromise the health and safety of the residents in the facility. During an observation on 8/25 at 2:02 p.m. at station 2, medication cart 2B, three open boxes containing open package of Ipratropium Bromide and Albuterol Sulfate Inhalation Solution, 0.5 mg/ 3 mg per 3 ml (medication used for respiratory treatment) each were found inside the bottom drawer of the medication cart with open date [DATE], [DATE] & [DATE] respectively.During an interview on [DATE], at 2:08 p.m. […]