Parkside Care

In the surveyor’s words

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

• Immediate jeopardy, widespreadF837Oct 21, 2024

  Based on interview and record review, the Governing Body failed to ensure financial systems were in place to pay facility vendors who supplied essential care, services and/or necessary supplies for the residents. The facility staff had to resort to utilizing their own funds for the vendor payments which placed the residents at risk of not having necessary supplies,care and services, and potential psychological harm and distress due to the fear of becoming displaced in the event the facility was unable to meet their basic and immediate care needs.The lack of a reliable financial system was determined to be an immediate jeopardy. […]

• Immediate jeopardy, widespreadF607Feb 10, 2021

  Based on interview and record review the facility failed to implement their abuse/neglect policies and procedures to identify, prevent, protect, investigate, and report abuse/neglect allegations for three of five Residents (#s 1, 2, and 3) reviewed for abuse/neglect. This failure resulted in the allegations of abuse from three residents (#s 1, 2, and 3) whose grievances were not recognized by administrative staff as potential abuse. Thus, the staff failed to thoroughly review and investigate grievances and determine if actual abuse was experienced by residents who had repeated complaints of derogatory comments made to them by nursing staff. The facility did not identify allegations of abuse/neglect that were written as grievances and required thorough investigations. […]

• Actual harm, isolatedF689Mar 23, 2026

  Based on observation, interview, and record review, the facility failed to identify hazards and risks to ensure the Resident's environment remained free of accident hazards and the Resident received adequate supervision 1 of 3 residents (37) reviewed for falls. Resident 37, who had severely impaired cognition, required maximum assistance for Activities of Daily Living (ADLs) and identified as a high fall risk, experienced harm when four of 14 falls occurred in the facility within a timeframe of less than a month; two of the falls resulted in injury that required hospital intervention. Findings included. […]

• Actual harm, isolatedF686Dec 10, 2025

  Based on interview and record review, the facility failed to provide thorough skin assessments to develop pressure offloading interventions and notify the provider timely of change in skin condition for treatment to prevent the worsening of pressure injuries (PI, localized damage to the skin and underlying soft tissue usually over a bony prominence) for 1 of 3 residents (Resident 1) reviewed for pressure injuries. Resident 1 experienced harm when their coccyx (tailbone) had a Stage 1 PI (intact skin with localized area of non-blanchable redness [red color does not change when area pressed]) present on admission that worsened to a Stage 3 PI (full-thickness loss of skin, in which fat is visible in the wound) and progressed to an unstageable PI (wound bed not visible with full-thickness skin… […]

• Actual harm, isolatedF689Sep 9, 2024

  Based on observation, interview, and record review, the facility failed to prevent an avoidable accident by ensuring the care plan regarding transfers was followed for 1 of 2 residents (Resident 1) reviewed for accidents. The failure to safely transfer Resident 1 using two-person assist resulted in actual harm when Resident 1 sustained a skin tear to their lower left extremity [leg (LLE)] requiring evaluation and intervention by the local emergency room (ER), and later required antibiotic (medications that treat infections caused by bacteria) therapy when the skin tear became infected. Findings included . […]