Parker Health Care & Rehabilitation Center
PARKER HEALTH CARE & REHABILITATION CENTER in PARKER CITY, IN — inspection on January 29, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Finding includes:During an observation, on 1/29/26 at 11:11 a.m., Resident B
indicating EBP was on the doorframe of the door entering the resident's room.
Resident B's clinical record was reviewed on 1/29/26 at 11:12 a.m.
Diagnoses included age related physical debility, Alzheimer's disease, delusional disorders, and dementia with other behavioral disturbance.
Current orders included enhanced barrier precautions (EBP) due to a history of multidrug resistant organisms (MDRO), initiated 2/18/25. An annual Minimum Data Set (MDS) assessment, dated 12/19/25, indicated the resident sometimes understood others and was sometimes understood.
Her ability to make decisions regarding tasks of daily life was severely impaired.
She exhibited physical behavioral symptoms (such as hitting, kicking, pushing, scratching, grabbing) directed toward others and rejected care four to six days of the assessment period.
Her behavioral symptoms were unchanged from the previous assessment.
She was dependent on staff assistance for toileting hygiene, lower body dressing, and transfers.
She was always incontinent of bowel and bladder. A current care plan, initiated 5/5/23 and revised 1/24/24, indicated the resident had a history of a MDRO Proteus mirabilis and extended-spectrum beta-lactamase (ESBL) (enzymes produced by bacteria making them resistant to many antibiotics) in her urine.
Interventions included monitor for symptoms of urinary tract infection (UTI) and notify physician if any symptoms noted (5/5/23) and staff and visitors will follow EBP (6/11/25).
During an observation, on 1/29/26 at 3:07 p.m., CNA 3 and CNA 4 applied gloves and entered the resident's room.
They utilized the mechanical lift to transfer the resident into her bed.
They removed their gloves, performed hand hygiene, and applied new gloves.
They removed the resident's pants and brief and provided perineal incontinence care. As they rolled the resident from right to left while performing perineal care, the resident's right arm and hand touched the front of each of the CNA's uniforms.
They did not wear barrier gowns throughout the transfer or incontinence perineal care procedures.
During an interview, on 1/29/26 at 3:19 p.m., CNA 3 indicated she should have worn a gown during the resident's transfer and incontinence care since she required EBP.
During an interview, on 1/29/26 at 3:19 p.m., CNA 4 indicated she should have worn a gown during the resident's transfer and incontinence care since the resident required EBP.
During an interview, on 1/29/26 at 3:55 p.m., the DON indicated both CNAs should have worn gowns during Resident B's transfer and incontinence care since the resident required EBP. A current facility policy, last reviewed/revised 1/26/26, titled Enhanced Barrier Precautions, provided by the Administrator on 1/29/26 at 4:21 p.m., indicated the following: Policy: It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms.
Definitions: ?Enhanced barrier precaution' (EBP) refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and gloves use during high contact resident care activities.4.
High-contact resident care activities include: a.
Dressing.c.
Transferring.f.
Changing briefs.
This citation relates to Intake 2710013. 3.1-18(a) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE