Parkdale Health and Rehab

In the surveyor’s words

From the most serious findings on record at Parkdale Health and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 15, 2022

  Based on interview and record review, the facility did not ensure a resident with pressure ulcers received the necessary treatment and services, to promote healing, prevent infection and prevent new ulcers from developing. Specifically, for 1 out of 20 sampled residents, a resident that developed pressure ulcers on both heels did not have the treatment implemented according to the physician's orders. In addition, the resident's left anterior pressure ulcer developed an infection. […]

• Actual harm, isolatedF684May 20, 2021

  Based on observation, interview, and record review it was determined, for 2 of 19 sample residents, that the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choice. Specifically, facility staff did not obtain additional medical care for four days after a resident fell causing a broken leg above a recent artificial knee. This delay was determined to have occurred at a harm level. Additionally, a resident was transferred by a Certified Nursing Assistant (CNA) who did not lock the wheelchair wheels during the transfer causing the resident to fall. Resident identifiers: 11 and 22. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF867May 18, 2024

  Based on interviews, document review, and facility policy review, the facility failed to implement a quality assurance and performance improvement program to evaluate and monitor resident falls in the facility. This deficient practice had the potential to affect all residents who currently resided in the facility. Findings included: A facility policy titled, Quality Assessment and Assurance Plan, revised in December 2009, revealed, This facility shall develop, implement, and maintain an ongoing, facility-wide Quality Assessment and Assurance Program designed to monitor and evaluate the quality of resident care, pursue methods to improve care quality, and resolve identified problems. […]

• No harm, potential for more than minimal, widespreadF944May 18, 2024

  Based on interviews and facility policy review, the facility failed to conduct mandatory training for all staff on the facility's quality assurance and performance improvement (QAPI) program. This deficient practice affected all residents who currently resided in the facility, Findings included: A facility policy titled, Quality Assessment and Assurance Plan, revised in December 2009, revealed, This facility shall develop, implement, and maintain an ongoing, facility-wide Quality Assessment and Assurance Program designed to monitor and evaluate the quality of resident care, pursue methods to improve care quality, and resolve identified problems. The policy did not address staff training on the facility's QAPI program. […]

• No harm, potential for more than minimal, widespreadF885Dec 15, 2022

  Based on interview and record review, the facility failed to inform residents, resident representatives, and resident families of the occurrence of a single confirmed infection of coronavirus disease of 2019 (COVID-19), or three or more residents or staff with new-onset of respiratory symptoms occurring within 72 hours of each other by 5:00 PM the next calendar day. Specifically, three facility staff members tested positive for COVID-19 and residents, resident representatives, and resident families were not notified of the outbreaks. Findings included: Review of the Facility COVID Testing - Employee Outbreak tracking log revealed the following: a. On 11/17/22, the Administrator (ADM) tested positive. b. […]