Russell Park Rehabilitation & Living Center

In the surveyor’s words

From the most serious findings on record at Russell Park Rehabilitation & Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF755May 21, 2025

  Based on record review, observations and interviews the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation and failed to ensure that two people who are authorized to administer medications signed the Shift Count page indicating that they counted all controlled substances at the change of shift for multiple shifts, on 3 of 3 medication carts reviewed (Cart A, Cart B & C and the Nurse Treatment cart). Findings: On 5/20/25 during medication storage observation the following was reviewed: 1. Cart A Controlled Substance Book and Shift Counts were reviewed, which indicated the facility counts at the change of each shift, approx. 3 times a day. […]

• No harm, potential for more than minimal, patternF812Aug 20, 2026

  Based on observations and interviews the facility failed to ensure the kitchen was maintained in a clean and sanitary manner; failed to ensure foods were labeled and/or dated in the kitchen and a reach in refrigerator for 1 of 1 kitchen tour (8/17/26); failed to label foods in a dining room kitchenette and failed to ensure food was served in accordance with professional standards for food service safety for 2 of 2 dining room observations.(8/18/26-lunch meal).Findings:On 8/17/26 from 6:10 p.m. […]

• No harm, potential for more than minimal, patternF584May 21, 2025

  Based on observations and interviews, the facility failed to adequately maintain maintenance and housekeeping services necessary to maintain the facility in good repair and sanitary condition for 1 of 1 environmental tour (5/21/25). Findings: On 5/21/25 from 8:20 a.m. to 8:45 a.m., an Environmental Services tour was conducted with the Environmental Services Director and the Administrator, in which the following findings were observed: A Unit - Shower/Spa room - The caulking around the base of the toilet was stained and dirty. The four shower curtains were stained and/or ripped. The heater unit had chipped/missing paint and the entrance metal door and door frame had chipped/missing paint creating uncleanable surfaces. […]

• No harm, potential for more than minimal, patternF656May 21, 2025

  Based on record reviews and interviews, the facility failed to implement a resident's care plan in the area of indwelling urinary catheters for 2 of 2 residents reviewed. (Resident #150, #35) Findings: 1. A review of the clinical record revealed Resident #150 was admitted in May, 2024, and had diagnoses which included obstructive uropathy and neuromuscular dysfunction of the bladder. Resident #150 required an indwelling catheter for urinary elimination. A review of Resident #150's care plan included a problem area of Alteration in Elimination related to obstructive uropathy with urinary retention as evidenced by insertion of indwelling catheter. Interventions included record amount, color and characteristics of urine, and monitor output. 2. […]

• No harm, potential for more than minimal, patternF689May 21, 2025

  Based on observations, interviews, record reviews, and the smoking policy, the facility failed to ensure a smoking assessment of resident capabilities and deficits to determine resident safety was completed for 2 of 2 resident reviewed for smoking. (#302 and #22) Findings: 1. On 5/19/25 at 9:12 a.m., during an interview, Resident #302 stated he/she has been smoking cigarettes since admission, approx. 2 weeks and the facility has a smoking area outside that is fenced in. He/she confirmed that on several occasions a staff member, called a helper has gone out with him/her. On the bedside table was a pack of cigarettes with a lighter. […]