North Park Nursing Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
risk assessment dated [DATE REDACTED] indicated Resident D was at a high risk for falls.Resident D's most recent Significant Change MDS assessment dated [DATE REDACTED], indicated the resident had moderate cognitive impairment, used a wheelchair for mobility, was dependent for mobility and transfers, and had two or more falls with one with injury since the previous assessment. Resident D's care plan included, but was not limited to, the resident at risk for falls due to a history of one ormore falls within the previous 6 months, age greater than or equal to 80, incontinence, oxygen use, takes one or more high fall risk drugs, requires assistance or supervision for mobility, transfer, has altered awareness of immediate physical environment, lack of understanding of one's physical and cognitive limitations and she is impulsive. The resident often refuses to lie down after dinner (started 5/21/23 and last reviewed/revised 12/22/25). Interventions included but were not limited to, if the resident declines to go to bed after dinner, provide a sensory activity or a busy box within staff's eyesight (started 11/26/25). Resident D's nurse progress notes included, but were not limited to:11/25/25 at 8:45 P.M. - Staff heard the resident yelling out from the activity area. Upon arrival, the resident was observed to be lying on the right side in front of the wheelchair. The resident could not explain how fall occurred. 11/26/25 at 8:33 P.M. - IDT note - Determined root cause of fall: Resident initially refused to be placed into bed after dinner, then attempted to transfer self. Intervention put in place to address root cause of fall: If the resident declines to go to bed after dinner, provide a sensory activity or a busy box within staff eyesight.11/28/25 at 7:24 P.M. - CNA reported to the nurse that resident was found seated on
the floor in another resident's room.Resident C Fall Event for the fall that occurred on 11/28/25 at 7:24 P.M., indicated the fall was unwitnessed. On 12/23/25 at 12:45 P.M., the Facility Administrator supplied a facility policy titled Fall Management Policy, dated 6/2025. The policy included, It is the policy of [company name] to ensure residents residing within the community have adequate assistance to prevent injury related to falls . Communities will implement resident-centered fall prevention plans for each resident at risk for falls or who have a history of falls within the previous 6 months . 6. All falls will be discussed by the interdisciplinary team at the next clinical meeting after the fall to determine the root cause and other interventions to prevent future falls . c. The care plan will be reviewed and updated as necessary .This citation relates to intake
- 2697971. 3.1-45(a)(1)
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NORTH PARK NURSING CENTER in EVANSVILLE, IN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EVANSVILLE, IN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from NORTH PARK NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.