Eastview Healthcare & Senior Living

In the surveyor’s words

From the most serious findings on record at Eastview Healthcare & Senior Living, in the surveyor’s own words.

• Immediate jeopardy, patternF600May 2, 2023

  Based on interview and record review the facility failed to protect residents' rights to be free from physical abuse by another resident and failed to implement interventions to prevent reoccurring physical abuse for four of four residents (R1,R2,R3,R9) reviewed for abuse in the sample list of nine residents. These failures resulted in R1 physically abusing R2, R3 and R9. The Immediate Jeopardy began on 2/11/23 when R1 (who has a history of physical abuse towards other residents) slapped R3 on her arm. R1 was placed on one on one supervision when out of bed. On 4/15/23 R1 was unsupervised, wandered into R2's room and physically assaulted R2. On 4/24/23 R1 was unsupervised and put his hands around R9's throat. V1 Administrator was notified of the Immediate Jeopardy on 4/28/23 at 11:00 AM. […]

• Immediate jeopardy, patternF600Aug 12, 2021

  Based on record review and interview, the facility failed to prevent ongoing, repetitious physical abuse between residents R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12. This failure puts these residents at high risk for severe, life-threatening, and potentially fatal injuries. R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11 and R12 are 12 of 12 residents reviewed for abuse in the sample of 12. This failure resulted in an Immediate Jeopardy. While the immediacy was removed on 8/12/21, the facility remains out of compliance at severity level two. […]

• Immediate jeopardy, patternF744Aug 12, 2021

  Based on observation, record review and interview, the facility failed to develop and implement effective behavioral interventions for R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11 and R12, each with a known cognitive impairment. These failures resulted in repetitive instances of resident to resident physical abuse to R1, R5, R6, R7, R10, R11 and R12. These failures put these residents at continued risk for engaging in ongoing behaviors resulting in physical violence to one another. Unmitigated behavioral interventions could result in residents sustaining severe, life-threatening, or fatal injuries. This failure resulted in an Immediate Jeopardy. While the immediacy was removed on 8/12/21, the facility remains out of compliance at severity level two. […]

• Actual harm, isolatedF689Jun 18, 2026

  Based on observation, interview and record review the facility failed to provide supervision for a resident in a resident's room to prevent falls for one resident (R2) and failed to implement fall prevention interventions to for one resident (R3). These failures affect two of four residents (R2, R3) reviewed for falls in the sample list of 19. These failures resulted in R2 sustaining a subarachnoid hemorrhage and a compression fracture of the T12 vertebral body from falling. Findings include: 1) R2's Medication Review Report dated 6/18/26 documents diagnoses including Unspecified Dementia with Other Behavioral Disturbance, Cognitive Communication Deficit, Other Lack of Coordination and Other Reduced Mobility. […]

• Actual harm, isolatedF689Dec 30, 2025

  Based on observation, interview, and record review the facility failed to implement interventions to prevent a fall for one resident (R1) who has a history of seizures and takes an anticoagulant of three residents reviewed for falls in a sample list of eight residents. This failure resulted in R1 falling from R1's bed while having a seizure and R1 sustaining a six centimeter scalp laceration requiring evacuation of a hematoma and sutures, and a subdural hematoma.R1's Care Plan updated 10/20/25 includes the following diagnoses: Epileptic Seizures, Peripheral Vascular Disease. […]