Parkside at Budd Terrace Operating Company LLC

In the surveyor’s words

From the most serious findings on record at Parkside at Budd Terrace Operating Company LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF640Apr 8, 2026

  Based on record review, interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure that Minimum Data Set (MDS) Assessments were completed and transmitted to the Center for Medicare and Medicaid Services (CMS) system within 14 days of completion for seven resident (Resident (R) 56, 204, 248, 425, 426, 457 and 459) out of seven residents reviewed for accuracy of assessments. This failure prevented the transmission of resident-specific information used for payment, quality measures, and ongoing clinical data analysis. […]

• No harm, potential for more than minimal, widespreadF607Sep 29, 2023

  Based on record review, review of the policy titled Reporting Abuse Allegations and staff interviews, the facility failed to ensure that the Abuse Policy and Procedures were current and implemented, which had the potential to affect all residents. Substandard Quality of Care was identified related to Develop/Implement Abuse/Neglect Policies.The census was 115. The findings include: Review of the facility policy titled, Reporting Abuse Allegations effective 11/28/2016 revealed that POLICY: The facility shall ensure that all allegations of abuse, neglect, exploitation or mistreatment, including injuries of unknown source, and misappropriation of resident property, are reported to the facility's administrator AND to the State Survey Agency (SSA) immediately, but no later than two hours after… […]

• No harm, potential for more than minimal, widespreadF835Sep 29, 2023

  Based record review, staff interview, review of the Administrator Job Description, review of grievance files and Resident Council meeting minutes for 2023, facility Administration failed to ensure there was an up-to-date and effective Abuse Prevention Program, that consistently reported allegations of abuse by residents to the State Survey Agency (SSA) and that all staff were educated utilizing the most current Center for Medicare & Medicaid Service (CMS) regulations. The census was 115. The findings include: Review of the job description titled Administrator with a revision date of 1/2021 revealed Resident Rights the Administrator should know and respects patient's rights, report allegations of patient abuse, neglect and/or misappropriation of patient property. […]

• No harm, potential for more than minimal, widespreadF867Sep 29, 2023

  Based on interview and review of the policy titled Quality Assurance and Performance Improvement Plan (QAPI) and QAPI minutes, the facility failed to have a Quality Assessment and Assurance (QAA) committee that effectively identified, developed, implemented, and monitored corrective action plans related to Abuse Prevention Policy and Procedure and to ensure that allegations of abuse were reported to the State Survey Agency (SSA). The census was 115. The findings include: Review of the facility Quality Assurance and Performance Improvement Plan (QAPI) policy, revised 5/1/23, revealed Policy Explanation and Compliance Guidelines: 3. Data analysis-a. The facility draws data from multiple sources, including input from all staff, residents, families, and others as appropriate. […]

• No harm, potential for more than minimal, widespreadF880Jul 22, 2022

  Based on record review, observations, interviews, and review of current Centers for Disease Control and Prevention (CDC) guidance, the facility failed to ensure staff followed CDC guidance regarding the use of personal protective equipment (PPE) while on the facility's COVID-19 unit for two of six staff members observed entering/exiting the unit. The facility also failed to ensure an indwelling urinary catheter drainage bag and tubing was kept off the floor for one Resident ((R) (R#71) of two sampled residents who had an indwelling urinary catheter. Findings include: 1. […]