North Park Post-Acute

In the surveyor’s words

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

• Actual harm, isolatedF684Oct 4, 2024

  Based on interview, and record review, the facility failed to ensure one of twenty-three sampled residents (Resident 596) received quality care when, Resident 596, who was diabetic (inability for the body to regulate blood sugar/glucose levels) and received insulin (injectable medication used to control/regulate blood sugar/glucose levels) and oral anti-diabetic medications; 1. Experienced injuries from an unwitnessed fall resulting from low blood sugar levels on 9/20/24, 2. Exhibited signs of confusion and altered level of consciousness (a change in a person's state of awareness) and a licensed nurse did not implement emergent nursing interventions to assess Resident 596's blood glucose (BG) level on 9/20/24, 3. […]

• No harm, potential for more than minimal, widespreadF812Oct 4, 2024

  Based on observation, interview, and record review, the facility failed to store and distribute food in accordance with professional standards for food service and safety when: 1. Dietary Aide (DA) 1 was not wearing a hair net while in the kitchen, 2. Drinking glasses and food containers were wet nested (stacked wet promoting growth of bacteria), 3. Clean fruit cups, stored under the dishwasher, had water dripping onto them, 4. Expired yogurt was available for resident consumption, 5. Dishwasher water temperature was not in range, 6. Parts per million (PPM - amount of solution in water) of the dishwashing solution was below the accepted standard, 7. Two of three utensil drawers contained a moderate amount of dust and debris, 8. […]

• No harm, potential for more than minimal, patternF552Jan 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure the Resident or Responsible Party (RP, someone who can help the resident and, as necessary, make decisions for the resident) was informed and consented to the use of psychotropic (drugs that affect a person's mind, emotions, and behavior) medications for five of 46 sampled residents (Resident 2, Resident 112, Resident 8, Resident 3, and Resident 19).Resident 2,Resident 112,Resident 8,Resident 3,Resident 19,These failures had the potential for not honoring the resident's right to be informed about his or her medical treatment, including medication side effects or other alternative options.Findings: 1.A review of Resident 2's admission Record, indicated Resident 2 was admitted to the facility with diagnoses… […]

• No harm, potential for more than minimal, patternF558Jan 30, 2026

  Based on observation, interview, and record review, the facility failed to accommodate the needs of six of 46 sampled residents (Resident 28, Resident 112, Resident 72, Resident 114, Resident 115, and Resident 117) when the following residents did not have access to their call lights (devices used to contact staff for assistance):1.Resident 28,2. Resident 112,3.Resident 72,4.Resident 114,5.Resident 115,6.Resident 117,These failures placed Resident 28, Resident 112, Resident 72, Resident 114, Resident 115, and Resident 117 at increased risk for unmet care needs, delayed staff response, falls, and potential for injury. […]

• No harm, potential for more than minimal, patternF584Jan 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure a homelike environment for three of 46 sampled residents (Resident 18, Resident 82, Resident 95) when,A bowel movement (BM) was found in the facility's South Hall, In room [ROOM NUMBER], the window blinds were broken and there were floor tiles missing next to Resident 82's bed, In room [ROOM NUMBER], a tall dresser used by Resident 18 was missing knobs on one of the drawers and the bottom drawer had the front panel broken and laying on the bottom of the dresser, andStaff personal belongings were stored in Resident 95's room.These failures could have resulted in the residents not experiencing a clean and well-maintained homelike environment. […]