Park Place Nursing & Rehabilitation Center

During an interview on 10/21/25 at 12:09 p.m. the DON said kb25 was LVN A.

The DON said she spoke with LVN A who said she went back in Resident #1's chart this morning (10/21/25) and documented wound care being performed.

The DON said that LVN A said she had to go back in to document the wound care because she forgot to go to the WAR and check it off.

The DON said she did not know who the assigned initials MP1 belonged to.

The DON said her assigned initials in the EMR were MP25.

The DON said she pulled the facility staff list for the EMR and could not find any staff member with the initials MP1 assigned to them.

During an interview on 10/21/25 at 1:26 p.m. LVN A said she floated between sides upstairs depending on who was off work.

LVN A said the nurses were responsible for performing wound care. LVN A said she worked out of the TAR in the EMR and did not check the WAR. LVN A said she did go in this morning and checked off in the WAR that wound care was performed on Resident #1 on the days she had worked. LVN A said she normally documented performing wound care on the 24hr report.

During an interview on 10/22/25 at 9:52 a.m. Resident #1 said she was treated good at the facility. Resident #1 said her legs had to be wrapped today. Resident #1 said staff at the facility performed wound care on her daily. Resident #1 said she did not have any concerns at the facility.

During an interview on 10/22/25 at 10:21 a.m. LVN B said to know if a resident had orders for wound care she would look in the WAR. LVN B said once wound care was completed it was checked off on the WAR. LVN B said most of the time the morning shift performed wound care on residents in even numbered rooms and the evening shift performed wound care on the odd numbered rooms. LVN B said she had performed wound care on Resident #1. LVN B said she would forget to sign out on the WAR when she completed wound care. LVN B said the importance of accurate documentation was to ensure it could be proved a resident was receiving their ordered care and so other nurses could determine what care had been provided for a resident.

During an interview on 10/22/25 at 12:35 p.m. the DON said the facility's Electronic Medical Records policy was the only policy they had regarding medical or clinical records.

During an interview on 10/22/25 at 12:54 p.m. the DON said she was never able to determine what staff member had been assigned initials MP1.

The DON said she expected documentation to be done daily and as care was provided, or when medications were administered.

The DON said the importance of accurate documentation was to prove care was provided and what was going on with the residents.

Record review of the facility's Electronic Medical Records policy last revised March 2014 indicated, .Only authorized persons who have been issued a password and user ID code will be permitted access to the electronic medical records system.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Park Place Nursing & Rehabilitation Center

2450 E Fifth St Tyler, TX 75701

SUMMARY STATEMENT OF DEFICIENCIES