Park Place Nursing Facility

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 15, 2021

  Based on observations, interviews and review of facility policies titled Education, Monitoring, & Screening of Healthcare Personnel During Covid-19, and Education, Monitoring, & Screening, and Cohorting of Residents during COVID-19 the facility failed to ensure healthcare personnel followed guidelines by ensuring that all staff were being screened appropriately at the beginning of their work shifts and failed to have a designated COVID-19 area to place residents who were positive for COVID-19, with dedicated staff and to have a designated unit for observation of new admissions. This had the potential to affect all residents. The census was 144. On [DATE], a determination was made that the facility's noncompliance had resulted in Immediate Jeopardy. […]

• Actual harm, isolatedF656Jun 11, 2026

  Based on staff interviews, record review, and review of the facility's policy titled Comprehensive Care Plans, the facility failed to implement the care plan for one of 58 sampled residents (R) (R14). Actual harm was identified to have occurred on 05/07/2026, when R14 sustained a laceration to the right side of the forehead, right ankle sprain, and abdominal wall contusion from a fall from his bed that occurred when staff provided ADL care with one-person assistance when the resident required two-person assistance.Findings include:Review of the facility's policy titled Comprehensive Care Plan, dated October 2025, revealed the Policy section included, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with… […]

• Actual harm, isolatedF689Jun 11, 2026

  Based on staff interviews and record review, the facility failed to ensure that Activities of Daily Living (ADL) care was provided by the appropriate number of staff, to prevent accidents, for one of four residents (R) (R14) sampled for ADL care. Actual harm was identified to have occurred on 05/07/2026, when R14 sustained a laceration to the right side of the forehead, right ankle sprain, and abdominal wall contusion from a fall from his bed that occurred when staff provided ADL care with one-person assistance when the resident required two-person assistance. […]

• No harm, potential for more than minimal, widespreadF880Jun 11, 2026

  Based on observations, staff interviews, and review of the facility policies titled Infection Prevention and Control Program and Laundry, the facility failed to follow infection control practices related to proper handling and transporting of soiled items throughout the facility and in the laundry room. The deficient practices had the potential to place the residents at risk of infections due to cross-contamination. The facility census was 158. Findings include:Review of the facility policy titled Infection Prevention and Control Program, revised on 02/20/2026, documented, . 12. Linens a. Laundry and direct care staff shall handle, store, process, and transport linens to prevent spread of infection. b. […]

• No harm, potential for more than minimal, isolatedF641Jun 11, 2026

  Based on staff interviews and record review, the facility failed to ensure that one of 58 sampled residents (R208) received an accurate Minimum Data Set (MDS) assessment reflective of the resident's status at the time of the assessment. This deficient practice had the potential to place R208 at risk of inadequate care planning and interventions.Findings include:Review of the electronic medical record (EMR) for R208 revealed admission to the facility on [DATE] with diagnoses including, but not limited to, unspecified dementia, unspecified severity, with agitation, unspecified dementia, unspecified severity, with mood disturbance, and Parkinson's disease without dyskinesia, with fluctuations Further review of the EMR for R208 revealed the resident was discharged from the facility on… […]