Park Place Care Center

In the surveyor’s words

From the most serious findings on record at Park Place Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jul 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure the residents had the right to be free from psychosocial abuse and neglect for five (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of ten residents reviewed for abuse and neglect. The facility failed to:Ensure Resident #1 was free from verbal and emotional abuse by NA A on or around 05/30/25 and they failed to immediately suspend NA A (per their policy) as she had worked at the facility (26 shifts) since the incident. […]

• Immediate jeopardy, patternF607Jul 10, 2025

  Based on observation, interview and record review, the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse and establish policies and procedures to investigate any such allegations for one (Resident #1) of ten residents reviewed for abuse and neglect. The facility failed to: - Follow their Abuse and Neglect policy after Resident #1 was verbally/emotionally abused by NA A on or around 05/30/25 by not investigating the incident, not suspending NA A, and not reporting it to the ADM which resulted in psychosocial harm for Resident #1. An Immediate Jeopardy (IJ) was identified on 07/09/25 at 3:24 PM and an IJ template was provided. […]

• Immediate jeopardy, patternF609Jul 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse are reported immediately, but not later than 2 hours after the allegation is made for one (Resident #1) of ten residents reviewed for abuse. The facility failed to: - Ensure Resident #1 was free from verbal and emotional abuse by NA A on or around 05/30/25 and they failed to immediately suspend NA A (per their policy) as she had worked at the facility (26 shifts) since the incident. The facility did not investigate/report (to HHSC) the incident because the DON stated Resident #1 later denied the allegation. […]

• Immediate jeopardy, patternF600Jan 28, 2025

  Based on, interview, and record review the facility failed to ensure residents were free from neglect for 1 of 4 residents (Resident #1) reviewed for abuse and neglect. CNA A and LVN B failed to check on Resident #1 on the night of 01/09/2025 from about 10:00 pm through the morning of 01/10/2025 at about 4:40 am, leaving Resident # 1 unattended for about 6 hours. Resident #1 fell on the floor and was on the floor the entire night unattended by staff. When Resident #1 was found on the morning of 01/10/2025, he was noted with abrasion at his left arm, combative, angry and speaking Spanish. The noncompliance was identified as PNC. The IJ began on 01/09/2025 and ended on 01/17/2025. […]

• Immediate jeopardy, patternF694Jan 11, 2025

  Based on observations, interviews, and record reviews, the facility failed to ensure parenteral fluids were administered consistent with professional standards for 2 (Resident #1 and Resident #2) of 2 residents reviewed for intravenous care. The facility failed to ensure Resident #1 had orders to change her PICC line dressing after the PICC was placed. She went from 12/18/24 until 01/09/25 without a PICC dressing change. The facility failed to ensure the ADON changed Resident #1's PICC line dressing per the facility protocol. The facility failed to ensure Resident #1 had orders to flush the PICC or to monitor the PICC insertion site for signs/symptoms of infection from 12/18/24 through 01/09/25. […]