Park Shore

The facility had serious medication management violations including administering topical pain medications without proper nurse delegation, failing to follow blood pressure/heart rate parameters when administering medications, missing multiple medication doses, and not properly documenting or reporting medication refusals to physicians. Additional violations included improper food temperature monitoring (cold foods held at unsafe temperatures 50-54°F), inadequate staff handwashing practices, missing annual signatures on service agreements for all 6 sampled residents, and incomplete tuberculosis testing documentation for 2 staff members. The facility responded appropriately with acknowledgment of all deficiencies, completion of corrective actions by the target date of 4/10/2025, and a follow-up inspection on 4/22/2025 confirmed all deficiencies were corrected with no new violations found.

The facility experienced a COVID-19 outbreak and failed to follow their Respiratory Protection Program by not conducting required medical evaluations or fit-testing staff for N95 masks, placing 25 residents at risk for COVID exposure. However, the facility had infection control policies in place, conducted testing and monitoring, followed health guidance, and met reporting requirements. The facility acknowledged the deficiency, submitted a corrective action plan by the deadline, and achieved full compliance upon follow-up inspection on 12/06/2023 with no remaining deficiencies.

The facility failed to ensure one staff member completed required specialized training for dementia and mental health care, placing 24 residents at risk of unmet care needs. This was an uncorrected repeat deficiency from a July 17, 2023 citation, resulting in a $300 civil fine. The facility's response was insufficient, as the violation remained uncorrected at the August 10 follow-up visit, demonstrating inadequate corrective action after the initial citation. The pattern of non-compliance across a month-long period indicates systemic weakness in staff training oversight.

Park Shore residential care facility exhibited systemic fire safety violations over multiple inspections from January to July 2023, including life-safety issues such as propped-open fire doors with failed magnetic hold-opens, obstructed emergency exits, inoperable exit lighting, missing documentation for critical inspections (fire doors, sprinklers, fire alarms, dampers, emergency generator), and numerous electrical hazards including daisy-chained power strips. The facility demonstrated a moderate response by eventually correcting violations by July 2023 as confirmed by final approval, but the response was slow and required multiple re-inspections spanning six months, indicating inadequate initial attention to systemic compliance gaps. The pattern of missing maintenance records across nearly all fire safety systems suggests deficient preventive maintenance programs rather than isolated oversights.