Scottish Rite Park Inc

In the surveyor’s words

From the most serious findings on record at Scottish Rite Park Inc, in the surveyor’s own words.

• Actual harm, isolatedF689May 6, 2026

  Based on observation, clinical record review, staff interview, and facility policy/procedure, the facility failed to ensure Resident #1 received a safe transfer to prevent a fall. The facility failed to follow safe mechanical lift techniques. This resulted in severe harm to a resident, who fell from a full-body mechanical lift and sustained life-threatening injuries including a subdermal hemorrhage (surface brain bleed), a subarachnoid hemorrhage (inner brain bleed), a type III dens fracture (broken neck bone), a right clavicle fracture (broken collarbone), and a left femur fracture (broken thigh bone) for 1 of 4 residents reviewed (Resident #1).The facility corrected the noncompliance prior to the beginning of the survey on 5/1/26 by doing the following:a.The facility-initiated education… […]

• Actual harm, isolatedF689Jan 8, 2025

  Based on record review, staff interview, and policy review, the facility failed to implement and follow safety interventions on the Care Plan to use a gait belt for 1 of 4 residents reviewed (Resident #1). Resident #1 sustained a fall and fractured her left ankle. The facility reported a census of 30 residents. Findings include: The Admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had diagnoses of arthritis, osteoporosis, intervertebral disc disorder (a breakdown or degeneration of the discs that cushion the spine), and physical debility. The MDS recorded the resident had a Brief Interview for Mental Status of 9, indicated moderately impaired cognition. The MDS documented the resident required partial to moderate assistance for transfers and ambulation. […]

• Actual harm, isolatedF689Jul 18, 2024

  Based on clinical record review, observations, resident and staff interviews, and manufacturer manual instructions, the facility failed to appropriately use an EZ stand mechanical lift and transfer a resident safely for 1 of 3 residents reviewed for transfers (Resident #2). The facility reported a census of 32 residents. Findings include: The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented Resident#2 had diagnoses of cerebrovascular accident (CVA) (stroke), right shoulder pain, and a seizure disorder. The MDS documented the resident required substantial to maximum assistance for bed mobility and transfers. The MDS also revealed the resident had one fall without injury. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observations, staff interviews and policy reviews the facility failed to meet professional standards for food storage and personal hygiene. The facility did not label or date open food items, failed to discard expired items, and staff did not wear required hair and beard nets. The facility reported a census of 31 residents.Findings include:A continuous observation on 8/10/26 from 8:10 AM - 9:30 AM revealed Staff B, Cook, not wearing a hair or beard net. Freezer #1 contained the following items without an open date: 1 bag of cheese ravioli, 1 bag of salmon patties, 1 bag of onion rings, 1 bag of sweet potato fries, 1 bag of wings, and 1 bag of chicken strips. […]

• No harm, potential for more than minimal, patternF812May 10, 2023

  Based on observation, staff interview and policy review the facility failed to ensure they were not serving expired food items to reduce the risk of contamination and food-borne illness. The facility reported a census of 25 residents. Findings include: On [DATE] at 8:30 AM during the initial tour of the facility kitchen with the Dietary Manager (DM), revealed the following: a. 1 unopened bottle of oyster sauce with an expiration date of [DATE]. b. 6 unopened bottles of malt vinegar with an expiration date of [DATE]. c. 2 unopened boxes of wheat wafer snack crackers with an expiration date of [DATE]. d. 15 unopened sleeves of assorted crackers with an expiration date of [DATE]. e. 6 unopened boxes of Nilla wafers with an expiration date of [DATE]. f. […]