Park Place Christian Community

In the surveyor’s words

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

• Actual harm, isolatedF689Sep 22, 2024

  Based on interview and record review, the facility failed to safely transfer a resident during toileting when a gait belt was not used, and required assistance was not provided. This failure resulted in R1 sustaining an acute comminuted fracture of the left femur due to a fall incident occurred during direct care. This applies to 1 of 3 residents (R1) reviewed for falls in the sample of 3. The findings include: The EMR (Electronic Medical Record) showed R1, a 92-year -old with diagnoses includes dementia, depression, osteopenia, osteoarthritis, stroke, history of breast cancer and pulmonary embolism. R1's surgical history includes right knee replacement. R1 was Covid positive on August 4,2024. R1 was originally admitted to the MMC (Memory Care Center) in the facility on October 11, 2019. […]

• Actual harm, isolatedF689Jul 13, 2022

  Based on interview and record review, the facility failed to ensure safe practices when turning a resident in bed. This failure resulted in a resident falling out of bed and sustaining a right femur fracture and a right humerus fracture. This applies to 1 of 3 residents (R2) reviewed for falls in the sample of 3. The findings include: The EMR (Electronic Medical Record) shows R2 was admitted to the facility on [DATE]. R2 has multiple diagnoses including dementia without behaviors, pneumonia, weakness, history of falling, right humerus fracture, right femur fracture, [CONDITION(S)] (Urinary Tract Infection), dysphagia, anxiety, heart failure, difficulty walking, abnormal gait and mobility, and pain. R2's MDS (Minimum Data Set) dated April 15, 2022 shows R2 has severe cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2025

  Based on observation, interview, and record review, the facility failed to label/date/seal/store food items, remove expired items, and sanitize the food preparation counter in the facility kitchen. This applies to all residents that receive oral nutrition and foods prepared in the facility kitchen. Findings include: The facility's Long-Term Care Facility Application for Medicare and Medicaid (Form CMS-Centers for Medicare and Medicaid Services-671) dated [DATE] documents that the total census was 36 residents. On [DATE] at 11:00 AM, V4 (Director of Dining Services) said all 36 residents eat from the facility kitchen. 1. On [DATE] at 10:58 AM, V4 (Director of Dining Services) was asked to test the sanitation bucket in the kitchen prep area. […]

• No harm, potential for more than minimal, widespreadF880Apr 25, 2025

  Based on observations, interviews, and record reviews, the facility failed to mitigate the risk of cross contamination during resident care and during handling of soiled clothing/materials. This failure applies to 4 of 4 residents (R24, R16, R84, R8) reviewed for hand hygiene, and all 36 residents in the facility for soiled linen handling. The facility's Long-Term Care Facility Application for Medicare and Medicaid (Form CMS-Centers for Medicare and Medicaid Services-671) dated 4/23/25 documents that the total census was 36 residents. The findings include: 1. On 04/24/25 at 09:17 AM, V3 (Wound Nurse) and V9 (Nurse) were providing wound care and incontinence care for R24. R24 had a pressure wound to his left gluteal fold. V9 pushed a garbage can toward V3 with her foot. […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure dishware was sanitized before reuse. This failure affects all 31 facility residents. The findings include: The facility's Resident Census and Condition of Residents form dated 8/2/22 showed there were 31 residents residing in the facility. On 8/2/22 at 9:59 AM, the dishwasher was in use. There was assorted dishware exited from the dishwasher. There was additional dishware processed through the machine. There was a plastic gallon jug turned upside down above the dishwasher. The jug was labeled as a sanitizer and had a clear tube connecting it to the dishwasher. There were no sanitizer concentration check logs in the kitchen. On 08/02/22 at 09:59 AM, V4 Chef said the Dietary Manager was on vacation. […]