Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Center For Advanced Rehab At Parkside, The during CMS and state inspections, most recent first.
Surveyors found that PTAC air filters in several resident rooms on one hall contained a significant amount of gray, fuzzy particulate matter, indicating they had not been properly cleaned or maintained. The Maintenance Director confirmed the filters were soiled, acknowledged they required cleaning, and reported that filter cleaning had been tied to intermittent room deep-cleaning without a clearly defined frequency. The DON stated that PTAC filters should be serviced and cleaned because respiratory issues can arise from breathing dirty air filters, and facility policy requires the Maintenance Director to maintain schedules and documentation for routine inspection and maintenance of mechanical and electrical equipment.
The facility failed to implement a proper surveillance plan for infections and antibiotic use, as the Infection Preventionist admitted to not actively monitoring the antibiotic stewardship program. The Director of Nursing, new to the position, was unfamiliar with the system needed to educate nurses on creating cases for antibiotic use in the EMR. This lack of coordination and communication among staff led to the deficiency.
The facility failed to adhere to medication administration standards for three residents. An LPN administered diclofenac gel without measuring the prescribed dosage, another LPN did not prime an insulin pen before use, and a resident was not instructed to rinse their mouth after using a Breztri inhaler. The DON confirmed the correct procedures were not followed.
Two residents in an LTC facility did not receive adequate assistance with ADLs due to staffing issues and poor documentation. One resident experienced delays in receiving help with catheterization, leading to hygiene issues, while another faced missed showers due to staff shortages. The facility's failure to document care activities contributed to the deficiency.
The facility exceeded the acceptable medication error rate with a 7.14% error rate due to three observed errors. An LPN failed to measure diclofenac gel correctly and did not prime an insulin pen before use. Additionally, the LPN documented administering a nasal spray that was not given. These actions contributed to the deficiency.
A resident with a BMI of 19.9 or less and experiencing weight loss reported that meals were often unpalatable, leading her to eat mostly Cheerios. She was not offered alternative meal options, and staff did not inquire about her lack of intake. Interviews with staff revealed gaps in communication and follow-up regarding the resident's meal refusals, contributing to the deficiency.
The facility failed to ensure proper hand hygiene and equipment sanitization during resident care. An LPN did not sanitize her hands before preparing medications or entering a resident's room, while another LPN failed to sanitize her hands before and after donning gloves during a blood glucose check and insulin administration. Additionally, a blood pressure monitor was not sanitized between uses for different residents. The DON confirmed that staff were expected to follow facility policies on hand hygiene and equipment cleaning.
Failure to Maintain Clean PTAC Air Filters in Resident Rooms
Penalty
Summary
Surveyors identified a deficiency related to the facility’s failure to maintain Packaged Terminal Air Conditioner (PTAC) units in a safe, sanitary, and functional condition in multiple resident rooms on the [NAME] Hall. During observations on 4/21/2026, PTAC air filters in three separate rooms were found to contain a significant amount of gray, fuzzy particulate matter. On 4/22/2026, during a follow-up observation with the Maintenance Director, he confirmed that the PTAC air filters in the identified rooms were soiled with a significant accumulation of particulate matter and acknowledged that the filters required cleaning. The Maintenance Director stated that PTAC filter cleaning was assigned to the Environmental Services Director and was supposed to occur during room deep-cleaning, but he could not specify the exact frequency of these cleanings. He also stated that he had oversight responsibility for ensuring the task was completed and that the cleaning schedule might need review and adjustment. The DON stated that PTAC filters should be serviced and cleaned, as respiratory issues can arise from breathing dirty air filters. The facility’s policy titled “Physical Environment: Electrical Equipment” stated that the facility will maintain all mechanical, electrical, and patient care equipment in safe operating condition and that the Maintenance Director shall maintain schedules for routine inspection and maintenance of such equipment, with documentation kept for at least three years.
Deficiency in Antibiotic Stewardship and Infection Control
Penalty
Summary
The facility failed to properly establish and implement a surveillance plan for identifying, tracking, monitoring, and reporting infections and antibiotic use among residents and staff. The facility's policy on Antibiotic Stewardship Program required nursing staff to assess residents suspected of having an infection and complete an SBAR form before notifying the physician. It also required monitoring the response to antibiotics and reviewing laboratory results to determine if adjustments were needed. However, the Infection Preventionist (IP) admitted that there was no active monitoring of the antibiotic stewardship program, and documentation was not accurate. The IP did not reconcile antibiotic orders with the pharmacist or doctor and did not closely monitor labs or cultures to avoid unnecessary antibiotic use. The Infection Preventionist revealed that the surveillance process was incomplete due to nurses not performing their part, and there was no system set up to monitor lab results or antibiotic use effectively. The Director of Nursing (DON), who had been in the position for six weeks, was informed about the need to educate nurses on creating a case for antibiotic use in the electronic medical record (EMR) but was unfamiliar with the system. The DON expected the IP to pull records daily for antibiotic information but was unsure of the process. This lack of coordination and communication among staff led to the deficiency in the facility's infection prevention and control program.
Medication Administration Deficiencies
Penalty
Summary
The facility failed to adhere to accepted standards of quality care during medication administration for three residents. For one resident, an LPN administered diclofenac gel without measuring the prescribed dosage, admitting unfamiliarity with the correct measurement process. The LPN did not use the provided measuring card, which was necessary to ensure the correct dosage of 4 grams was applied. The Director of Nursing confirmed that the correct procedure was not followed. Another deficiency involved an LPN administering insulin without priming the insulin pen, which is required to ensure accurate dosing. The LPN mistakenly believed priming was unnecessary for a newly opened pen and admitted to being nervous during the process. Additionally, a third resident was not instructed to rinse their mouth after using a Breztri inhaler, a necessary step to prevent potential side effects. The LPN acknowledged forgetting this step, and the Director of Nursing confirmed the importance of this practice.
Inadequate ADL Assistance and Documentation for Residents
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADLs) for two residents, R77 and R97, who were dependent on staff for such care. R77, who had a range of medical conditions including muscle weakness and bladder dysfunction, reported that she often had accidents at night due to insufficient staff response to her call bell. She mentioned that on weekends and nights, there was only one floor tech and one nurse available, leading to delays in assistance. This lack of timely care resulted in her waking up with dried urine on her clothes and bed, which she believed contributed to an itch in her private area. R97, who had a history of fractures and heart disease, expressed frustration over missed showers, particularly on weekends. She reported that her showers were often postponed due to staff shortages, and on one occasion, she went nine days without a shower. Despite being scheduled for showers on specific days, there was no documentation to confirm that these were consistently provided. The lack of proper documentation and adherence to the shower schedule was confirmed by the staff, including the CNA and RN responsible for R97's care. The facility's Director of Nursing and other staff acknowledged the expectation that all residents should receive the care they deserve daily. However, the report highlighted inconsistencies in staffing and documentation, particularly on weekends, which led to the deficiencies in providing necessary ADL support to residents R77 and R97. The absence of documentation for showers and the failure to respond promptly to call bells were significant factors contributing to the deficiency.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below five percent, resulting in a rate of 7.14% due to three medication errors observed out of 42 opportunities. One incident involved an LPN administering diclofenac gel 1% to a resident's knees without measuring the prescribed 4 grams using the provided dosing card. The LPN admitted to not knowing how to measure the gel correctly and acknowledged that the pharmacy had not provided guidance on measurement. Upon suggestion, the LPN retrieved the measuring card from the medication packaging and admitted it should have been used to ensure accurate dosage. Another incident involved an LPN administering insulin using an insulin pen without priming it beforehand, as required by both facility policy and manufacturer instructions. The LPN stated that she did not think priming was necessary for a newly opened pen and was also nervous. Additionally, the same LPN documented administering fluticasone nasal spray to a resident but failed to actually administer it. She admitted to marking it as given and stated she would administer it immediately upon realizing the error.
Failure to Provide Palatable and Safe Meals to Resident
Penalty
Summary
The facility failed to provide a resident, identified as R77, with food and drink that was palatable, attractive, and at a safe and appetizing temperature. This deficiency was identified through observations, interviews with the resident and staff, and a review of the facility's nutritional management policy. The resident, R77, who had a BMI of 19.9 or less and was experiencing abnormal weight loss, reported that the food was often unpalatable, leading her to eat mostly Cheerios when the meals were unsatisfactory. She was not offered alternative meal options when she refused the provided food, and no staff inquired about her lack of intake or offered other choices. R77's medical records indicated several health issues, including weakness, muscle wasting, and difficulty walking, which necessitated ongoing physical therapy. Her care plan highlighted potential nutritional problems and included interventions such as monitoring intake, providing supplements, and encouraging compliance with the diet. Despite these measures, R77 reported not receiving a menu or being informed of available food alternatives, which contributed to her reliance on Cheerios as a substitute for meals she found unappealing. Interviews with facility staff, including a Registered Dietician (RD) and a Certified Nursing Assistant (CNA), revealed gaps in communication and follow-up regarding R77's meal refusals. The RD stated that food preferences were documented upon admission, but she was unaware of any meal refusals by R77. The CNA mentioned offering alternatives when residents refused meals, but there was uncertainty about whether this practice was consistently followed by all staff. An LPN also indicated a lack of awareness regarding R77's meal refusals, suggesting a breakdown in communication and documentation of the resident's dietary needs and preferences.
Infection Control Deficiencies in Hand Hygiene and Equipment Sanitization
Penalty
Summary
The facility failed to consistently perform hand hygiene procedures and sanitize shared medical equipment during care for residents. An LPN was observed preparing medications for a resident without sanitizing her hands before starting the task, after retrieving a missing nasal spray, and before entering the resident's room. She only sanitized her hands upon leaving the room. Another LPN was observed performing a blood glucose check and insulin administration for a resident without sanitizing her hands before donning gloves and after removing them. She only washed her hands after completing the task. Additionally, an LPN was observed using a blood pressure monitor on a resident without sanitizing it before or after use. The monitor was placed in her pocket and used again for another resident without cleaning. The LPN did not sanitize her hands upon entering the room or clean the shared equipment between residents' use. The Director of Nursing confirmed that staff were expected to practice frequent hand hygiene and ensure proper cleaning of shared equipment, as per facility policies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Fort Oglethorpe | 1.4 mi | — | 8 | 0 |
| Nhc Healthcare Ft Oglethorpe | 2.2 mi | — | 2 | 0 |
| Nhc Healthcare Rossville | 2.4 mi | — | 0 | 0 |
| Life Care Center Of East Ridge | 4.6 mi | — | 0 | 0 |
| Nhc Healthcare, Chattanooga | 6.7 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.