Inspection Reports for
Park Place Christian Community

A3000 (295.3000 Personnel Requirements, Qualifications and Training) - The facility failed to keep one resident safe when a dining cart collided with the resident's walker as she attempted to board an elevator, resulting in a traumatic pneumothorax and multiple rib fractures.

A4000 (295.4000 Physician/s Assessment) - The facility failed to ensure one resident's annual physical assessment was completed by a physician, as it was signed by a nurse practitioner instead.

F0550 (Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights) - The facility failed to treat residents with dignity while feeding two residents by standing over them instead of sitting.

F0761 (Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs) - The facility failed to ensure that resident medications were secured, with multiple medications found unsecured at residents' bedside tables.

F0812 (Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards) - The facility failed to label, date, seal, and store food items properly, failed to remove expired items, and failed to sanitize the food preparation counter in the kitchen.

F0880 (Provide and implement an infection prevention and control program) - The facility failed to mitigate the risk of cross contamination during resident care and during handling of soiled clothing/materials, including improper hand hygiene by staff during feeding and wound care, and improper handling and storage of soiled linens.

F0689 (Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents) - The facility failed to safely transfer a resident during toileting without using a gait belt and without required assistance, resulting in a fall and acute fracture of the left femur for one resident.

F0758 - The facility failed to ensure PRN antianxiety medication orders had documented rationale beyond 14 days, failed to monitor target symptoms, and did not implement non-pharmacological interventions prior to medication use for one resident.

F0755 - The facility failed to ensure medications were obtained from the pharmacy in a timely manner to prevent residents from missing medication doses as ordered by the physician for three residents.

F0880 - The facility failed to follow standards of infection control practices related to hand hygiene and gloving during provision of incontinence care for 2 of 14 residents reviewed.