Independent · Federal inspection records, searchable
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Facility profile · CCN 395270

Forest Park Nursing And Rehabilitation

108 federal citations on record , including 3 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $170,109.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
108
Total citations
106
Last 3 years
4
Actual harm+
6
Federal penalties
$170,109
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

108 on record
SurveyF-TagViolationSeveritySource
Jan 15, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jan 15, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 8, 2026F917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.DComplaint
Jan 8, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 21, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.EComplaint
Jun 27, 2025F584Honor 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.DComplaint
Jun 10, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 6, 2025F881Implement a program that monitors antibiotic use.EStandard
Mar 6, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 6, 2025F761Ensure 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.DStandard
Mar 6, 2025F758Implement 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.EStandard
Mar 6, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 6, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Mar 6, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Mar 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 6, 2025F692Provide enough food/fluids to maintain a resident's health.EStandard
Mar 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 6, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 6, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 6, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Mar 6, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 6, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Feb 25, 2025F920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.DComplaint
Feb 25, 2025F880Provide and implement an infection prevention and control program.EComplaint
Feb 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Feb 25, 2025F732Post nurse staffing information every day.BComplaint
Feb 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Feb 25, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Feb 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Feb 14, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Dec 31, 2024F880Provide and implement an infection prevention and control program.EComplaint
Dec 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Dec 6, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint
Oct 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 8, 2024F584Honor 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.EComplaint
Jul 30, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 20, 2024F732Post nurse staffing information every day.DComplaint
Apr 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Apr 18, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Apr 18, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Apr 18, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 18, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Apr 18, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Apr 18, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Apr 18, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Apr 18, 2024F758Implement 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.EStandard
Apr 18, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 18, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 18, 2024F699Provide care or services that was trauma informed and/or culturally competent.EStandard
Apr 18, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 18, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Apr 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Apr 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Apr 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 18, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 18, 2024F641Ensure each resident receives an accurate assessment.DStandard
Apr 18, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard
Apr 18, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Apr 18, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Apr 18, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Apr 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 18, 2024F610Respond appropriately to all alleged violations.DStandard
Apr 18, 2024F584Honor 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.EStandard
Apr 18, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 5, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Apr 5, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.EComplaint
Apr 5, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint
Apr 5, 2024F660Plan the resident's discharge to meet the resident's goals and needs.EComplaint
Mar 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 7, 2024F685Assist a resident in gaining access to vision and hearing services.DComplaint
Feb 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 25, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Jan 3, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 1, 2023F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Dec 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 1, 2023F584Honor 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.EComplaint
Aug 4, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 23, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 27, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
Apr 27, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 27, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard
Apr 27, 2023F880Provide and implement an infection prevention and control program.EStandard
Apr 27, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Apr 27, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 27, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Apr 27, 2023F758Implement 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.EStandard
Apr 27, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 27, 2023F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Apr 27, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Apr 27, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 27, 2023F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Apr 27, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 27, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 27, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 6 civil money penalties totaling $170,109 .

DateTypeFinePayment denial
Feb 14, 2025Fine$66,593
Dec 6, 2024Fine$84,789
Oct 2, 2023Fine$2,823
Sep 25, 2023Fine$2,470
Sep 5, 2023Fine$5,244
Jun 23, 2023Fine$8,190
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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