Care Village at Parkway

In the surveyor’s words

From the most serious findings on record at Care Village at Parkway, in the surveyor’s own words.

• Actual harm, isolatedF760Mar 19, 2025

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), whose physician's orders included the administration of oral hypoglycemic agents for treatment and management of his/her diabetes, the Facility failed to ensure he/she was free from a significant medication error, when on 02/09/25 nursing did not properly identify Resident #1 prior to administering him/her Levemir insulin (a long-acting insulin) via subcutaneous injection. Resident #1 was transferred to the Hospital Emergency Department (ED) for evaluation and was admitted to the Intensive Care Unit (ICU) for close monitoring of his/her blood sugars and treatment, as needed. […]

• Actual harm, isolatedF603Nov 30, 2023

  Based on record reviewed, interviews and observations, for one of three sampled residents (Resident #1), who was severely cognitively impaired, wandered without purpose into other residents room, and therefore resided in a private room, the Facility failed to ensure he/she was free from involuntarily seclusion by being confined to his/her room by staff, when on 11/14/23 from approximately 12:00 A.M. to 1:45 A.M. a bed sheet was tied to the doorknob of Resident #1's room and then tied to the handrail in the hallway outside his/her room, by Certified Nurse Aide #1 who admitted to doing it in order to prevent him/her from exiting his/her room and wandering the unit. […]

• Actual harm, isolatedF687May 25, 2023

  Based on observation, interview, and record review the facility failed to provide proper foot care to maintain good foot health resulting in a fungal infection of the right foot and new wound of the left foot for 1 Resident (#73) out of a total sample of 37 residents. Findings include: Review of the facility policy titled, Nursing Care of the Resident with Diabetes Mellitus, not dated, failed to indicate the policy or procedure for performing diabetic foot care. Resident #73 was admitted to the facility in November 2018 with diagnoses including stroke with resulting hemiplegia and hemiparesis affecting the right side, diabetes, and schizophrenia. […]

• Actual harm, isolatedF688May 25, 2023

  Based on observations, record reviews and interviews, the facility failed to prevent a decrease in range of motion for 2 Resident (#46 and #64) out of a total sample of 37 residents. Findings include: 1. Resident #46 was admitted to the facility in February 2015 with diagnoses including dementia. Review of Resident #46's most recent Minimum Data Set (MDS), dated [DATE], indicated the Resident has a Brief Interview for Mental Status (BIMS) score of 9 out of a possible 15, indicating he/she has moderate cognitive impairment. The MDS also indicated Resident #46 requires extensive assistance from staff for all functional daily tasks. During all days of survey, Resident #46 was observed lying in bed, with his/her right hand in a fisted position. […]

• Actual harm, isolatedF684Dec 13, 2022

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was receiving Hospice Services related to end of life care needs, the Facility failed to ensure that based on his/her comprehensive assessment that care needs were provided in accordance with acceptable standards of practice. When on [DATE] at approximately 2:00 P.M. Resident #1 was noted to experience a decline in condition with changes in his/her respiratory status, Hospice was notified, and Physician's Orders were obtained to administer liquid morphine (opioid used for respiratory distress and moderate/severe pain). […]