Foundation Park Care Center
FOUNDATION PARK CARE CENTER in TOLEDO, OH — inspection on November 25, 2025.
Found 2 citations. 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
Review of the witness statement from Licensed Practical Nurse (LPN) #270 revealed she came into Resident #12's room when requested by CNA #283 to assist with transferring Resident #12 back into his chair after he had a behavior and was lowered to the ground. LPN #270 observed Resident #12 laying on the floor anxiously fidgeting when she entered.
This was noted to be normal behavior for Resident #12. LPN #270 and CNA #283 assisted Resident #12 back into his chair. It was noted Resident #12 showed no sign of injury or pain while on the floor, during or after transfer.
There were no notifications documented as being made to Resident #12's spouse or hospice provider on 10/16/25.
Interview on 11/25/25 at 7:04 A.M. with LPN #270 verified she was called to assist Resident #12 on 10/16/25 after he had been lowered to the ground from his lift. LPN #270 explained Resident #12 had gotten his arm out and under the sling which had been supporting him in the lift. Resident #12 had been caught and lowered to the floor while his legs were still secured in the lift. Resident #12 was then transferred to his wheelchair with the assistance of two staff. LPN #270 stated she had not made notifications of the incident to Resident #12's family or hospice provider on 10/16/25.
Interview on 11/25/25 at 8:52 A.M. with RN #238 verified she had been in Resident #12's room with the wound care team on 10/16/25 when Resident #12 got his arm under the lift support sling and was lowered to the ground. RN #238 reported Resident #12 threw himself to the side before they were able to get his legs unstrapped. He had been released and transferred by two staff members back to his chair. RN #238 reported LPN #270 would have made notifications to the family, physician, and hospice, and verified she had not made any notifications regarding the incident on 10/16/25.
Interview on 11/25/25 at 9:20 A.M. with Hospice RN #312 verified the facility had not notified Resident #12's hospice provider of the incident when Resident 12 was lowered to the floor on 10/16/25.
Review of the facility policy titled, Notify of Changes (Injury/Decline/Room/Etc.), revised January 2023, revealed it was the policy of the facility to notify the resident, physician, and resident representative when there was a change in treatment, accident, significant change in status and or the decision to transfer or discharge the resident.
Review of the facility policy titled, Free of Accidents/Hazards/Supervision, Devices, revised May 2024, revealed a fall was defined as unintentionally coming to rest on the ground, floor, or other lower level but not as a result of an overwhelming force. If a fall occurred the resident was to be assessed for injuries, notify the physician, and provide treatment as necessary and notify the resident representative.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Foundation Park Care Center
1621 S Byrne Rd Toledo, OH 43614
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility policy titled, Free of Accidents/Hazards/Supervision, Devices, revised May 2024, revealed a fall was defined as unintentionally coming to rest on the ground, floor, or other lower level but not as a result of an overwhelming force. If a fall occurred, the resident was to be assessed for injuries, notify the physician, and provide treatment as necessary and notify the resident representative.
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.