The Parks at Garland Healthcare and Rehab

In the surveyor’s words

From the most serious findings on record at The Parks at Garland Healthcare and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Dec 7, 2023

  Based on observation, interview, and record review, the facility failed to ensure the resident was free from abuse for 1 (Resident #16) of 3 residents reviewed for abuse. The facility failed to protect Resident #16 from physical abuse. Resident #16 was pushed off of his bed, onto the floor by CNA J during incontinence care on 11/29/23. The non compliance was identified as PNC. The Immediate Jeopardy (IJ) began on 11/29/23 and ended on 11/29/23. The facility had corrected the noncompliance before the survey began. These failures could place residents at risk for abuse and could lead to serious injury, serious harm, serious impairment, pain, and/or mental anguish. […]

• Immediate jeopardy, isolatedF580Jul 22, 2023

  Based on interview and record review, the facility failed to consult the resident's physician when there was a significant change in the resident's physical, mental or psychosocial status for one (Resident #1) of five residents reviewed for resident rights. 1. The facility failed to ensure Resident #1's physician was notified of a critical CMP (comprehensive metabolic panel) lab with a glucose with a reading of 480. 2. The facility failed to notify Resident #1's physician, when her blood sugar reading was 453 on 07/01/23 and out of parameters. On 07/21/23 an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF684Jul 22, 2023

  Based on interview and record, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive resident-centered care plan for one (Resident #1) of three residents reviewed for quality of care. 1. The facility failed to assess and intervene for a potential change in condition or decline when Resident #1's had a critical CMP (comprehensive metabolic panel) lab with a glucose with a reading of 480. 2. The facility failed to ensure that when Resident #1's blood sugar was 453, that the physician was notified and it wss unclear if the resident received insulin. On 07/21/23 an Immediate Jeopardy (IJ) was identified. […]

• Immediate jeopardy, isolatedF773Jul 22, 2023

  Based on interview and record, the facility failed to promptly notify the ordering physician, physician assistant or nurse practitioner of laboratory results that fall outside of clinical reference ranges in accordance with facility policies and procedures for one (Resident #1) of three residents reviewed for quality of care. The facility failed accurately document and follow up with the Resident #1's physician when Resident #1's had a critical CMP (comprehensive metabolic panel) lab with a glucose with a reading of 480. Due to the delay, the physician did not order necessary interventions. Resident #1 was admitted to the hospital three days later, where she died from unknown reasons. On [DATE] an Immediate Jeopardy (IJ) was identified. […]

• No harm, potential for more than minimal, widespreadF812Jul 8, 2021

  Based on observation, interview and record review the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure proper sanitization of the dish wash machine. This failure could affect residents by placing them at risk for cross contamination and food-borne illness. The findings were: Review of the dish wash machine's manufacturer data plate specified the sanitation level was required to be a minimum of 50 ppm chlorine. Review of the dish wash machine sanitation log revealed it had been checked that morning on 07/06/2021 at 50 ppm chlorine. Observation on 07/06/21 at 9:22 a.m. revealed the dish wash machine being used. […]