Park Manor Rehabilitation CTR

In the surveyor’s words

From the most serious findings on record at Park Manor Rehabilitation CTR, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 28, 2025

  Based on observation, interview, and record review, the facility failed to 1) assess for a change in condition related to increased shortness of breath and weakness for 1 of 3 residents (Resident 56), and 2) consistently follow physician orders to prevent constipation (unable to pass stool regularly, that eventually becomes hardened) for 1 of 3 residents (Resident 71) both reviewed for quality of care. Resident 56 experienced harm when their bowels became impacted (when you're unable to regularly pass stool or feces and it backs up inside your colon), pain, and required a hospital intervention for relief. […]

• No harm, potential for more than minimal, widespreadF803Mar 30, 2023

  Based on observation, interview and record review, the facility failed to ensure the menu was prepared in advance, followed, and reviewed by the facility's Registered Dietitian for three of three meals (noon meals on 03/27/2023, 03/28/2023, and 03/29/2023) observed during the survey. This failure placed all residents at risk for unmet nutritional needs, weight gain or loss, and decreased quality of life. Findings included . Review of the week one menu cycle provided by the facility showed: Monday (03/27/2023) lunch: baked tenders (changed from baked drumsticks), corn pudding, green beans, and apple cobbler. […]

• No harm, potential for more than minimal, widespreadF880Mar 30, 2023

  Based on observation, interview and record review, the facility failed to implement key components of infection control interventions intended to mitigate the risk for spread of infection, by failing to follow the manufacturer's instructions for use for disposal of single use face shields (a barrier worn from crown to chin that wraps around the face to the point of the ear that prevents infectious materials from entering the eye) for 11 of 11 Personal Protection Equipment (PPE) carts (a supply cart containing masks, gowns, gloves, and eye protection/face shields) inspected for PPE supply. There were five carts located outside of resident rooms and six carts located inside resident rooms. […]

• No harm, potential for more than minimal, patternF607May 15, 2026

  Based on interview and record review the facility failed to implement their abuse prohibition policy/procedures to identify, investigate, and report allegations of abuse/neglect for 5 of 8 residents (Residents 82, 71, 4, 33, and 77) reviewed for grievances. This failure placed the residents at risk of continued abuse/neglect, emotional distress, feeling unsafe, loss of dignity and unmet care needs. Findings included. Review of the facility policy titled, Abuse Prevention and Reporting, revised 10/2025, showed residents had the right to be free from abuse, including the failure to provide basic care/services, physical, verbal, and mental abuse. The policy showed all suspected allegations would be thoroughly and completely investigated and reported to the State Agency (SA). […]

• No harm, potential for more than minimal, patternF804May 15, 2026

  Based on observation, interview and record review, the facility failed to ensure the food was palatable and served at a safe and appetizing temperature and in a timely manner for 6 of 9 residents (Residents 51, 19, 4, 55, 45 and 19) reviewed for food. This failure placed residents at risk for food-borne illness, dissatisfaction with meals, and inadequate nutritional intake. Findings included.Review of the Washington State Food Code, dated 03/01/2022, showed long-term care facilities must comply with the food code for temperature control, while meeting specific resident care requirements. Facilities must provide nourishing, palatable meals that were attractively served and adjusted to residents' preferences and needs. […]