East Park Care Center
Inspection Findings
F-Tag F0559
F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice
before a change is made.
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
East Park Care Center
8 East Park Circle Brook Park, OH 44142
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
stated Resident #150 was very compliant with care and would ask caregivers for extra clean ups at times.
Interview on 10/22/25 at 3:51 P.M. with former Wound NP #706 revealed she had been caring for Resident #150's wounds for approximately five months at the facility. Wound NP #706 stated Resident #150 had a stable necrotic area to right heel. Wound NP #706 stated the ulcer was a diabetic foot ulcer, and she was treating with Betadine. Wound NP #706 verified the wound then presented as a pressure injury (unable to recall date). Wound NP #706 stated she had noted some decline in his right heel. Wound NP #706 stated there were some incidents when the wrong dressing was applied or the wound was not padded and protected. Wound NP #706 stated Resident #150's wound was larger, so it was documented it was deteriorating. Wound NP #706 stated she was unable to recall any additional information as she was no longer employed with the company and did not have access to her notes for this resident. Interview on 10/22/25 at 4:01 P.M. with RN #800 revealed an aide had come to get her on 09/07/25 and stated Resident #150's wound dressing had come off. They stated there were maggots in the wound. RN #800 stated she and LPN #807 went in to assess the situation. RN #800 stated she cleansed the area as much as she could and told LPN #807 to work on getting Resident #150 sent out [to the hospital]. RN #800 stated there were approximately 20 maggots in the wound and stated it was disgusting. RN #800 stated the maggots were moving within the wound. RN #800 stated she ensured Resident #150 was sent out to the hospital and then went back to her assignment. Review of facility policy on wound care dated September 2021 revealed prior to providing wound care physician's orders should be verified. Documentation of the wound care procedure would be completed in the resident's medical record. This deficiency represents non-compliance investigated under Complaint Number 2642458 and is a recite to the complaint survey completed on 10/14/25.
Event ID:
Facility ID:
If continuation sheet
EAST PARK CARE CENTER in BROOK PARK, OH 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 BROOK PARK, OH, (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 EAST PARK CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.