Monumentalpostacutecare at Woodside Park

In the surveyor’s words

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

• Immediate jeopardy, patternF689Dec 11, 2025

  Based on observations, review of facility policies, facility documentation and interview with staff, it was determined that the facility failed to ensure that hot water temperatures in resident bathroom hand sinks and shower rooms were maintained at a safe temperature. This failure placed residents on three of three nursing units at risk of serious injury from a burn and resulted in an Immediate Jeopardy situation. (First floor East, Second floor East and West) Findings include:Review of facility policy titled Physical Environment Common A, dated January 2, 2025, revealed the facility will be designed, constructed, equipped, and maintained to protect the health and safety of residents, personnel and the public. […]

• Actual harm, isolatedF600Nov 4, 2025

  Based on a review of clinical records, facility policies and facility documentation, and interview with staff, it was determined the facility failed to ensure Resident R1 was free of neglect which resulted in actual harm to Resident R1 who was transferred from chair to bed without the use of a mechanical lift and sustained a left humeral fracture for one of five residents reviewed. (Resident R1) Findings include: Review of an undated facility policy titled, Abuse Policy, revealed It is the policy of the facility to protect its residents from mistreatment, neglect, abuse, misappropriation of resident property and exploitation, and that all reports of abuse will be reported to the appropriate agencies and thoroughly investigated. […]

• Actual harm, isolatedF600Aug 19, 2022

  Based on a review of facility documentation, review of facility policy, clinical record review, and interviews with residents and staff, it was determined that the facility failed to ensure for two out of three residents reviewed were free from physical abuse (Resident R1 and Resident R3) from another resident (Resident CL1) which resulted in a [CONDITION(S)] and actual harm to Resident R1. Findings include: A review of the facility's abuse policy titled Freedom from Abuse, Neglect and Exploitation dated November 28, 2016, revealed that, It is the policy of [NAME] Nursing Center [facility previous name] to protect its residents from mistreatment, neglect, abuse, misappropriation of resident property and exploitation, and that all reports of abuse will be reported to the appropriate… […]

• No harm, potential for more than minimal, widespreadF925Apr 5, 2024

  Based on observations of the physical environment, reviews of the pest control operators' service, reports and contract and interviews with residents and staff, it was determined that the facility failed to maintain an effective pest control program. Findings include: A review of the pest control operator's contracted service agreement revealed that it was the responsibility of the maintenance department staff to repair structural concerns (gaps under doors, holes in walls, screens, around pipes, crevices around windows or doorways, faulty downspouts). […]

• No harm, potential for more than minimal, patternF584Dec 11, 2025

  Based on observations, review facility policies and staff interview, it was determined that the facility failed to maintain a safe, clean and homelike environment in resident care areas for two of three nursing units observed (1st floor East and 2nd floor [NAME] Nursing units). Findings Include:Review of facility policy Physical Environment: Common Areas dated January 2025, revealed, the facility will be designed, constructed, equipped, and maintained to protect the health and safety of residents, personnel and the public. On December 8, 2025, at 1:25 p.m. unit manager, Employee E8 confirmed that room [ROOM NUMBER]B had no grid on the heating unit and the cover of the heating unit was coming off. On December 9, 2025, at 12:45 p.m. […]