East Park Care Center: Yeast Infection Treatment Delayed - OH
Twelve days passed.
On March 24, a nurse practitioner happened to be at the facility for other reasons. Staff notified her of the resident's complaints during that visit. The NP examined the woman, who had been living with dementia, Parkinson's disease, cognitive communication deficits, and major depressive disorder, among other conditions, and prescribed miconazole vaginal cream for seven days to treat vaginal itching.
The cream never arrived.
Pharmacy delivery records for the entire month of March showed no evidence the miconazole was ever sent to the facility. The medication administration record showed the resident did not receive her prescribed cream on March 24, March 26, March 27, or March 29. The reason documented each time: it was not available.
By April 4, the resident was still complaining of vaginal discomfort. She told staff she had a yeast infection. The nurse practitioner ordered a single dose of Diflucan and a seven-day course of Monistat vaginal cream.
Federal inspectors who visited the facility in October pieced this together from medical records, pharmacy logs, and interviews with staff. When they sat down with the resident herself on October 8, she remembered it clearly. She told inspectors she had reported the itching to nurses several times and knew it was from the antibiotic she had been prescribed for a leg infection. She said she got a yeast infection every time she took antibiotics.
"They did not do anything," she told inspectors, "so she called her doctor and that was when they had the doctor at the facility to see her."
She also said she never received the cream. "The staff could never find it."
The resident's cognitive assessment, completed as part of her quarterly evaluation, showed she had intact cognition.
When inspectors interviewed Licensed Practical Nurse #300 that same afternoon, the nurse said she was not sure why the resident had not received her vaginal cream but that she would investigate. She confirmed what the records showed: the first complaint was documented on March 12, and the physician was not notified until March 24, when the resident made the call herself. The nurse said she would have to find out why the cream was never delivered.
The facility's administrator, interviewed the following day, offered an explanation for the missing medication. She said the cream was available over the counter, so the previous administrator had gone out and purchased it. When inspectors pressed on whether there was any documentation the medication had actually been administered on the four missed dates, the administrator confirmed there was none.
The inspection, conducted October 14, 2025, was a complaint survey. Inspectors cited the facility for failing to ensure timely initiation of treatment, a deficiency they classified as causing minimal harm or the potential for actual harm. The finding affected one of three residents whose records were reviewed. The facility housed 48 residents at the time.
East Park Care Center is located at 8 East Park Circle in Brook Park, a suburb southwest of Cleveland.
The resident had complained of burning and itching for nearly a month before her infection was treated with an oral antifungal. She had known what was wrong with her body, told the nurses, and waited. When nothing happened, she picked up the phone and called the doctor herself.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for East Park Care Center from 2025-10-14 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
EAST PARK CARE CENTER in BROOK PARK, OH was cited for violations during a health inspection on October 14, 2025.
On March 24, a nurse practitioner happened to be at the facility for other reasons.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.