Zebulon Park Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Zebulon Park Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 28, 2025

  Based on observations, staff interviews, and review of facility policies titled Storage Areas and Cleaning and Sanitizing, the facility failed to securely wrap, label, date, and discard opened/leftover foods and failed to prevent wet nesting of stored steam table pans, which had the potential to cause bacterial growth. These deficient practices had the potential to place the 65 residents who received nutrition and hydration from the kitchen at increased risk of contracting a foodborne illness. […]

• No harm, potential for more than minimal, isolatedF610Sep 4, 2025

  Based on interviews and record review, the facility failed to ensure allegations of potential abuse were thoroughly investigated for one of three residents (R) (R4) who had an injury of unknown origin.Finding included:A review of the facility policy, last revised on 12/27/2024, titled Abuse Prohibition - Reporting and Investigating, documented that interviews will be conducted with pertinent parties. Written signed statements from any parties involved will be obtained if possible . a signed interview would be an appropriate alternative. Information regarding the event will be gathered from the suspect, the person making accusations, the patient involved, reliable patients who may have witnessed the incident, and any other persons who may have credible, pertinent information. […]

• No harm, potential for more than minimal, isolatedF698Sep 13, 2024

  Based on staff interviews, record review, a review of the facility's policy titled Dialysis Resident, and a review of the facility-provided document titled Dialysis Pre/Post Communication Report, the facility failed to consistently complete clinical assessments after dialysis treatments for one of three residents (R) receiving dialysis outside of the facility (R263). Findings include: A review of the facility policy titled Dialysis Resident, with a review date of 12/29/2023, revealed the intent and procedure was to promote continuity of care for the dialysis patient. […]

• No harm, potential for more than minimal, isolatedF656Jun 22, 2023

  Based on observations, staff interviews, and record review the facility failed to ensure that the care plan for one (1) of 13 residents (R) R#17 was followed related to oxygen (O2) therapy not being administered in accordance with the Physician's order. Specifically, the facility failed to ensure that the plan of care was followed related to the administration of oxygen therapy for R#17 by not ensuring oxygen settings were maintained as ordered by the physician. Findings include: Review of R#17 diagnoses included but not limited to acute respiratory failure with hypoxia, congestive heart failure (CHF), obstructive sleep apnea, and dependence on other enabling machines and devices. […]

• No harm, potential for more than minimal, isolatedF695Jun 22, 2023

  Based on observations, staff interviews, record review, and review of the facility policy titled Use of Oxygen Therapy , the facility failed to ensure that one (1) of 13 residents (R) R#17 was administered oxygen (O2) therapy in accordance with the Physician's order. The deficient practice had the potential to affect the overall respiratory status for residents receiving oxygen therapy. Findings include: Review of the facility policy titled Use of Oxygen Therapy review date 12/30/2022, revealed: Under Intent: To ensure that patients maintain optimal oxygenation via the proper oxygen device and concentration when appropriate and medically indicated. […]