River Park Post Acute

In the surveyor’s words

From the most serious findings on record at River Park Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 29, 2022

  Based on clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to ensure a safe transfer using a Hoyer lift for one resident (#91). The deficient practice resulted in a fall with major injury. Findings include: Resident #91 was admitted on [DATE] with diagnoses that included hemiplegia, hemiparesis, hypertension, and CAD (coronary artery disease). The ADL (activities of daily living) care plan initiated on March 22, 2022 included resident required assistance with ADLs due to decreased mobility, weakness, right hemiparesis/hemiplegia, poor gait and unsteady balance. […]

• No harm, potential for more than minimal, patternF886Dec 29, 2022

  Based on facility documentation, staff interviews, and policy review, the facility failed to ensure that three staff members (#18, #42 and #58) were tested for COVID-19 at the required frequency during an outbreak status. The deficient practice could result in spread of COVID-19 infection to residents and staff. Findings include: Review of facility documentation revealed the facility had a recent COVID-19 outbreak on December 5, 2022. Review of the facility testing record for three staffs (#18, #42 and #58) revealed that the staffs #18, #42 and #58 were not tested twice weekly after the outbreak as required. […]

• No harm, potential for more than minimal, patternF756Dec 9, 2021

  Based on clinical record review, staff interviews, and policy review, the facility failed to ensure pharmacist recommendations were followed through for one resident #17. The sample size was 5. The deficient practice could result in pharmacist recommendations not being acted upon. Findings include: Resident #17 was initially admitted to the facility on [DATE] with diagnoses that included personal history of other malignant neoplasm of bronchus and lung, COVID-19, pneumonitis due to inhalation of food and vomit, and pulmonary fibrosis. A physician's order dated May 13, 2021 included for [MEDICATION(S)] 200 mg (milligram) by mouth daily for lung cancer. […]

• No harm, potential for more than minimal, patternF812Dec 9, 2021

  Based on observations, staff interviews, and policy and procedure, the facility failed to ensure that food was stored in accordance with food safety standards and one staff member (staff #57) wore a hair restraint while in the kitchen. The deficient practice could result in poor food quality and/or foodborne illness. Findings include: -An observation of the kitchen walk-in refrigerator was conducted at 08:28 a.m. on [DATE]. Two items were observed with a placed date and used by date that had expired. The first item was chocolate sauce in a one cup stainless container with a placed date of [DATE] and a use by date of [DATE]. The second item was a bag of peeled garlic (approximately 2 pounds) in a plastic bag with a placed date of [DATE] and a use by date of [DATE]. […]

• No harm, potential for more than minimal, isolatedF561Apr 11, 2025

  Based on clinical record review, staff and resident interviews, and facility policy, the facility failed to promote and facilitate residents' self-determination through a resident's choice of clothing for one of one sampled residents (#9). This deficient practice could lead to residents having feelings of unimportance and lack of dignity. Findings Include: Resident #9 was admitted on [DATE] with diagnoses that included history of transient ischemic attack, and cerebral infarction, protein-calorie malnutrition, major depressive disorder, chronic obstructive pulmonary disease, cognitive communication deficit and chronic instability of knee. […]