Renaissance Park Multi Care Center

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents for 1 of 3 rooms observed for ants. The facility failed to ensure an effective pest control program was implemented to prevent the presence of ants within the facility. This failure could place residents at risk for skin integrity issues caused by insect bites.

Inspectors wroteBased on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety in the facility's kitchen, reviewed for food safety The facility failed to correctly seal a bag of opened cake mix. The facility failed to separate a dented can of food. The facility failed to label and date a package of opened pasta noodles. The facility failed to defrost frozen ground beef under running water. These failures could place residents at risk for food-borne illness and cross contamination.

Inspectors wroteBased on interviews, observation, and record review, the facility failed to treat residents with respect and dignity and care for them in a manner and in an environment that promoted maintenance or enhancement of their quality of life for 1 (Resident #42) of 4 residents reviewed for resident rights. The facility failed to ensure staff did not stand while feeding Resident #42 on 04/28/26. This failure could place residents at risk for decreased quality of life, decreased self-esteem and increase anxiety. Review of Resident #42's face sheet, dated 04/30/2026, revealed she was a [AGE] year-old-female admitted to the facility on [DATE] with diagnoses that included: dementia, COPD (chronic obstructive pulmonary disease, a progressive lung disease that makes it difficult to breathe), and anxiety. [...]

Inspectors wroteBased on interview and record review the facility failed to ensure the resident's right to formulate an advanced directive for 1 of 3 (Resident #45) residents reviewed for resident rights. The facility failed to ensure Resident #45's code status (a medical directive indicating the type of care a patient wants, specifically regarding CPR or life-sustaining measures if their heart or breathing stops and guides doctors to either provide all available resuscitation or to respect the patient's wish not to be resuscitated) was communicated and correctly indicated in their EHR. This failure could result in residents receiving unwanted treatment or not receiving desired treatment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to keep drugs and biologicals in locked compartments for 1 (Treatment Cart A) of 5 carts reviewed for medication storage. The facility failed to lock Treatment Cart A on downstairs hall while the cart was unattended on 04/28/2026. This failure could affect residents' safety and privacy.

Inspectors wroteBased on interview and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for one Resident (Resident #1) of three residents reviewed for notification of changes. The facility nurses failed to notify Resident #1's physician of Resident #1's refusal of ten scheduled doses of Rifaximin 550 mg oral tablet ordered twice daily for cirrhosis during June 2025 and July 2025. The facility nurses did not notify Resident 1's physician of her refusal of 12 scheduled doses of Lactulose 30 milliliters ordered twice daily for cirrhosis in July 2025. These failures could place residents at risk of not receiving appropriate treatment.

Inspectors wroteBased on interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 (Resident #1) of 4 residents reviewed for care plans. The facility failed to assess and care plan for Resident #1' s primary diagnosis of sickle call pain crisis. This placed residents at risk for not receiving proper care and services due to inaccurate care plans.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #4) of 4 residents reviewed for quality of care. The facility failed to provide treatment to Resident #4 ' s burns on both her thighs according to physician orders. This failure placed residents of risk for not receiving appropriate care and treatment and a decreased quality of life.

Inspectors wroteBased on observations, interviews, and record review the facility failed to assess the risks and benefits of bed rails and grab bars with the resident or resident representative or obtain informed consent prior to installation for two (Resident #2 and Resident #3) of four resident rooms observed and reviewed for bed rails/enabler bars. 1. The facility failed to have evidence of informed consent, a physician's order, a side rail assessment, and a care plan of the resident's risk of entrapment for bed rails or grab bars for Resident #2. 2. The facility failed to have evidence of informed consent, a side rail assessment, and a care plan of the resident's risk of entrapment for bed rails or grab bars for Resident #3. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure in accordance with accepted professional standards and practices, the facility must maintain medical records on each resident that are complete; accurately documented; readily accessible; and systematically organized for 2 (Resident #1 and #4) of 7 for accuracy of records. The facility failed to accurately transcribe orders for the admitting diagnoses for Resident #1 and #4. The failure can affect residents by putting them at risk for physical pain, decline in current health condition(s), and negative psychosocial impact. [...]

Inspectors wroteBased on interview and record review the facility failed to allow the resident's Next-of-Kin to obtain a copy of the records upon request and upon two working days advance notice to the facility for one (Resident #1) of four residents whose records were reviewed in that: -The facility failed to provide Resident #1's next of kin copies of medical records after a request was submitted to the facility on [DATE]. This failure could place residents' responsible parties at risk of violation of their rights by not receiving copies of resident medical records.

Inspectors wroteBased on interview and record review, the facility failed to ensure that a resident received care, consistent with professional stands of practice, to prevent pressure ulcers for 1 of 4 residents (Resident #95) reviewed for quality of care. 1. The facility failed to implement interventions to prevent Resident #95 from developing a stage 3 pressure injury to the sacral area. The facility did not assess Resident 95's skin to determine if she had pressure ulcers due to resdient refusal and did not identify a Stage III pressure ulcer to her sacrum which was identified when she was transferred to the hospital and was infected. Resident #95 was diagnosed with sepsis at the hospital. 2. The facility failed to accurately assess the skin of Resident #95. RN A did an incomplete skin assessment and documented Resident #95's skin was intact with no skin issues. 3. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen. The facility failed to ensure the Dietary Manager wore a beard restraint while in the kitchen on 02/25/2025. This failure could place residents at risk for food contamination.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain and ensure safe and sanitary storage of residents' food items for 1 of 1 (Resident #23) resident personal refrigerators reviewed for food safety. The facility failed to ensure Resident #23's personal refrigerator was cleaned, and items discarded per facility policy. This failure could place residents at risk of not having an environment that is clean/comfortable.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents fed by enteral means received the appropriate treatment and services to prevent complications for 1 (Resident #143) of 2 residents reviewed for enteral nutrition. RN R failed to check g-tube placement before administering medication. RN R pushed medication and water with a syringe and plunger instead of using gravity gentle flow (this is a method used by attaching a feeding syringe without the plunger to allow water, medications, and food to enter the stomach via G-tube gently without force of pushing) to administer medications and water via G-tube for Resident #143. This deficiency practice would affect residents who receive tube feedings by not receiving the appropriate nutrition and causing G-tube complications.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an infection prevention and control measure designed to provide a safe, sanitary environment to help prevent the development and transmission of communicable diseases and infections for 2 of 9 (Resident #143 and Resident #115) residents reviewed for infection control. RN R failed to perform hand hygiene and use clean gloves while providing wound care on Resident #143. Facility staff failed to ensure visitors for Resident #115 followed facility infection control policy during COVID19 outbreak. These deficient practices could place residents and nursing staff at risk of transmission of communicable diseases and infections.

Inspectors wroteBased on interviews and record review the facility failed to ensure residents were free from significant medication errors for one (Resident #1) of seven residents reviewed for medication errors. The facility failed to ensure Resident #1 got his own medications instead of receiving Resident #2's medications, which included a narcotic medication, on [DATE] by MA D. This failure could place residents at risk of medical complications, and reactions to increased dosages of medications or unfamiliar medications, including potentially death. The noncompliance was identified as PNC. The IJ began on [DATE], and ended on [DATE], as the facility had corrected the non-compliance by in-servicing all Medication Aides prior to the visit.

Inspectors wroteBased on interviews and record review, the facility failed to ensure that an incident of possible neglect was reported to Health and Human Services for one (Resident #1) of seven residents reviewed for abuse and neglect reporting. The facility failed to report a significant medication error, in which MA D administered Resident #2's morning medications to Resident #1, including a narcotic medication, and a psychoactive medication, on [DATE]. This failure could place residents at risk of being neglected and lack of oversight by a state agency.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for one (Residents #1) of seven residents reviewed for infection control. LVN A failed to change gloves and perform hand hygiene during wound care for Resident #1. LVN A failed to follow wound care procedures that prevented spread of infection and cross contamination when he reused same gauze to wipe wound three times and placed the soiled items on the bed next to Resident #1's wound area during wound care. This failure could place residents at risk of cross contamination and spreading infections.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe environment for residents, staff, and the public for one (Dining room [ROOM NUMBER]) of two dining room and one of one employee restrooms reviewed for physical environment. The facility failed to ensure the ceiling in the dietary department's employee restroom was free from unknown stains. The facility failed to ensure the ceiling tiles outside the dietary department in the dining room were not stained. The facility failed to ensure the walls outside the dietary department in the dining room were not damaged with drooping, sagging, and bubbled paint. This could place residents at risk for an unsafe environment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program for one (hallway 100) of two hallways checked for pest control, so that the facility was free of pests. The facility did not maintain an effective pest control program to ensure Residents #3, #4, and #2 were not bitten by horse flies and to ensure the facility was free of gnats and horse flies for Residents #1, #2, #3, and #4. This could place residents at risk for an unsanitary environment.

Inspectors wroteBased on interviews and record review, the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activities professional who was licensed or registered by the state for 1 of 1 Activity Director, reviewed for qualifications of activity personnel. The facility failed to ensure the AD was licensed, or registered, and qualified to serve as the director of the activities program. This failure could place residents at risk for reduced quality of life due to lack of activities that were individualized to match the skills, abilities, and interests/preferences of each resident.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that the transfer or discharge was documented in the resident's medical record and appropriate information was communicated to the receiving health care institution or provider for one (Resident #5) of 5 residents reviewed for hospital transfer. The facility failed to ensure a safe transfer for resident #5 after discharge from the ER back to the facility with a left clavicle fracture. These failures could place residents at risk of not receiving the necessary care and services to meet their physical and psychological needs.

Inspectors wroteBased on observation and interview, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for one of five residents (Resident #1) reviewed for infection control. The facility failed to ensure CNA A failed to performed hand hygiene before providing ADL care (repositioning) for Resident #1. This failure could place residents at-risk of cross contamination which could result in infections or illness.

Inspectors wroteBased on interview and record review, the facility failed to ensure a Registered Nurse was on duty in the facility for a minimum of eight consecutive hours a day, seven days a week, for four (07/02/23, 07/09/23, 08/26/23, and 08/27/23) of 45 weekend days reviewed. The facility failed to have RN coverage on 07/02/23, 07/09/23, 08/26/23, and 08/27/23. This failure could place residents at risk of not having their nursing and medical needs met, and of receiving improper care.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for 4 (Residents #11, #14, #20, and #32) of 9 residents reviewed for infection control. The facility failed to ensure Medication Aide sanitized the blood pressure cuff between uses on Residents #11, #14, #20, and #32. This failure could place residents at risk of infectious disease.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide separately locked, permanently affixed compartments in the medication room refrigerator for storage for controlled drugs listed in Schedule II of the Comprehensive Drug Abuse Prevention and Control Acts of 1976 and other drugs subject to abuse for 1 (Resident #14) of 9 residents reviewed for pharmacy services. The facility failed to ensure safe and secure storage of Lorazepam gel (controlled drugs/medication) in the medication room's refrigerator. This failure could cause access, loss, and diversion of controlled medications/drugs. Findings Included: Observation and interview with DON on [DATE] at 01:43 PM revealed, inside medication room on second floor, a white up-right refrigerator that was unlocked. Inside it was a clear lock box that was open and unlocked. [...]

Inspectors wroteTag: F812 S/S= E Surveyor Name(s): Sunny [NAME], [NAME] Immediate Supervisor: [NAME] Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen reviewed for food and nutrition services. The facility failed to ensure canned food items were free from dents and stored away from other canned food items. This failure could place residents at risk for food-borne illness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 1 of 3 residents (Resident #1) reviewed for neglect reporting. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure that a resident received care, consistent with professional standards of practice, to prevent pressure ulcers that were avoidable for 1 (Resident #1) of 3 residents reviewed for pressure ulcers. 1. The facility failed to perform weekly skin assessments for Resident #1 from 09/25/2023 to 10/07/2023. 2. The facility failed to notify the physician during the admission process of the resident's pressure ulcers to obtain wound treatments, and failed to obtain orders to help prevent facillity acquired pressure ulcers to develop. Resident #1 developed stage 3 pressure ulcers to right heel, left heel, and right buttock, one deep tissue injury to right ankle, one deep tissue injury to left ankle, and two deep tissue injury to left foot while at the facility. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a centralized staff work area, for 1 of 3 residents (Resident #4) reviewed for physical environment. The facility failed to ensure Resident #4 had a working call light in the room. This failure could place residents at risk of not being able to get assistance when needed.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents received care, consistent with professional standards of practice, to prevent pressure ulcers and do not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable for 4 (Residents #1, #2, #3, and #4) of 5 residents reviewed for pressure ulcers. The facility failed to assess and document the condition of the resident's skin weekly according to the facility's skin management policy. (1) The facility failed to assess and document the condition of Resident #1's skin weekly from 09/25/23 to 10/07/23. (2) The facility failed to assess and document the condition of Resident #2's skin weekly from 09/10/23 to 10/12/23. (3) The facility failed to assess and document the condition of Resident #3's skin weekly from 09/25/23 to 10/12/23. [...]