Springtown Park Rehabilitation and Care Center

In the surveyor’s words

From the most serious findings on record at Springtown Park Rehabilitation and Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Aug 31, 2022

  Based on observation, interview and record review, the facility failed to follow menus for three (Resident #1, Resident #6 and Resident #7) of seven residents observed for meal accuracy and dietary services. The facility failed to: Ensure recipes were followed accordingly while preparing the evening meal on 08/31/2022 for all diet types to include regular, mechanical soft and puree; Ensure menu items were available and prepared according to the planned menu, specifically, the macaroni salad and yogurt parfait for all diet types; the mechanical soft diets were offered two soft, cooked vegetables in lieu of cucumber and onion salad and lettuce and tomato, the puree diets were served a puree deli sandwich, a soft, cooked vegetable and puree macaroni salad. […]

• No harm, potential for more than minimal, widespreadF806Aug 31, 2022

  Based on observation, interview, and record review, the facility failed to ensure each resident received and the facility provided appealing food options of similar nutritive value to residents who choose not to eat food that is initially served or who request a different meal choice for three (Resident #1, Resident #2, and Resident #3) of seven residents reviewed for alternative menus choices in that: The facility failed to: Serve Resident #1 an alternate meal substitution that was attractive, palatable and of similar nutritive value for her evening meal choice on 08/30/2022. Ensure Resident #2 was offered an alternate meal substitution on 08/31/2022 during the evening meal service that was similar in caloric and nutritive value. […]

• No harm, potential for more than minimal, widespreadF812Jun 30, 2022

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen reviewed. 1. The floors were soiled with food particles and grease beneath the appliances and stainless-steel shelf units throughout the kitchen. 2. The stainless-steel shelf units were soiled with spilled spices, food crumbs, and dried liquids. 3. The appliance surfaces were soiled with dust and grease build-up. 4. Bowls and pans used for food preparation were not stored inverted to protect their sanitized food surfaces from potential contaminants in the air. 5. […]

• No harm, potential for more than minimal, patternF761Dec 19, 2025

  Based on observation, interview and record review, the facility failed to store all drugs and biologicals in locked compartments and permit only authorized personnel to have access to the keys, for the medication cart located on 1 of 4 halls. 1. The medication cart was observed unlocked and unattended by LVN C on Hall 100 on 12/16/2025 at 9:31 AM.2. Resident #52 was observed walking in Hall 100 to the unlocked medication cart and leaned her arms and head on top of the cart on 12/16/2025 at 9:32 AM. This failure placed residents at risk for adverse reactions from accessing and ingesting medications that were not prescribed for them. […]

• No harm, potential for more than minimal, patternF694Sep 26, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure they followed professional standards of practice in accordance with physician orders and facility policy for care of midline for 3 (Residents #13, #349, #354) of 4 residents reviewed for parenteral and intravenous care. The facility failed to assess the midline intravenous catheter (an intravenous catheter that is suitable for long term infusion therapy) dressing on Resident #13. Dressing was observed as soiled and dislodged before flush being performed. The facility failed to change the midline intravenous catheter (an intravenous catheter that is suitable for long term infusion therapy) dressing on Resident #349 for more than 7 days. […]