Temple Park Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Temple Park Convalescent Hospital, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jan 6, 2023

  Based on observation, interview, and record review, the facility failed to provide supervision and follow their policy and procedures titled, Wandering-Unsafe Residents, to ensure two of three sampled residents (Resident 1 and Resident 2) would not elope (leaving facility without notice or permission) from the facility. The facility failed to: -Develop and implement a person-centered comprehensive elopement care plan for Resident 1 and Resident 2. -Ensure Resident 1 and Resident 2 received care and supervision to prevent accidents and elopement. […]

• Immediate jeopardy, patternF880Jan 20, 2021

  Based on observation, interview, and record review, the facility failed to implement infection control measures in preventing the development and transmission of COVID-19 (Coronavirus disease, a highly contagious respiratory infection that could result in death) for four of four sampled residents (Residents 1, 2, 3 and 4) out of a total of 67 residents in the facility. The facility also failed to promote and control a safe environment for ten of 42 facility staff (Licensed Vocational Nurse (LVN) 2, LVN4, LVN6, LVN8, Housekeeper (HK) 1, HK2, HK3, HK4, Certified Nurse Assistant (CNA8), CNA9), who did not use appropriate Personal Protective Equipment (PPE - protective items or garments worn to protect the body or clothing from hazards that can cause injury and to protect residents from… […]

• Immediate jeopardy, isolatedF689Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure one of nine sampled residents (Resident 1), who was identified with wandering episodes, was provided supervision, and maintained a safe and hazard free environment as indicated in Resident1 ' s care plan dated 2/21/2024. The facility failed to ensure a full bottle of hand sanitizer was not within Resident 1 ' s access or reach. As a result, Resident 1 ingested (drank) a toxic substance (hand sanitizer, a liquid or gel, typically one containing alcohol, that is used to clean the hands and kill bacteria, viruses, and other disease-causing agents on the skin) requiring admission to the General Acute Care Hospital (GACH) and was diagnosed with toxic encephalopathy (a neurologic disorder [nervous system problems]… […]

• Actual harm, isolatedF686May 24, 2023

  Based on observation, interview, and record review, the facility failed to prevent and timely identify a pressure ulcer (Injury to skin and underlying tissue resulting from prolonged pressure on the skin and/or underlying soft tissue usually present over a bony prominence) for one of three sampled residents (Resident 1) by failing to: 1. Reposition and turn Resident 1 every (Q) two hours in accordance with the facility's policy and procedures titled Prevention of Pressure Ulcers/Injuries, revised 7/2017. 2. […]

• Actual harm, isolatedF742Aug 1, 2022

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), who had diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to: -administer the [MEDICATION(S)] medication (an antipsychotic medication used to treat certain mental health disorders) to Resident 1, per physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] -provide psychological counseling to determine the underlying cause for the accusatory behavior (imply that someone has done something wrong) when Resident 1 threw juice at Resident 2 and accused Resident 2 for stealing his cigarette lighter on 5/16/2022. As a result, on 5/23/2022, Resident 1 exhibited aggressive behavior, expressions of distress and anxiety when he punched Resident 3 in the right eye. […]