Deficiencies (last 4 years)
Deficiencies (over 4 years)
11.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
122% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Aug 26, 2025
Visit Reason
Inspection identified 3 standard health deficiencies related to essential equipment, pest control, and environment with no actual harm but potential for minor discomfort.
Findings
Inspection identified 3 standard health deficiencies related to essential equipment, pest control, and environment with no actual harm but potential for minor discomfort.
Deficiencies (3)
Essential equipment, safe operating condition
Maintains effective pest control program
Safe/clean/comfortable/homelike environment
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Aug 26, 2025
Visit Reason
The inspection was a Recertification survey conducted to assess compliance with regulatory standards related to the maintenance, housekeeping, equipment safety, and pest control at Park Nursing Home.
Findings
The facility was found to have multiple deficiencies including unsanitary and damaged furniture and fixtures on resident units 3S and 3N, unsafe and malfunctioning elevators, and an ineffective pest control program evidenced by live and dead roaches, gnats, and flies in various areas. Maintenance and housekeeping logbooks lacked documentation of repair requests and pest sightings.
Deficiencies (3)
Unsanitary, stained, torn, or broken furniture and fixtures including soiled air conditioners, stained ceiling tiles, broken wall tiles, torn linen cart covers, and damaged resident sinks and bathrooms on units 3S and 3N.
Mechanical, electrical, and patient care equipment not maintained in safe operating condition; elevators A and B frequently broke down, shook, rattled, and bounced during use.
Ineffective pest control program with multiple live and dead roaches, gnats, and flies observed in pantry room, corridors, resident bathrooms, nurse station, and 1st floor conference room.
Report Facts
Residents complaining of elevator issues: 9
Number of torn wooden framed vinyl chairs: 8
Number of fabric covered chairs heavily soiled: 2
Number of dead roaches observed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Interviewed regarding housekeeping and maintenance logbook and pest control logbook procedures. | |
| Maintenance Director | Interviewed regarding maintenance practices, elevator maintenance, and pest control program. | |
| Administrator | Interviewed regarding facility operations, elevator vendor changes, and pest control program. | |
| Assistant Director of Nursing | Interviewed regarding nursing staff responsibilities for reporting housekeeping and equipment issues. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: May 9, 2024
Visit Reason
Inspection found multiple standard health deficiencies including care plan revisions, abuse and neglect, accident hazards, reporting violations, and resident records; all corrected by June 24, 2024.
Findings
Inspection found multiple standard health deficiencies including care plan revisions, abuse and neglect, accident hazards, reporting violations, and resident records; all corrected by June 24, 2024.
Deficiencies (5)
Care plan timing and revision
Free from abuse and neglect
Free of accident hazards/supervision/devices
Reporting of alleged violations
Resident records - identifiable information
Inspection Report
Abbreviated Survey
Deficiencies: 5
Date: May 9, 2024
Visit Reason
The visit was an abbreviated survey conducted to investigate allegations of abuse and to assess compliance with care planning, reporting, supervision, and documentation requirements at Park Nursing Home.
Complaint Details
The visit was complaint-related, triggered by allegations of physical and verbal abuse by Certified Nursing Assistant #2 towards Residents #1 and #2 on 03/24/24. The investigation substantiated abuse, neglect, and mistreatment. The facility failed to timely report the abuse to authorities and failed to update care plans accordingly.
Findings
The facility failed to protect residents from physical and verbal abuse by staff, failed to timely report abuse allegations to authorities, did not update care plans to reflect abuse allegations, failed to provide adequate supervision leading to a resident injury, and failed to maintain complete and accurate clinical records.
Deficiencies (5)
Failed to protect residents from physical and verbal abuse by nursing home staff.
Failed to timely report suspected abuse to New York State Department of Health and local law enforcement within required timeframes.
Failed to review and revise care plans to reflect allegations of abuse for residents.
Failed to provide adequate supervision to prevent accidents resulting in a resident sustaining a fracture and laceration.
Failed to maintain complete and accurate clinical records including assessments and physician documentation related to abuse allegations.
Report Facts
Residents reviewed for abuse: 6
Date of abuse incident: Mar 24, 2024
Date abuse reported to NY State DOH: 2024-03-25T13:32
Fall risk score: 9
Length of laceration: 1
Date of injury: Mar 11, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Witnessed abuse by Certified Nursing Assistant #2 and reported incidents. | |
| Certified Nursing Assistant #2 | Alleged perpetrator of physical and verbal abuse towards Residents #1 and #2. | |
| Licensed Practical Nurse #1 | Received abuse report from CNA #1, assessed residents, and notified Director of Nursing and Medical Doctor. | |
| Assistant Director of Nursing | Conducted assessments of residents after abuse allegations and participated in investigation. | |
| Director of Nursing | Investigated abuse allegations, concluded abuse occurred, and suspended CNA #3 for neglect. | |
| Certified Nursing Assistant #3 | Assigned 1:1 monitoring for Resident #3, failed to provide adequate supervision leading to resident injury. | |
| Registered Nurse Supervisor #1 | Assessed Resident #3 after injury and initiated investigation. | |
| Attending Physician #1 | Assessed residents and provided medical evaluations related to abuse and injury. | |
| Administrator | Participated in investigation of Resident #3 injury and reviewed restroom conditions. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Nov 2, 2023
Visit Reason
The inspection was conducted as a Recertification and Complaint survey from 10/26/2023 to 11/02/2023 to investigate allegations of abuse and misappropriation of resident property at Park Nursing Home.
Complaint Details
The complaint investigation found substantiated financial abuse of Resident #77 by a Home Health Aide who used the resident's bank card without consent. The facility also failed to timely report an altercation involving Resident #46 and Resident #6 to the NYSDOH within 2 hours as required.
Findings
The facility failed to ensure a resident was free from misappropriation of property, as a Home Health Aide used a resident's bank card for unauthorized purchases totaling $1100.00. Additionally, the facility did not timely report an alleged abuse incident involving two residents to the New York State Department of Health within the required 2-hour timeframe.
Deficiencies (2)
Failure to protect a resident from wrongful use of their belongings or money, specifically misappropriation of property by a Home Health Aide using a resident's bank card without consent.
Failure to timely report suspected abuse, neglect, or theft to proper authorities within 2 hours of the allegation.
Report Facts
Unauthorized purchases amount: 1100
Residents reviewed for abuse: 9
Residents affected: 1
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Home Health Aide (HHA) | Employee who misappropriated Resident #77's bank card and no longer works for the facility | |
| Administrator | Interviewed regarding facility's response and reporting of abuse incidents | |
| Human Resources (HR) | Interviewed about the HHA's responsibilities and employment status |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 7
Date: Nov 2, 2023
Visit Reason
Inspection cited standard health deficiencies including accuracy of assessments, misappropriation, quality of care, and reporting violations; plus life safety code deficiencies related to physical environment, smoking regulations, and stairways; all corrected by December 18, 2023.
Findings
Inspection cited standard health deficiencies including accuracy of assessments, misappropriation, quality of care, and reporting violations; plus life safety code deficiencies related to physical environment, smoking regulations, and stairways; all corrected by December 18, 2023.
Deficiencies (7)
Accuracy of assessments
Free from misappropriation/exploitation
Quality of care
Reporting of alleged violations
Physical environment
Smoking regulations
Stairways and smokeproof enclosures
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Nov 2, 2023
Visit Reason
The inspection was conducted as a recertification survey from 10/26/2023 to 11/2/2023 to assess compliance with regulatory requirements for Park Nursing Home.
Findings
The facility failed to ensure accurate resident assessments for 2 of 36 sampled residents, failed to provide treatment and care according to orders for 1 of 9 residents reviewed for accidents, and did not document diagnoses correctly in Minimum Data Set (MDS) assessments.
Deficiencies (3)
Resident #170's MDS assessment incorrectly documented a planned discharge as an unplanned discharge.
Resident #100's MDS assessment did not document diagnoses of schizophrenia and depression.
Resident #121 was observed without a soft helmet in place when out of bed, contrary to Physician's Order.
Report Facts
Residents sampled: 36
Residents reviewed for accidents: 9
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Responsible for completing MDS assessments and interviewed regarding inaccuracies | |
| Director of Nursing | DNS | Interviewed regarding MDS assessment process and deficiencies |
| Psychiatrist | Interviewed confirming Resident #100's diagnosis of schizophrenia | |
| CNA #1 | Certified Nursing Assistant | Interviewed regarding helmet use for Resident #121 |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding helmet use for Resident #121 and staff oversight |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 31, 2023
Visit Reason
Covid-19 Survey found a standard health citation for reporting to the national health safety network with widespread scope and no actual harm.
Findings
Covid-19 Survey found a standard health citation for reporting to the national health safety network with widespread scope and no actual harm.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 24, 2023
Visit Reason
Covid-19 Survey found a standard health citation for reporting to the national health safety network with widespread scope and no actual harm.
Findings
Covid-19 Survey found a standard health citation for reporting to the national health safety network with widespread scope and no actual harm.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 17, 2023
Visit Reason
Covid-19 Survey found a standard health citation for reporting to the national health safety network with widespread scope and no actual harm.
Findings
Covid-19 Survey found a standard health citation for reporting to the national health safety network with widespread scope and no actual harm.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: May 18, 2023
Visit Reason
The visit was an abbreviated survey conducted to investigate the facility's failure to timely report an incident involving alleged abuse/neglect where a resident fell from bed while being cared for by a single staff member instead of the required two persons.
Complaint Details
The visit was complaint-related, triggered by an incident where Resident #1 fell from bed while being cared for by a single Nursing Assistant in Training, contrary to care requirements. The incident was not reported timely to the State Survey Agency. The complaint was substantiated as the facility failed to report the incident within required timeframes.
Findings
The facility failed to report an incident on 10/08/2022 where Resident #1, who required two persons for care, fell from the bed while being cared for by a Nursing Assistant in Training alone. The incident was not reported to the New York State Department of Health until 12/07/2022 after a re-investigation. Corrective actions were implemented including staff training and audits, and the assigned Nursing Assistant in Training was terminated.
Deficiencies (1)
Failure to timely report suspected abuse, neglect, or mistreatment resulting in serious bodily injury to proper authorities.
Report Facts
Residents Affected: 1
Date of incident: Oct 8, 2022
Date incident reported: Dec 7, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| License Practical Nurse #1 | License Practical Nurse | Documented and responded to Resident #1's injury on 10/08/2022 |
| Certified Nursing Assistant in Training #1 | Certified Nursing Assistant in Training | Provided care alone to Resident #1 leading to fall; terminated after investigation |
| CNA #1 | Certified Nursing Assistant | Reported Resident #1's fall and provided statements during investigation |
| Former Director of Nursing Services | Director of Nursing Services | Reopened investigation and interviewed staff regarding incident |
| Night Shift Nurse Supervisor #2 | Registered Nurse Supervisor | Reported on corrections to Accident/Incident report statements |
| Corporate Nurse #3 | Corporate Nurse | Conducted audit of accidents and incidences and confirmed corrective actions |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: May 18, 2023
Visit Reason
Complaint Survey cited a standard health deficiency for reporting of alleged violations, corrected as of January 18, 2022.
Findings
Complaint Survey cited a standard health deficiency for reporting of alleged violations, corrected as of January 18, 2022.
Deficiencies (1)
Reporting of alleged violations
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Dec 3, 2021
Visit Reason
Complaint Survey cited deficiencies for free from abuse and neglect and treatment/services for mental/psychosocial concerns, both corrected as of January 20, 2022.
Findings
Complaint Survey cited deficiencies for free from abuse and neglect and treatment/services for mental/psychosocial concerns, both corrected as of January 20, 2022.
Deficiencies (2)
Free from abuse and neglect
Treatment/srvcs mental/psychoscial concerns
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Nov 19, 2021
Visit Reason
Complaint Survey cited deficiencies for free of accident hazards, investigate/prevent/correct alleged violation, and reporting of alleged violations; all corrected as of January 18, 2022.
Findings
Complaint Survey cited deficiencies for free of accident hazards, investigate/prevent/correct alleged violation, and reporting of alleged violations; all corrected as of January 18, 2022.
Deficiencies (3)
Free of accident hazards/supervision/devices
Investigate/prevent/correct alleged violation
Reporting of alleged violations
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Sep 22, 2021
Visit Reason
The inspection was a Recertification survey conducted from 09/15/2021 to 09/22/2021 to assess compliance with regulatory requirements for Park Nursing Home.
Findings
The facility was found deficient in multiple areas including maintenance of resident air conditioning units, provision of personal care such as nail trimming, provision of meaningful activities, prevention of urinary tract infections through proper Foley catheter care, posting of daily nurse staffing, safe food handling and storage, and infection prevention and control practices including oxygen tubing management and hand hygiene during dining.
Deficiencies (7)
Residents' rooms were not maintained in a homelike environment due to dirty air conditioning units with dust buildup and black spots on vent grates; lack of policy on AC unit maintenance.
A resident requiring assistance with nail care had fingernails untrimmed for months despite care plan and staff responsibilities.
A resident with major depressive disorder was observed for extended periods without meaningful activities, indicating failure to provide an ongoing program of activities.
A resident with a Foley catheter had no documented evidence that Foley care was provided, and CNA documentation was missing due to task not being triggered in the system.
Daily nursing staffing was not posted in a prominent place readily accessible to residents and visitors on multiple occasions.
Expired food items were found stored in the kitchen freezer and emergency food storage area, indicating failure to ensure safe food handling and storage.
Oxygen tubing was observed touching the floor on multiple occasions without sanitization or replacement; staff failed to perform hand hygiene between assisting residents during dining.
Report Facts
Expired food items: 6
Foley catheter size: 16
Oxygen flow rate: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Mentioned in relation to dust on AC units and Foley catheter care documentation. |
| Licensed Practical Nurse #4 | LPN | Observed dusty AC units and stated responsibility of Maintenance for AC units. |
| Maintenance Worker #1 | Maintenance Worker | Responsible for cleaning AC unit filters and reported last cleaning in July 2021. |
| Director of Housekeeping | Director of Housekeeping | Responsible for cleaning exterior of AC units and daily rounds. |
| Director of Maintenance | Director of Maintenance | Stated weekly rounds for AC unit filter cleaning and no policy on AC unit cleaning. |
| Certified Nursing Assistant #5 | CNA | Provided care to Resident #324 and discussed nail care responsibilities. |
| Certified Nursing Assistant #4 | CNA | Assigned to Resident #324 and responsible for nail trimming. |
| Assistant Director of Nursing | ADN | Discussed CNA responsibilities for nail care and documentation issues. |
| Recreation Director Assistant | RDA | Oversaw Recreation Department and discussed activity programming and staffing. |
| Certified Nursing Assistant #2 | CNA | Discussed Foley catheter care and documentation. |
| Licensed Practical Nurse #1 | LPN | Described Foley catheter care procedures and documentation. |
| Assistant Director of Nursing (ADNS) | ADNS | Discussed Foley care task activation and documentation issues. |
| Director of Nursing Services | DNS | Discussed Foley care policy and documentation issues. |
| Director of Nursing | DON | Discussed staffing posting responsibilities. |
| Food Service Supervisor | FSS | Responsible for checking food expiration dates. |
| Registered Dietitian #1 | RD | Responsible for monitoring food rotation. |
| Corporate Registered Dietitian #2 | RD | Discussed emergency food supply checks and expired food oversight. |
| Registered Nurse #1 | RN | Observed hand hygiene lapses during dining. |
| Licensed Practical Nurse #2 | LPN | Observed hand hygiene lapses during dining. |
| Registered Nurse #2 | RN | Discussed hand hygiene expectations during dining. |
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