Park Bend Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF580Mar 11, 2026

  Based on observation, interview, and record review, the facility failed to immediately consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 of 8 residents (Resident #1) reviewed for resident rights. The facility failed to ensure the physician was notified from [DATE] through [DATE] when Resident #1 continued to have bloody urine draining from her indwelling urinary catheter. The physician was not notified until [DATE] that the resident was experiencing a change in condition, and the physician ordered for the resident to be sent to the hospital. […]

• Immediate jeopardy, patternF690Mar 11, 2026

  Based on observation, interview, and record review, the facility failed to ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections for 1 (Resident #1) of 8 residents reviewed for catheter care.The facility failed to assess, intervene, and change Resident #1's indwelling urinary catheter when Resident #1's catheter was draining blood from [DATE] through [DATE]. On [DATE], Resident #1 was sent to the hospital for a change of condition and was diagnosed with severe sepsis with septic shock with a likely source of urinary tract infection. On [DATE] at 6:45 p.m. an IJ was identified. […]

• Immediate jeopardy, patternF689Feb 12, 2025

  Based on observation, interview and record review the facility failed to ensure that the resident environment remained as free of accident hazards as was possible for 1 of 5 residents (Resident #1) reviewed for accident hazards. 1. The facility failed to implement interventions for Resident #1 to ensure she did not consume hand sanitizer after empty bottles of hand sanitizer were found in her room. 2. The facility failed to ensure Resident #1 did not keep aspirin at her bedside. The noncompliance was identified at an Immediate Jeopardy (IJ) PNC (past nocompliance). The noncompliance began on 10/12/2024 and ended on 12/17/2024. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, patternF660Nov 22, 2023

  Based on interview and record review, the facility failed to provide and document an effective discharge planning process that focused on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions for 1 (Resident #1) of 6 residents reviewed for discharges. The facility failed to complete the process for home health services for Resident #1 to receive continued care for her IV antibiotics, needed for cellulitis to her left foot, prior to her discharge on 11/18/23. Resident #1 had not received her antibiotics from 11/18/23 through 11/21/23 as a result of the facility's failure. An IJ was identified on 11/21/23. […]

• Immediate jeopardy, patternF684Apr 10, 2021

  Based on interview and record review, the facility failed to identify, monitor, and provide treatment and care for a change in condition in accordance with professional standards of practice for 1 (Resident #61) of 18 residents reviewed for quality of care. 1. The facility failed to identify a change in condition after Resident #61 had multiple falls on 03/01/21. 2. The facility failed to monitor Resident #61 for increased changes in condition from 03/01/21 at 12:30 a.m. until 03/01/21 at 10:30 p.m. when the ambulance personnel were observed leaving the facility with the resident on a stretcher. 3. […]