Park View Health Center

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 9, 2022

  Based on observation, interview and record review, the facility did not ensure resident environment was as free of hazards as possible for 2 residents (R) (R30 and R87) of 25 residents reviewed for accidents. On 1/15/22, R30 fell while operating an electric lift recliner and was sent to the emergency room (ER). The family asked that the electric lift recliner be unplugged. This did not occur. On 1/17/22, R30 sustained another fall while operating the same electric lift recliner and was sent to the ER. R30 was not reevaluated following the 1/15 fall to determine if R30 could safely operate the lift recliner. Interventions which addressed the root cause of the fall were not put in place following the 1/15 fall. R87 had a fall on 12/31/21 that resulted in a broken left hip. […]

• Actual harm, isolatedF580Jan 24, 2022

  Based on record review and staff interview, the facility did not consult with the resident's physician when there was a significant change in the resident's physical and/or mental status, or when there was a need to alter treatment significantly in 1 Resident (R) (R1) of 3 sampled residents reviewed for notification to the physician. The facility did not contact R1's physician when R1 had a change of condition with increased anxiety/restlessness, when R1 would not keep R1's [CONDITION(S)] (continuous positive airway pressure) mask on, and when R1's O2 (oxygen) sats (saturation) level (amount of oxygen in blood) dropped to 50 to 54 percent. […]

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on staff interview and record review, the facility did not ensure dishwasher temperatures were monitored and recorded to ensure proper sanitization of dishware on 5 of 5 neighborhoods in the facility. This had the potential to affect all residents residing in the facility. Dishwasher temperatures were not monitored or documented daily on all 5 neighborhoods in the facility. Findings include: The facility's Temp Dot For Household Dishwasher policy, dated 12/2023, indicates: Certified Nursing Assistants (CNAs) will perform temperature indicator verification of each household dishwasher daily to assure sanitization temperature of 160 degrees is reached by locating the temperature log on the cabinet above the dishwasher and documenting the max temperature on the Dishwasher Temperature… […]

• No harm, potential for more than minimal, widespreadF812Feb 15, 2023

  Based on observation, staff interview, and record review, the facility did not ensure food was stored, and served under sanitary conditions. This practice had to potential to affect 94 of 98 residents. (Four residents were exclusively fed via tube). Staff did not identify and address the main kitchen warewashing machine (dishwasher) internal surface temperature monitoring device did not reach the required 160 degrees Fahrenheit (F) since July of 2022. Staff did not date foods and beverages that were time and temperature controlled for safety upon opening and did not discard outdated items in accordance with food safety practices. […]

• No harm, potential for more than minimal, patternF880Apr 16, 2025

  Based on observation, staff interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to prevent the development and spread of communicable disease and infection. This practice had the potential to affect more than 4 of the 88 residents residing in the facility. The facility did not track last symptoms of illness and return to work dates for 3 staff (Certified Nursing Assistant (CNA)-D, CNA-E, and Licensed Practical Nurse (LPN)-F) during a gastrointestinal illness (GI) outbreak. R10 was on enhanced barrier precautions (EBP). LPN-F did not wear a gown or goggles while administering a tube feeding for R10 and while flushing R10's enteral tube. […]