Parklands Care Center and Rehab

In the surveyor’s words

From the most serious findings on record at Parklands Care Center and Rehab, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Aug 20, 2021

  Based on observation, interview, and review of the policies and procedures, the facility failed to ensure resident rights to be free from neglect by failing to ensure structures and processes were in place to prevent the likelihood of harm due to respiratory smoke inhalation, [CONDITION(S)] from fire, and death by failure to have a functioning fire alarm system that would alert the monitoring company and the fire department in case of smoke and/or fire, and failed to implement a fire watch for 109 of 109 residents, which consist of two residents who are bedfast, 70 requiring extensive assistance for ambulation, 32 ambulate with assistance or assistive device, and five are independently ambulatory. […]

• Immediate jeopardy, widespreadF835Aug 20, 2021

  Based on interview, record review, and policy and procedure review, the facility Administration failed to effectively and efficiently attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by not assuming full responsibility for the day to day operations of the facility ensuring the safety for the 109 residents when deficiencies were identified of the non-functioning fire alarm system necessary to alert the monitoring company and the fire department in case of fire and not implementing a fire watch. Findings: During an interview on 8/20/2021 at 10:15 AM the facility Administrator stated, I knew approximately in September 2020 that the control panel needed to be replaced, but I was not aware that we needed to be on fire watch. […]

• Immediate jeopardy, widespreadF867Aug 20, 2021

  Based on observation, staff interview, and policy and procedure review, the quality assessment and assurance committee failed to develop and implement appropriate plans of action to correct the identified quality deficiencies of the nonfunctioning fire alarm system that is necessary to alert the monitoring company and the fire department in case of fire, and failed to implement a fire watch. Findings: During an observation on 8/17/2021 at 11:35 AM, while conducting a tour of the facility, in the Therapy room/fire alarm control panel area the control panel indicated a trouble mode. The control panel trouble light (orange) was illuminated, and the control panel was silent. The control panel was illuminated, but the panel was not sounding an audible noise to indicate the trouble mode. […]

• No harm, potential for more than minimal, widespreadF842Jul 25, 2024

  Based on record review and interview, the facility failed to ensure that resident records were complete and accurate for 3 of 3 residents reviewed, Residents #1, #5 and #6. Findings include: 1) Review of Resident #1's admission record showed the resident was admitted on [DATE] and readmitted on [DATE] with diagnoses that included stage 4 pressure ulcer of right heel, need for assistance with personal care, spastic hemiplegia affecting left nondominant side, lower leg contracture of muscle, left elbow contracture, and dementia. […]

• No harm, potential for more than minimal, widespreadF761Aug 20, 2021

  Based on observation, interview, and record review the facility failed to ensure that all drugs and biologicals used in the facility were stored and labeled in accordance with current professional standards in 5 of 5 medication carts reviewed for medication labeling and storage. Findings: During an observation conducted on 8/16/21 at 9:18 AM with Staff A, Licensed Practical Nurse (LPN) of the 100 hallway medication cart there was one opened [MEDICATION(S)] pen with no date opened or expiration date, and one opened [MEDICATION(S)] insulin pen with no date opened or expiration date. During an interview on 8/16/2021 at 9:25 AM, Staff A, LPN, stated, Insulin should be labeled with the date they were opened and the expiration date. […]