Park Regency Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF700Dec 12, 2025

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary care and services for four of five final sampled residents (Resident 8, 12, 38, and 55) reviewed for the use of the side rails. * The facility failed to obtain the physician's order, to provide the least restrictive alternatives, and to conduct a bed rail assessment for Resident 12's use of the side rails. * The facility failed to provide documented evidence the manufacturers' recommendations and specifications for installing and maintaining bed rails were conducted for Resident 8, 38, and 55 bed rails. In addition, the facility failed to conduct a bed rail assessment for Resident 38's bed rails. […]

• No harm, potential for more than minimal, patternF812Dec 12, 2025

  Based on observation, interview, and facility document review, the facility failed to ensure the sanitary requirements were met in the kitchen. * Boxed food items in the walk-in refrigerator and freezer were observed placed within two to three inches from the ceiling, blocking the spray of the fire sprinklers. * A floor tile next to the facility's ice machine was observed missing a piece of the tile. * Station 2 Residents' refrigerator did not have a thermometer inside the freezer, and half-a-gallon ice cream was observed with ice build along the top outer edges of the ice cream's lid. * A ceiling tile inside the facility's dining room was observed with a hole in it. […]

• No harm, potential for more than minimal, patternF880Dec 12, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the infection control practices designed to provide a safe and sanitary environment and help prevent the development and transmission of infections were implemented. * The facility failed to initiate an infection tracking surveillance for the residents with signs and symptoms of infection who were not prescribed with antibiotic treatment. * CNA 7 was observed with artificial nails, extending beyond her fingertips. * Resident 76's drape was observed with a black substance along the bottom of the drape. […]

• No harm, potential for more than minimal, patternF812Oct 10, 2024

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen as evidenced by: * The facility failed to ensure the kitchen utensils had a smooth cleanable surface and in good condition. * The facility failed to ensure the kitchen utensils were clean and free of food particle or residue. * The facility failed to ensure the heavy-duty blenders used for puree preparation were air dried prior to storing. * The facility failed to ensure the sanitary condition of the hood over the stove was maintained. These failures had the potential for cross contamination and foodborne illnesses to the residents consuming the foods prepared in the facility's kitchen. […]

• No harm, potential for more than minimal, patternF909Oct 10, 2024

  Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to ensure the residents' entrapment assessments were accurate and complete for 15 of 15 residents (14 final sampled residents, Residents 12, 13, 23, 33, 44, 47, 49, 77, 80, 83, 85, 87, 540, and 541 and one nonsampled resident, Resident 24) reviewed for side rail use. This failure had the potential to negatively impact the residents resulting in possible entrapment, serious injury, and death. Findings: According to the Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment, the term entrapment describes an event in which a patient/resident is caught, trapped, or entangled in the space in or about the bed rail, mattress, or hospital bed frame. […]