GARDEN PARK HEALTH CARE CENTER

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
No harm, potential
D 12
E 2
F 3
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 17, then 22, then 13 . Latest survey date: 2025-08-07.
Repeat citations
Tag Plain English Previous Latest Sev F0609 Timely report suspected resident-safety incidents or theft and report the results of the investigation to proper authorities. prior cycle latest cycle E F0645 PASARR screening for Mental disorders or Intellectual Disabilities prior cycle latest cycle D F0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. prior cycle latest cycle D F0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. prior cycle latest cycle D F0759 Ensure medication error rates are not 5 percent or greater. prior cycle latest cycle D CMS data shows 5 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-08-07 F0609 Resident protection deficiencies E complaint 2025-09-25 2025-08-07 F0610 Resident protection deficiencies E complaint 2025-09-25 2025-08-07 F0628 Resident Rights Deficiencies D standard 2025-09-25 2025-08-07 F0641 Resident Assessment and Care Planning Deficiencies D standard 2025-09-25 2025-08-07 F0645 Resident Assessment and Care Planning Deficiencies D standard 2025-09-25 2025-08-07 F0656 Resident Assessment and Care Planning Deficiencies D standard 2025-09-25 2025-08-07 F0657 Resident Assessment and Care Planning Deficiencies D standard 2025-09-25 2025-08-07 F0677 Quality of Life and Care Deficiencies D complaint 2025-09-25 2025-08-07 F0688 Quality of Life and Care Deficiencies D standard 2025-09-25 2025-08-07 F0689 Quality of Life and Care Deficiencies D complaint 2025-09-25 2025-08-07 F0730 Nursing and Physician Services Deficiencies F standard 2025-09-25 2025-08-07 F0761 Pharmacy Service Deficiencies D standard 2025-09-25 2025-08-07 F0880 Infection Control Deficiencies F standard 2025-09-25 2025-08-07 F0947 Nursing and Physician Services Deficiencies F standard 2025-09-25
Official CMS inspection narrative
F0609 · 2025-08-07 · severity E
Official inspection narrative not available for this citation.
F0610 · 2025-08-07 · severity E
Official inspection narrative not available for this citation.
F0628 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0641 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0645 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0656 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0657 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0677 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0688 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0689 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0730 · 2025-08-07 · severity F
Official inspection narrative not available for this citation.
F0761 · 2025-08-07 · severity D
Official inspection narrative not available for this citation.
F0880 · 2025-08-07 · severity F
Official inspection narrative not available for this citation.
F0947 · 2025-08-07 · severity F
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2025-08-07
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
15
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-12-18 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2025-08-07 | Tag F0628 | Resident Rights Deficiencies | Severity: D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Survey: 2025-08-07 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2025-08-07 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2025-08-07 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2025-08-07 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2025-08-07 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Survey: 2025-08-07 | Tag F0730 | Nursing and Physician Services Deficiencies | Severity: F
Observe each nurse aide's job performance and give regular training.
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Survey: 2025-08-07 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Survey: 2025-08-07 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2025-08-07 | Tag F0947 | Nursing and Physician Services Deficiencies | Severity: F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Survey: 2025-08-07 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2025-08-07 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2025-08-07 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2025-08-07 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2025-02-03 | Tag F0584 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Survey: 2025-01-16 | Tag F0646 | Resident Assessment and Care Planning Deficiencies | Severity: D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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Survey: 2025-01-16 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2025-01-16 | Tag F0696 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care/assistance for a resident with a prosthesis.
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Survey: 2025-01-16 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2024-09-19 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-09-19 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2024-07-25 | Tag F0584 | Resident Rights Deficiencies | Severity: F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Survey: 2024-07-25 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2024-07-25 | Tag F0908 | Environmental Deficiencies | Severity: F
Keep all essential equipment working safely.
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Survey: 2024-07-25 | Tag F0924 | Environmental Deficiencies | Severity: E
Put firmly secured handrails on each side of hallways.
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Survey: 2022-09-21 | Tag F0567 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to manage his or her financial affairs.
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Survey: 2022-09-21 | Tag F0578 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Survey: 2022-09-21 | Tag F0584 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Survey: 2022-09-21 | Tag F0637 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assess the resident when there is a significant change in condition
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Survey: 2022-09-21 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2022-09-21 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
---
Survey: 2022-09-21 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2022-09-21 | Tag F0756 | Pharmacy Service Deficiencies | Severity: E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Survey: 2022-09-21 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Survey: 2022-09-21 | Tag F0919 | Environmental Deficiencies | Severity: E
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Survey: 2022-09-21 | Tag F0925 | Environmental Deficiencies | Severity: D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Survey: 2019-12-30 | Tag F0572 | Resident Rights Deficiencies | Severity: D
Give residents a notice of rights, rules, services and charges.
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Survey: 2019-12-30 | Tag F0578 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Survey: 2019-12-30 | Tag F0583 | Resident Rights Deficiencies | Severity: D
Keep residents' personal and medical records private and confidential.
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Survey: 2019-12-30 | Tag F0584 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Survey: 2019-12-30 | Tag F0637 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assess the resident when there is a significant change in condition
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Survey: 2019-12-30 | Tag F0640 | Resident Assessment and Care Planning Deficiencies | Severity: D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Survey: 2019-12-30 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2019-12-30 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2019-12-30 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D
Provide or obtain dental services for each resident.
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Survey: 2019-12-30 | Tag F0849 | Administration Deficiencies | Severity: D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Survey: 2019-12-30 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2019-12-30 | Tag F0919 | Environmental Deficiencies | Severity: D
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Survey: 2019-12-30 | Tag F0921 | Environmental Deficiencies | Severity: F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.