Parkside Lutheran Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF657Dec 11, 2025

  Based on record review, review of facility policy, and staff interview, the facility failed to review and revise care plans to reflect the residents' current status for 5 of 12 sampled residents (Resident #2, #4, #5, #8, and #41). Failure to update care plans limited the staff's ability to communicate needs and ensure continuity of care. Findings include: Review of the facility policy titled Care Planning – Interdisciplinary Team occurred on 12/10/25. This policy, revised in December 2008, stated, . Each resident's comprehensive care plan is designed to: Incorporate identified problem areas; Incorporate risk factors . Reflect treatment goals . objectives . Aid in preventing or reducing declines in the resident's functional status . […]

• No harm, potential for more than minimal, patternF812Dec 11, 2025

  Based on observation, review of professional reference, review of facility policy, and staff interview, the facility failed to ensure safe food practices and failed to maintain a clean and sanitary kitchen environment for 1 of 1 kitchen and 2 of 2 freezers on the Cozy Cottage Unit. Failure to properly store food items and maintain a clean and sanitary kitchen, food preparation, and storage areas has the potential for contamination of food and may result in a foodborne illness to residents, visitors, and staff. Findings Include: The 2022 Food and Drug Administration (FDA) Food Code, Chapter 3-16, Section 3-305.11 Food Storage, stated, . […]

• No harm, potential for more than minimal, patternF880Aug 8, 2024

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 5 of 13 sampled residents (Resident #11, #14, #25, #90, and #139) observed during cares. Failure to practice infection control standards related to enhanced barrier precautions, urinary catheters, and hand hygiene has the potential to spread infection throughout the facility. Findings include: ENHANCED BARRIER PRECAUTIONS Review of the facility's policy titled Enhanced Barrier Precautions occurred on 08/08/24. This undated policy stated, . […]

• No harm, potential for more than minimal, isolatedF600Dec 11, 2025

  Based on record review, review of facility policy, and staff interviews, the facility failed to identify an incident of verbal abuse for 1 of 1 sampled resident (Resident #8) who was subjected to name calling and sworn at by a staff member. Failure to ensure residents were free from verbal abuse resulted in Resident #8's experiencing emotional distress and placed him and other vulnerable residents at risk of potential and/or continued verbal abuse.Findings include:Review of the facility policy Resident Abuse and Reporting occurred on 12/11/25. This policy, revised on 04/16/24, stated, . The resident has the right to be free from verbal . abuse . Residents must not be subjected to abuse by anyone, including, but not limited to, facility staff . Verbal Abuse: Refers to any use of oral . […]

• No harm, potential for more than minimal, isolatedF609Dec 11, 2025

  Based on record review, review of facility policy, and staff interviews, the facility failed to immediately report an incident of verbal abuse for 1 of 1 sampled resident (Resident #8) subjected to name calling and sworn at by a staff member. Failure to report the incident to the state survey agency (SSA) placed Resident #8 and other vulnerable residents at risk of potential and/or continued verbal abuse. Findings include:Review of the facility policy Resident Abuse and Reporting occurred on 12/11/25. This policy, revised on 04/16/24, stated, . Any staff . witnessing . any act . involving mistreatment . or abuse . must immediately notify the charge nurse. The charge nurse will immediately notify the Administrator, Social Services Designee and/or Director of Nursing. […]