Park View Care Center

In the surveyor’s words

From the most serious findings on record at Park View Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 29, 2022

  Based on observation, interview, and record review the facility failed to provide treatment and care in accordance with standards of practice and based on the comprehensive assessment for 2 of 14 residents reviewed for quality of care (Residents #3). An unsupervised regular diet meal tray was at the North hall nursing station where Resident #3 had access. Resident #3 who had a diagnosis of dysphagia ,an order for pureed diet, and a behavior of not complying with his diet grabbed the tortilla off of an unattended leftover tray and placed in his mouth. Resident #3 displayed signs of choking while consuming the tortilla and later died . Resident #3 care plan did not address residents' diet or his behavior of being non-compliant with his diet. […]

• Actual harm, isolatedF600Jul 8, 2026

  Based on observation, interview, and record review the facility failed to ensure that residents had the right to be free from abuse for 3 (Resident #1, Resident #2, Resident #3) of 7 residents and 3 staff members reviewed for abuse.The facility failed to ensure that Resident #1 was supervised while in the facility.The facility failed to keep staff and residents free from accidents and hazards due to Resident #1's physical and aggressive behaviors. Resident #1 was the aggressor in 5 altercations involving 2 (Resident #2 and Resident #3) residents. As a result Resident #2 preferred to stay in her room to avoid any confrontations with Resident #1. Resident #2 expressed that did not feel safe and started the transfer process to a different facility. […]

• Actual harm, isolatedF600Jul 16, 2025

  Based on observation, interview, and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one of six residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 had the right to be free from abuse when Resident #2 physically assaulted him on 07/10/25. This failure could place residents at risk for abuse. Review of Resident #1's admission Record, dated 07/15/25, reflected he was a [AGE] year-old male who was originally admitted to the facility on [DATE] and readmitted on [DATE]. Review of Resident #1's Quarterly MDS Assessment, dated 06/04/25, reflected he had a BIMS score of 15 indicating no cognitive impairment. […]

• Actual harm, isolatedF600Feb 20, 2025

  Based on interviews and record reviews the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 4 residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 had the right to be free from abuse when Resident #2 struck him in the face on 02/18/25. This failure could place residents at risk of injury and anxiety. Findings included: Record review of Resident #1's undated Admission Record reflected the resident was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses which included dementia, stroke, and amputation of left leg. Record review of Resident #1's quarterly MDS, dated [DATE], reflected a BIMS score of 9 indicating moderate cognitive impairment. […]

• Actual harm, isolatedF600Sep 19, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for one of six residents (Resident #1) reviewed for abuse. The facility failed to ensure the Administrator did not verbally abuse Resident #1 when he cursed at him during a conversation. This failure could affect the residents at the facility and place them at risk for physical, verbal, and/or psychosocial harm. Findings included: Review of Resident #1's Admission Record, dated 09/17/24, reflected the resident was a [AGE] year-old male who admitted to the facility on [DATE] and discharged on [DATE]. Review of Resident #1's Quarterly MDS Assessment, dated 07/03/24, reflected he had a BIMS score of 15 indicating no cognitive impairment. […]