Unger Park Post Acute

In the surveyor’s words

From the most serious findings on record at Unger Park Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF606Jul 17, 2025

  Based on staff interview, review of employee files, review of the Bureau of Criminal Investigation (BCI) log and review of the facility policy, the facility failed to ensure employee background checks were completed prior to employment. This had the potential to affect all 56 residents residing in the facility. The facility census was 56.Findings include:Review of Dietary Aide (DA) #238's employee file revealed a start date of 02/16/25. Further review revealed no evidence a BCI check was completed for DA #238.Review of the facility's BCI log revealed DA #238 was not logged as having a background check completed. Interview on 07/15/25 at 1:28 P.M. with Human Resource Director (HRD) #253 verified DA #238 did not have a background check completed. […]

• No harm, potential for more than minimal, widespreadF880Dec 19, 2024

  Based on medical record reviews, staff interviews, review of the facility's infection control logs, review of facility in-services, and review of the facility's policy, the facility failed to prevent and respond to an increased pattern of urinary tract infections (UTIs). This affected two (#16 and #60) of two residents reviewed for UTIs. The facility census was 74. Findings include: Review of the medical record revealed Resident #16 was admitted to the facility on [DATE]. Diagnoses included type II diabetes mellitus, chronic obstructive pulmonary disease, shortness of breath, asthma, dysphagia, need for assistance with personal care, insomnia, hyperlipidemia, adult failure to thrive, osteoarthritis, infestation, low back pain, hypertension, anxiety, and bipolar disorder. […]

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  Based on observations, staff interview, record review, policy review, and staff interview, the facility failed to ensure dishes and utensils were sanitized properly. This had the potential to affect 64 residents that received meals from the facility. One resident (#1) of 65 residents received nothing by mouth. The census was 65. Findings include: Observation on 02/14/24 at 10:30 A.M., of the high temperature dish machine with Dietary Manager (DM) #203 revealed the dish machine registered 158 degrees Fahrenheit (F) for the wash cycle and 178 degrees F for the final rinse. Interviews with Dietary Aide (DA) #244, at the time of the observation, stated she had never seen the final rinse dish machine temperature at 180 degrees F. […]

• No harm, potential for more than minimal, widespreadF887Feb 15, 2024

  Based on record review and staff interview, the facility failed to ensure residents were offered the COVID-19 vaccination/booster and provided education on vaccinations. This affected three (#8, #15, and #69) of five reviewed for vaccination. Additionally, the facility failed to have a policy and procedure related to residents receiving the COVID-19 Vaccination, which affected all facility residents. Findings census was 65. Findings include 1. Review of the medical record for Resident #8 revealed an admitted [DATE]. Diagnoses included stroke, hepatic failure, diabetes, schizophrenia, depressions and anemia. Review of the vaccination records revealed Resident #15 was given the COVID-19 vaccination (2 dose) dated 12/09/21 and 01/07/22. […]

• No harm, potential for more than minimal, widespreadF880Jan 2, 2021

  Based on observation, staff interviews and facility policy review, the facility failed to ensure visitors were screened for COVID-19 upon entrance to the facility. This had the potential to affect all 58 residents. Findings include: Observation and entrance was made into the facility on [DATE] at 7:30 A.M. The facility had a door bell that was sounded to gain entrance into the facility through the front door. The bell rang and Licensed Practical nurse (LPN) #101 came to the door to let the two surveyors into the facility. LPN #101 did not completed any screening to ensure the surveyors did not have COVID -19 symptoms. Interview with the facility Director of Nursing occurred on 01/02/21 at 9:32 A.M. […]