Park Gardens Rehabilitation & Nursing Center LLC

In the surveyor’s words

From the most serious findings on record at Park Gardens Rehabilitation & Nursing Center LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF577Apr 21, 2021

  Based on observations, record review, and staff interviews conducted during a recertification survey 04/14/2021-04/21/2021, the facility did not ensure that notice of the availability of the survey results in areas of the facility that are prominent and accessible to the public was posted. Specifically, the survey results were located in unlabeled wall-mounted racks in or near the day rooms and in the building lobby but there was no notice about the availability of results in these locations. This was observed on 4 of 5 resident units and in the facility lobby. The findings are: During multiple building observations conducted between 4/15/21 at 11:00 AM and 4/21/21 at 1:00 PM survey results were observed in a binder in the lobby area. […]

• No harm, potential for more than minimal, patternF584Apr 21, 2021

  Based on observations, record review and interviews conducted during a Recertification survey from 04/14/2021 to 04/21/2021, the facility did not ensure that a clean, comfortable, and homelike environment was provided to residents. Specifically, resident rooms were not maintained in good repair and in a homelike manner. This was observed during Environmental Observations on 1 of 5 resident units. (Unit 4) The findings are: During multiple observations on Unit 4 between 4/15/21 at 11:30 AM and 4/21/21 at 11:00 AM, the following were observed but not limited to: 4th Floor Day Room- rusted heater, rust colored discoloration on top of air conditioner and chipped paint on window ledges. […]

• No harm, potential for more than minimal, patternF880Apr 21, 2021

  Based on observation, record review and staff interview, conducted during the Recertification survey, the facility did not ensure that infection control practices were maintained to control and help prevent the development and transmission of communicable diseases and infections. Specifically, (1). The Licensed Practical Nurse (LPN) did not clean and sanitize a glucometer after uses and (2). An LPN did not clean and sanitize a pulse oximeter before and after each use, and prior to using it on another resident. This was observed during the Medication Administration Task. […]

• No harm, potential for more than minimal, patternF921Apr 21, 2021

  Based on observations and interviews conducted during a Recertification survey from 04/14/2021 to 04/21/2021, the facility did not ensure that a safe, functional, sanitary, and comfortable environment was provided for residents, staff, and the public. Specifically, the staff bathrooms were observed to be dusty and in disrepair. This was evident on 4 of 5 units observed during Environmental Rounds. (Units 2, 3, 4, and 5) During multiple observations conducted in the facility between 4/15/21 at 1:30 PM and 4/21/21 at 1:00 PM the following was observed: Staff bathroom on 1st Floor had mismatched paint on walls, rusted inner lower door area, black scuff marks on wall near toilet, and air vent was dusty. […]

• No harm, potential for more than minimal, isolatedF557Feb 17, 2026

  Number of residents sampled: 2Number of residents cited:1 Based on observation and staff interviews, the facility did not ensure a resident was cared for in a manner that maintained or enhanced their dignity. This was evident for one (1) of two (2) residents (Resident #28) reviewed for Urinary Catheter out of a total sample of 38 residents. Specifically, Resident #28's urinary catheter tubing was noted to be exposed and visible in the hallway during multiple observations. The findings are:The facility policy titled 'Dignity Policy' last reviewed 01/02/2026 stated the facility shall promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity and respect in recognition of a person-centered approach. […]