Park Manor of South Belt

In the surveyor’s words

From the most serious findings on record at Park Manor of South Belt, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF610Jun 27, 2025

  Based on interview and record review the facility failed to thoroughly investigate and report findings to the State Survey Agency within 5 working days of the incident and the corrective action taken if the alleged violation was verified for 9 (Resident #39, Resident #44, Resident #79, CR #1, CR #2, CR #3, CR #4, CR #5, CR #6) of 18 residents reviewed for abuse. The facility failed to conduct a thorough investigation when discrepancies were found between the MAR and narcotic reconciliation sheets for Resident #39, Resident #44, Resident #79, CR #1, CR #2, CR #3, CR #4, CR #5, and CR #6 that were not found in the facility's investigation report. […]

• No harm, potential for more than minimal, patternF755Jun 27, 2025

  Based on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident and failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation for 9 (Resident #39, Resident #44, Resident #79, CR #1, CR #2, CR #3, CR #4, CR #5, CR #6) of 18 residents reviewed for pharmacy services. […]

• No harm, potential for more than minimal, patternF880Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 residents (Resident #69 and Resident #8) of 6 residents reviewed for Infection Control. -LVN B failed to follow proper hand hygiene while providing treatment to Resident #69's wounds on her lower legs. -Resident #69 had an open wound but was not on Enhanced Barrier Precautions. -The facility failed to ensure CNA D followed proper infection control, for Resident # 8 during incontinent care. […]

• No harm, potential for more than minimal, patternF812Mar 3, 2023

  Based on observation, interview and record review, the facility failed to store food in accordance with professional standards for food safety in 1 of 1 kitchen reviewed for kitchen sanitation --the facility stored expired food items in the dry goods storage area This failure placed residents at risk of complications from foodborne illness and compromised health status. Findings include: Observation of the dry goods storage area on [DATE] at 9:05 am revealed (10) 12-ounce cans of evaporated milk on a shelf with expiration date of [DATE]. The Dietary Manager said the cans of evaporated milk should not be on the shelf since they were past the expiration date. […]

• No harm, potential for more than minimal, patternF580Feb 26, 2023

  Based on interview and record review the facility failed to immediately inform the physician and/or Resident/Responsible Party (RP) when there was a need to alter treatment for 2 of 4 residents reviewed for notification of changes. (Residents #2 and #3) - The facility failed to notify the physician and RP Residents #2 and #3 did not receive medications when admitted from the hospital. This failure could place residents at risk of not having notifications made for health related issues. Findings included: 1. Review of the face sheet dated 02/26/23 indicated Resident #2 was a [AGE] year-old male admitted on [DATE]. […]