East Park Care Center

Based on interview and medical record review, the facility failed to ensure residents were notified in writing of a room move.

This affected three residents (#110, #115, #117) of three residents reviewed for room moves.

The facility census was 50.Findings include:1.

Review of the medical record for Resident #110 revealed an admission date of 06/07/24 and diagnoses including dementia, congestive heart failure (CHF), and hypertension.

Review of the clinical census revealed Resident #110 had a room move on 12/31/24.

Review of the progress note dated 12/31/24 revealed Resident #110 requested a room move.

Review of the medical record revealed no evidence of a written room move notification was issued.2.

Review of the medical record for Resident #115 revealed an admission date of 03/11/25 and diagnoses including Parkinson's disease, chronic obstructive pulmonary disease (COPD), and dementia.

Review of the clinical census revealed Resident #115 had a room move on 04/22/25.

Review of the progress note dated 04/22/25 revealed social services discussed a room move with Resident #115. Resident #115 was agreeable to move rooms.

Review of the medical record revealed no evidence of a written room move notification was issued.3.

Review of the medical record for Resident #117 revealed an admission date of 07/09/21 and diagnoses including chronic kidney disease (CKD), osteoporosis, and atrial fibrillation.Review of the clinical census revealed Resident #117 had a room move on 05/13/25.

Review of the progress note dated 05/13/25 revealed social services contacted Resident #117's emergency contact.

The facility needed a private room for another resident who required isolation. Resident #117's emergency contact agreed to the room move.

Review of the medical record revealed no evidence of a written room move notification was issued.Interview on 10/22/25 at 10:12 A.M. with Social Service Designee (SSD) #860 revealed when a resident was set to move rooms, they had a verbal discussion to get confirmation. SSD #860 confirmed there was no written notice for room moves for Residents #110, #115, or #117.Interview on 10/22/25 at 2:57 P.M. with Regional Nurse #703 revealed the facility did not have a policy on room moves.This deficiency represents non-compliance investigated under Complaint Number 2642458.

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 REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

East Park Care Center

8 East Park Circle Brook Park, OH 44142

SUMMARY STATEMENT OF DEFICIENCIES