Park Terrace Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Aug 31, 2023

  Based on record reviews and interviews during the Recertification survey conducted from 08/24/2023 to 08/31/2023, the facility did not ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. This was evident for Resident #144 reviewed out of a sample of 37 residents. Specifically, after admission to the facility, the resident developed a new left buttock pressure ulcer, which worsened and became infected requiring the resident to be admitted to the hospital. There was no evidence the wound was evaluated between identification as an excoriation on 03/06/23 and becoming an unstageable ulcer on 3/21/2023. […]

• Actual harm, isolatedF689Jun 27, 2022

  Based on record review and interviews conducted during an abbreviated survey (NY 809), the facility failed to ensure that the resident environment remains as free from accident hazards as is possible, and each resident receives adequate supervision and assistance devices to prevent accidents. This was evident in 1 out of 3 residents sampled (Resident #1). Specifically, on 05/05/2021 at 6:10 AM, Certified Nursing Assistant (CNA) #1 initially reported that Resident #1 hit their head on the side rail during care. Resident #1 sustained laceration to the outer corner of left eye, was transferred to the hospital, and received three sutures to the left orbital (bony cavity that contains the eyeball). […]

• No harm, potential for more than minimal, widespreadF882Aug 31, 2023

  Based on record review and interviews conducted during the Recertification survey from 8/24/23 through 8/31/23, the facility did not ensure an Infection Preventionist (IP) with specialized training was designated to be responsible for the facility's Infection Prevention and Control Program (IPCP). This was evident during the review of the Infection Control Task. Specifically, the facility's designated IP did not have documented evidence of completing specialized infection prevention and control training. The findings are. The Centers for Medicare and Medicaid Services (CMS) memo titled Center for Clinical Standards and Quality/Quality, Safety & Oversight Group. […]

• No harm, potential for more than minimal, patternF584Sep 9, 2025

  Based on observation, record review, and interviews, during the Recertification and Abbreviated Survey (Intake #797338), the facility failed to provide a clean, comfortable and homelike environment for the residents. Specifically, housekeeping and maintenance services were not maintained in Unit 4. The findings include: The facility's General Maintenance Policy with a revised date of 10/2024 stated the purpose of the policy is to ensure that the facility's premises, equipment, and systems are maintained in a clean, safe, and functional condition, promoting a safe environment for residents, staff, and visitors. […]

• No harm, potential for more than minimal, patternF693Sep 9, 2025

  Based on observation, record review, and interviews, the facility failed to ensure that residents receiving enteral feeding received appropriate care and services to prevent complications of enteral feeding. This was evident for three (3) (Residents #137, #41, and #52) out of 25 residents reviewed for medication administration task. Specifically, licensed nurses did not appropriately verify placement of gastrostomy tube prior to administering medications and enteral feeding. The findings include: The facility policy titled Medication Administration with a last revised date of 05/2025 documented when administering medications via enteral route, placement must be checked by introducing air and listen to gurgling sound using a stethoscope. […]