Parkdale Manor Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Parkdale Manor Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF865Mar 14, 2025

  Based on interview and policy review, the facility failed to ensure a Quality Assurance and Performance Improvement (QAPI) program to identify, maintain, and evaluate concerns for effective resident care. This deficient practice had the potential to not identify issues and/or capture the efforts made in measuring the care and services for 28 residents.The facility census is 28. Review of the facility policy titled Quality Assurance and Performance Improvement (QAPI) Program revised April 2014 revealed, Policy Statement The facility shall develop, implement, and maintain an ongoing, facility- wide Quality Assurance and performance Improvement (QAPI) program to actively pursue quality of care and quality of life goals. […]

• No harm, potential for more than minimal, widespreadF867Mar 14, 2025

  Based on interview and policy review, the facility failed to ensure a Quality Assurance and Performance Improvement (QAPI) program committee met on a quarterly basis to work on performance improvement projects (PIP) and track the performance of the PIP. This deficient practice had the potential to not identify or improve the care and services for 28 residents.The facility census is 28. Review of the facility policy titled, Quality Assurance and Performance Improvement (QAPI) Plan revised April 2014 revealed, Policy Statement This facility shall develop, implement, and maintain an ongoing, facility-wide QAPI Plan designed to monitor and evaluate the quality and safety of resident care, pursue methods to improve care quality, and resolve identified problems. […]

• No harm, potential for more than minimal, widespreadF576Sep 1, 2021

  Based on observations, interviews, and record reviews, the facility failed to provide residents with Saturday mail delivery. This affected all of the residents residing in the facility. The facility census was 30. 1. Review of the undated Resident Rights policy showed: - The right to have communication with and access to people and services inside and outside of the facility. - The right to exercise his/her rights as a resident of the facility and as a resident of the United States. - The right to have access to a telephone, email, and mail. - The right to communication in person, by mail, email, and telephone with privacy. 2. No mail delivery policy was provided. 3. During the resident council meeting on 8/25/21 at 2:30 P.M. […]

• No harm, potential for more than minimal, widespreadF727Sep 1, 2021

  Based on interview and record review, the facility failed to provide the services of a Registered Nurse (RN), other than the Director of Nursing (DON), for eight consecutive hours per day, seven days a week. This affected all the residents in the facility. The facility census was 30. The facility did not provide a policy. 1. Review of the staffing schedule dated, July, 2021, showed two days where the facility did not have an RN working. Review of the staffing schedule dated, August, 2021, showed six days where the facility did not have an RN working. During an interview on 8/24./21, at 11:12 A.M., the Administrator said: - The Interim DON is the Corporate Nurse; - The new DON will start on 9/1/21. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2021

  Based on observation, record review and interviews, the facility failed to ensure store food in a sanitary manner and failed to maintain the kitchen and dry storage area in a sanitary manner. This affects all residents who receive their food from the facility's kitchen. The facility census was 30. Observation on 8/24/2021 at 12:31 P.M. of the kitchen showed: -the floor under the dishwashing sink was dirty with debris and dark matter -a substance was splattered several places on the ceiling, near the center of the ceiling and above the door by the dishwasher -a black matter on the floor along the edging below the cabinets -the fire extinguisher is resting on the floor -the underside of the hood above the stove is dirty with grease and dust -the drain for the griddle is dirty with grease and… […]