Parkview Nursing & Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility policy, it was determined that the facility failed to refer residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II Pre-admission Screening and Resident Review (PASARR). Resident (R) 11 admitted to the facility on [DATE]. On 10/08/2023, a new diagnosis of schizophrenia was added, however, the facility did not initiate a new level I PASARR. This affected one (1) of one (1) resident reviewed for PASARR. The findings include: Review of facility policy titled Pre-admission Screening and Resident Review, reviewed on 09/26/2025, revealed that the facility would ensure that potential admissions would be screened for possible serious mental disorders or intellectual disabilities and related conditions. The initial pre-screening was referred to as PASARR level I and is completed prior to admission to a nursing facility. A negative level I screen permits admission to proceed and ends the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and facility policy review, it was determined the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that are identified in the comprehensive assessment for three out of three residents, Resident (R) R5, R6 and R7. The findings include: Observation of (R) 5 on 03/30/2026 at 4:48 PM revealed a catheter bag anchored to the bedside, and the end of the catheter tubing was in the trash can. Observation on 03/31/2026 at 10:25 AM and 3:48 PM revealed that the catheter tubing remained in the trash can. Review of the admission Record revealed the facility admitted Resident (R) 5 to the facility on [DATE] with diagnoses of paraplegia, complete, type 2 diabetes mellitus, and neuromuscular dysfunction of the bladder, unspecified. Review of the Quarterly Minimum Data Set (MDS) Assessment with an Assessment…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of facility policies, it was determined that the facility failed to ensure interventions to prevent / decrease a resident's limitation in Range of Motion (ROM) were in place for two (2) of three (3) sampled residents, R6 and R7. The findings include: Review of the facility policy titled, Splints and Braces-Upper Extremity, reviewed 09/19/2025 stated the facility would provide splints and braces to the upper extremities in accordance with professional standards of practice, as outlined by [NAME]. The use of a supportive and protective device designed for a patient's upper extremity, such as a sling, brace, or splint, helped provide support, facilitate functional use, reduce pain, maintain alignment, correct deformities, or provide protection for a healing injury. For use in immobilizing an acute injury, a splint or brace helped prevent further soft-tissue, nerve, and vascular damage while allowing for swelling and helping to reduce pain during healing.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and review of the facility policy it was determined that the facility failed to provide separately locked, permanently affixed compartments for the storage of controlled drugs.The findings include: Observation on 03/30/2026 at 12:00 PM of the medication room on Wing 7 with Licensed Practical Nurse (LPN4) revealed the medication refrigerator was not locked. There were five bottles of Lorazepam 2 milligram per milliliter (30 ml) oral concentrate, one bottle with 2 ml, and one bottle with 6.75 ml in the refrigerator, unsecured. They were not in a separate lock box nor affixed to the inside of the refrigerator. Review of the facility policy, titled Storage and Expiration Dating of Medications and Biologicals, last revised 08/01/2024, revealed the facility, under controlled substances storage, would store all drugs and biologicals in locked compartments, including the storage of Schedule II - V medications in separately locked, permanently affixed compartments, permitting only authorized personnel to have access. The facility would ensure all controlled…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility policy, it was determined that the facility failed to establish and 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 diseases and infections for one of one sampled residents. Observations on 03/30/2026 and 03/31/2026 revealed R5's open-ended catheter tubing was loosely hanging in the trash receptacle. The findings include: Observation on 03/30/2026 at 4:48 PM revealed a catheter bag anchored to the bedside, and the end of the catheter tubing was in the trash can. Observation on 03/31/2026 at 10:25 AM and 3:48 PM revealed that the catheter tubing remained in the trash can. Review of facility policy titled Infection Prevention and Control Program and Plan, revised on 06/02/2025, revealed, the facility had an ongoing infection prevention and control program to prevent, recognize, and control the onset and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and facility policy review, the facility failed to assure the nutritive value of food was not compromised and destroyed because of prolonged holding on a steam table. The deficient practice had the potential to affect 163 of the facility's 163 residents who consumed food from the kitchen. Observation on 03/17/2025 at 3:20 PM, revealed macaroni and cheese and greens were placed on the steam table an hour and ten minutes prior to the evening meal being served. The findings include: Review of the facility policy titled, Food Temperature Control, revised 06/28/2024, revealed the food temperatures were to be maintained during mealtimes to ensure residents received safe food served at acceptable temperatures. Continued review revealed food was to be prepared by methods that conserved the nutritive value, flavor, and appearance. Review of the facility policy titled, Cleaning Schedule, reviewed on 04/30/2024, revealed food was not to be placed on the steam table more than 30 minutes before a meal service began. Observation on 03/17/2025 at 3:20 PM, during…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and review of the facility policy, it was determined the facility failed to ensure infection control procedures to prevent the spread of infection were followed for 1 of 33 sampled residents, (Resident (R)139); and for all residents residing on the 900 hall/unit who used ice from the ice cooler. 1. Observation on 03/19/2025 revealed staff failed to use appropriate Personal Protective Equipment (PPE) when providing care for R139 who required Enhanced Barrier Precautions (EBP). 2. Observation on 03/18/2025 revealed staff, after overfilling a resident's used cup with ice, and then to proceed to pour the excess ice, off the top of the cup, back into the clean cooler of ice. The findings include: 1. Review of the facility policy titled, Enhanced Barrier Precautions, revised 06/03/2024, revealed the facility should use Enhanced Barrier Precautions (EBP) during high-contact resident care activities. Per review, the high-contact resident care activities included: wound and/or indwelling medical devices even if the resident was not known to be…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and facility policy review, the facility failed to promote residents' personal privacy for 1 of 5 residents sampled for wound care, out of the total sampled residents of 33, (Resident (R)87). During observation of wound care for R87 on 03/20/2025, the wound care nurse failed to close the window blind, exposing R87 to view by anyone outside within sight of the resident's window. The findings include: Review of the facility policy titled, Resident Rights, reviewed 11/19/2024, revealed the resident had a right to be treated with respect and dignity. Review of the admission Record for R87 revealed the facility admitted the resident on 09/28/2022, with diagnoses to include: paraplegia, limitation of activities due to disability, and neuromuscular dysfunction of bladder. Record review revealed R87 had wounds requiring treatment to her buttock and foot. Review of the Quarterly Minimum Data Set (MDS) Assessment with a Assessment Reference Date (ARD) of 02/01/2025, revealed the facility assessed R87 to have a Brief Interview for Mental Status…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and facility policy review, the facility failed to ensure treatment and care in accordance with professional standards of practice for 1 of 7 residents sampled during medication pass out of the total sample of 33, (Resident (R)4). Observation revealed medication observed under R4's bed, lying on her bedside table, and lying in her hand while she was lying on her bed with eyes closed. The findings include: Review of the facility policy, Administration of Medications, reviewed 09/16/2024, revealed the facility was to ensure medications were administered safely and appropriately. Review revealed the definition of a medication error was noted as the observed or identified preparation or administration of medications or biologicals which were not in accordance with . 3. Accepted professional standards and principles which applied to professionals providing services. Per review , the facility procedure included medication administration was the responsibility of individuals, who through certification and licensure, were authorized to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, record review, and review of the facility policy, it was determined the facility failed to ensure the residents responsible party received a written notice, including the reason for the change, before the resident's room or roommate in the facility was changed for one of six (6) sampled residents (Resident #1). The findings include: Review of a facility policy titled, Resident Room Relocation, dated 08/09/2023, revealed the Social Services staff would provide an explanation in writing to the resident, family, and/or resident representative of why the move was required. Review of Resident #1's admission Record revealed the facility admitted the resident on 02/04/2019 with diagnoses to include: Hemiplegia and Hemiparesis following cerebral infarction affecting left non-dominant side, Dysphagia following cerebral infarction, and Aphasia following cerebral infarction. Review of Resident #1's Quarterly Minimum Data Set (MDS) Assessment, dated 02/12/2024, revealed the resident was assessed to have a Brief Interview of Mental Status (BIMS) score of eleven (11) out of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, record review and facility policy review, it was determined the facility failed to develop and implement a comprehensive person-centered care plan which included measurable objectives and timeframe's to meet a resident's medical, nursing and mental and psychosocial well-being for one (1) of (3) three sampled residents (Resident #1). Review of Resident #1's medical record revealed the resident had an behaviors of cursing, yelling, and wandering into other resident's rooms, however, there was no behavior care plan initiated. The findings include: Review of the facility's policy, Comprehensive Care Plan, dated 08/23/2023, revealed the facility would ensure the timeliness of each resident's person-centered, comprehensive care plan, and ensure that the comprehensive care plan was reviewed and revised by an interdisciplinary team composed of individuals who have knowledge of the resident and his/her needs, and that each resident and resident representative, if applicable, was involved in developing the care plan and making decisions about his/her care. The policy…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review, and review of the facility's policy, it was determined the facility failed to develop and implement a person-centered comprehensive care plan for one (1) of thirty-five (35) sampled residents. Resident #163 was receiving dialysis three (3) times per week. Interventions implemented related to receiving dialysis included communication with the dialysis center. However, there was no documented evidence that the facility coordinated care with the dialysis center for ten (10) of fifteen (15) treatments received at the dialysis center. The findings include: Review of the facility's care plan policy, revised 07/23/2009, revealed the Care Plan should address, to the extent possible, interventions for preventing avoidable declines in functioning or functional levels, resident-specific interventions, and standards of current professional practice. Review of Resident #163's medical record revealed the facility admitted the resident on 11/28/2018, with diagnoses…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.