University Park Rehabilitation And Healthcare

During an observation on 6/2/24 at 10:32 AM, Resident 14's floor (room [ROOM NUMBER]) had multiple gray spots and marks consistent with wheelchair wheels.

The floor in the area of the marks was sticky.

During an observation on 6/2/24 at 1:52 PM, Resident 5's (room [ROOM NUMBER]) dirty clothes were observed on the floor behind her bed.

During an observation on 6/3/24 at 9:31 AM, Resident 32's (room [ROOM NUMBER]) room had a pervasive urine odor eminating into the hall.

The Assistant Director of Nursing (ADON) indicated the urine odor was coming frim the matterss.

Daily Housekeeping Schedules indicated housekeeping should wipe furniture (tables, dressers, etc ), toilet bowl and seat (spot clean walls, etc ), restock paper supplies, empty waste basket, sweep, and mop.

The Daily Housekeeping Schedule dated from 5/20/24 to 6/4/24 indicated 300 Hall rooms were cleaned 5/27/24, 5/31/24, 6/4/24.

The Floor Tech Cleaning Schedule indicated on 5/24/24 room [ROOM NUMBER] no mention what was done, and 6/4/24 room [ROOM NUMBER]'s floor was waxed.

In an interview on 06/04/24 at 10:23 AM, the Chief Nursing Officer (CNO) indicated the hall was hard to keep clean and smelling good because so many residents refuse to bathe, ad/or leave the room.

The CNO indicated the facility had thrown away 2 mattresses.

155567

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 155567 B.

Wing 06/06/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

University Park Rehabilitation and Healthcare 1400 Medical Park Dr Fort Wayne, IN 46825