Foundation Park Care Center
FOUNDATION PARK CARE CENTER in TOLEDO, OH — inspection on February 26, 2026.
Found 3 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
notification will occur when a resident experiences symptoms such as loss of consciousness. On
been contacted the physician by telephone and not through facsimile, which resulted in a four hour
notified of the fall until two hours and 45 minutes following the incident.This deficiency represents non-compliance investigated under Master Complaint Number 2718218 and Complaint Number
- 365752 02/26/2026
Foundation Park Care Center 1621 S Byrne Rd Toledo, OH 43614
protocol at this time.
Recommend palliative care/hospice consultation.
Discussed with trauma team.
approximately 8:00 A.M. on 01/13/26. CNA #300 was called to the room, and observed the resident
CNA #303 proceeded to lift the resident from the floor and placed him to his bed.
Emergency medical services (EMS) was not observed to be contacted.
The resident remained unresponsive.
Interview on 02/02/26 at 10:40 A.M. the DON stated the resident never regained consciousness.
The DON verified the post fall neurological assessment only contained vital signs and did not document the resident's pupillary response or hand grasps. In addition, facility staff failed to contact EMS when the resident was discovered on the floor unresponsive with an observed head injury, instead moving him back into the bed.
This deficiency represents non-compliance investigated under Complaint Number 2717144.
365752 02/26/2026
Foundation Park Care Center 1621 S Byrne Rd Toledo, OH 43614
pressure, minimize exposure to moisture and keep skin clean, especially fecal contamination.
Provide
feasible.
The resident should be monitored for condition changes that might increase the risk for
Interview on 02/26/26 at 7:34 A.M. RN #501, the Infection Preventionist/Staff Development/Wound Care nurse, verified the pressure ulcer went from a Stage II pressure ulcer on 12/04/25 to an unstageable pressure ulcer on 12/23/25. RN #501 verified no documentation was present to indicate the facility attempted to determine the origin of the pressure ulcer and nutritional interventions had been implemented to address Resident #01's skin breakdown as identified interventions on the care plan and per facility policy.
This deficiency represents non-compliance investigated under Master Complaint Number 2718218 and Complaint Number 2717144.