North Village Park

In the surveyor’s words

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

• Immediate jeopardy, patternF600May 24, 2023

  Based on interview and record review, the facility failed to protect one resident (Resident #1), with diagnoses that included serious mental illness, autistic disorder (a condition related to brain development that impacts how a person perceives and socializes with others, causing problems in social interaction and communication), and attention deficit hyperactivity disorder (ADHD - trouble paying attention, controlling impulsive behaviors, may act without thinking about what the result will be), in a sample of 17 residents, from verbal and physical abuse by staff. On 5/20/23 at approximately 11:30 P.M., Licensed Practical Nurse (LPN) C woke Resident #1 up when he/she administered medication to the resident's roommate. The resident became agitated and went to the dining room. […]

• Immediate jeopardy, patternF610May 24, 2023

  Based on interview and record review, the facility failed to follow their policy to report, promptly begin an investigation for an allegation of staff to resident abuse and put measures in place to protect residents. Registered Nurse (RN) G told the administrator an altercation had occurred between Licensed Practical Nurse (LPN) C, Certified Nurse Aide (CNA) D and Resident #1 at approximately 12:00 A.M. on 5/21/23. The administrator said RN G did not tell her it was an altercation between staff and Resident #1, so she allowed LPN C and CNA D to finish out their shifts on another unit. […]

• Immediate jeopardy, patternF600Dec 22, 2021

  Based on interview and record review the facility failed to ensure nine residents (Resident #1, #2, #3, #4, #5, #6, #7, #8, and #9), who resided on locked behavioral units, were free from abuse when Hall Monitor A and Floor Maintenance Staff B sold the residents [MEDICATION(S)] (a powerful, highly addictive stimulant that affected the central nervous system. Crystal meth resembled glass fragments and was an illegally altered version of the prescription version.). All nine residents tested positive for [MEDICATION(S)]. […]

• Immediate jeopardy, patternF689Apr 15, 2021

  Based on observation, interview, and record review, the facility failed to provide adequate monitoring and protective oversight for residents who required supervision to smoke, to prevent residents from obtaining smoking materials and smoking in unauthorized areas, including occupied resident rooms and bathrooms, for nine residents (Resident #83, #130, #152, #17, #162, #22, #109, #158 and #106 ) of 65 sampled residents. The facility failed to consistently provide adaptive and safety smoking equipment for residents who required them to smoke safely for three additional residents (Resident #48, #98, and #145). […]

• Immediate jeopardy, isolatedF600Feb 19, 2026

  Based on interview and record review, the facility failed to ensure one resident (Resident #13), in a review of 16 sampled residents, was free from abuse by Housekeeper N. Resident #13 had diagnoses that included personality disorder (mental health condition characterized by long-term, rigid, and unhealthy patterns of thinking, feeling, and behaving that differ significantly from cultural norms), major depressive disorder, recurrent severe without psychosis (a collection of symptoms that affect the mind, where there has been some loss of contact with reality) and severe methamphetamine use disorder. […]