Ocean Park Healthcare

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 26, 2025

  Based on interview and record review, for one of five sampled resident (Resident 1), Resident 1 who fell in the facility on 1/15/2025, the facility failed to ensure: 1) Certified Nurse's Aide (CNA) 2, closely monitored and supervised Resident 1 while assigned as Resident 1's one to one (1:1- a caregiver provides dedicated, focused attention and assistance to a single individual, ensuring their needs and well-being are met with personalized support) sitter on 3/02/2025 on the 11 PM to 7 AM shift. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure the food handling practices and proper sanitation were maintained in the kitchen according to the facility's policies and procedures (P&P) titled, Refrigerators and Freezers, with a review date of 5/2026, Sanitization, reviewed on 5/2026, and, Food Preparation and Service, reviewed on 3/2026, when:1. A bag of brussels sprouts was stored in Reach-in Freezer (RF) 1 without a label to indicate the received date. 2. The paint of the top metal rack in RF 1 was chipped, exposing the gray metal part of the rack. 3. A jar of mayonnaise that was stored in Reach-in Refrigerator (RR) 1 was labeled with the incorrect use-by date.4. […]

• No harm, potential for more than minimal, patternF726May 4, 2025

  Based on interview and record review, the facility failed to ensure that the nursing staff met the skills and staff competency evaluation requirements. This deficient practice had the potential for knowledge, training, and certification deficit among the nursing staff, leading to inadequate or delayed care for the residents. Findings: During a concurrent interview and record review, on 5/4/2025, at 9:06 A.M., with the Director of Staff Development (DSD), the DSD, the facility's employee files were reviewed. The employee files indicated that four of five employee files reviewed did not have documented proof of annual competency training for the employees. […]

• No harm, potential for more than minimal, patternF732May 4, 2025

  Based on observation, interview, and record review, the facility failed to post the actual nursing hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift for three of three sampled days (5/2/2025, 5/3/2025, and 5/4/2025). This deficient practice resulted in the actual staffing information not being readily accessible and available to residents and visitors and had the potential to cause inadequate staffing. Findings: During an observation of the facility on 5/2/2025 at 6:23 p.m., observed Direct Care Services Hours Per Patient Day (DHPPD) posted by the nursing station with only the projected hours posted. The information on the forms was incomplete for each shift. […]

• No harm, potential for more than minimal, patternF761May 4, 2025

  Based on observation, interview, and record review, the facility failed to follow its policy and procedures for medication storage by failing to ensure proper disposal expired medical supplies from intravenous (IV, a method of administering fluids, medications, or nutrients directly into a vein) medication cart by failing to disposed of: 1. One StatLock catheter stabilization device (device that adheres to the skin where the tubing of the catheter is locked in preventing accidental removal), 2. […]