North Park Nursing Center: Fall Prevention Failures - IN
The woman, identified in inspection records as Resident D, was flagged in her care plan as a high fall risk: over 80, incontinent, on medications that increase fall danger, and impulsive. One specific pattern had been documented since May 2023. She often refused to go to bed after dinner. When she refused, she would try to move herself.
On the evening of November 25, staff heard her yelling from the activity area. They found her lying on her right side on the floor in front of her wheelchair. She could not explain what had happened.
The interdisciplinary team met the following day and identified the root cause: she had refused to go to bed after dinner, then tried to transfer herself. Their response was to add a new intervention — if she declined to go to bed, staff would provide a sensory activity or a busy box and keep her within eyesight.
That intervention was documented on November 26.
On November 28, at 7:24 in the evening, a nursing assistant found her seated on the floor in another resident's room. That fall was unwitnessed.
The facility's own fall management policy, dated June 2025 and provided to inspectors on the day of the December 23 complaint inspection, states that all falls will be discussed by the interdisciplinary team at the next clinical meeting to determine root cause and that care plans will be reviewed and updated as necessary. The policy also commits the facility to ensuring residents have adequate assistance to prevent injury.
The care plan intervention meant to prevent a repeat of the November 25 fall was started November 26. The second fall happened two days later.
What the record does not show is whether anyone was watching when she left the activity area and made her way into another resident's room.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for North Park Nursing Center from 2025-12-23 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 19, 2026 · Our methodology
NORTH PARK NURSING CENTER in EVANSVILLE, IN was cited for violations during a health inspection on December 23, 2025.
One specific pattern had been documented since May 2023.
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.