Park View Nursing and Subacute

In the surveyor’s words

From the most serious findings on record at Park View Nursing and Subacute, in the surveyor’s own words.

• Immediate jeopardy, patternF684Jun 7, 2021

  Based on interview, and record review, the facility failed to provide the necessary care and services in accordance with its policy and procedure, and professional standards of practice by failing to ensure facility staffed followed physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficient practice resulted in Resident 1 missing a total of 110 doses of [MEDICATION(S)] from 3/13/2021 to 5/13/2021, which could have resulted in severe health complications possibly leading to hospitalization and/or death. […]

• Immediate jeopardy, patternF760Jun 7, 2021

  Based on interview, and record review, the facility failed to administer [MEDICATION(S)] (medication to treat [CONDITION(S)] [COPD- a chronic [CONDITION(S)] lung disease that causes obstructed airflow from the lungs]) as ordered by the physician for one of five sampled residents (Resident 1) upon readmission from 3/13/2021 to 5/13/2021. Resident 1 was given [MEDICATION(S)] twice every 10 days rather than twice daily as ordered by the physician. This deficient practice resulted in Resident 1 missing a total of 110 doses of [MEDICATION(S)] from 3/13/2021 to 5/13/2021, which could have resulted in severe health complications possibly leading to hospitalization and/or death. […]

• Immediate jeopardy, patternF600Apr 23, 2021

  Based on observation, interview, and record review the facility failed to ensure four of 10 sampled residents (Residents 1, 2, 3 and 7) were free from neglect (failed to care for properly) by: 1. Failing to assess worsening and newly acquired pressure ulcers (injury to skin and underlying tissue due to prolonged pressure over a bony structure) for Resident 1 and Resident 7. 2. Failing to develop care plans to address each skin integrity issue for Resident 1 and Resident 3 3. Failing to provide consistent wound care treatment as ordered by Medical Doctor (MD) for Resident 1. […]

• Immediate jeopardy, patternF686Apr 23, 2021

  Based on interview and record review, the facility failed to provide the necessary care to promote the healing and identification of pressure ulcers (injury to skin and underlying tissue due to prolonged pressure over a bony structure) for four of ten sampled residents (Resident 1,2, 3 and 7) by: 1. Failing to assess worsening and identifying newly acquired pressure ulcers (injury to skin and underlying tissue due to prolonged pressure over bony structure) for Resident 1 and Resident 7. 2. Failing to develop care plans to address skin integrity issue for Resident 1 and Resident 3. 3. Failing to provide wound care treatment as ordered by Medical Doctor (MD) for Resident 1. […]

• Actual harm, isolatedF689May 26, 2021

  Based on interview and record review, the facility failed to ensure safety, assess accident risks and prevent fall and injuries for one of three sampled residents (Resident 1). Resident 1 required two staff for bed mobility and was lying on a low air loss (LAL) mattress (designed to prevent and treat pressure wounds, provides airflow to help keep skin dry, as well as to relieve pressure. LAL mattresses have different settings [soft to firm] based on the resident's weight and size). […]