Park View Post Acute

In the surveyor’s words

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

• Actual harm, isolatedF600Jan 30, 2026

  Based on observation, interviews, including a Santa [NAME] Police Department Detective interview, and facility record reviews, the facility failed to protect one resident (Resident 1) of a census of 115 and sample of 77 interviewable residents, to be free from sexual abuse, when Licensed Staff B witnessed Unlicensed Staff A touching his exposed penis against Resident 1's naked body during care.This failure to protect Resident 1 from Unlicensed Staff A resulted in Resident 1 stating she told Unlicensed Staff A to stop, and it made her feel uncomfortable, and would make a reasonable person, who suffered from sexual assault by a facility staff member, to experience fear, guilt, shame, isolation, dehumanization and humiliation as a result of the sexual abuse. […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to store and prepare food under sanitary conditions and in accordance with professional standards for a census of 116 when:Nonstick pans used in food preparation were visibly scratched, compromising the integrity of the cookware and increasing the risk of nonstick coating flaking into food;A manual can opener had missing metal on the tip, creating a potential physical contaminant hazard during food preparation; andItems in the refrigerators were not marked with an open date or delivery date.These failures had the potential to contribute to the spread of foodborne illnesses among a vulnerable resident population.1. […]

• No harm, potential for more than minimal, widespreadF842Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to protect resident health information for a census of 116 when dietary tickets were disposed of in the facility's regular trash.This failure decreased the facility's potential to protect and safeguard resident confidentiality and personal privacy.During a concurrent observation and interview on 3/2/26 at 9:17 a.m. with the Food & Nutrition Director (FND), in the kitchen dishwashing area, a dietary aid (DA) was observed removing trays from the soiled tray carts to prepare them to be washed. The DA sorted the tray contents and threw residents' dietary tickets into the garbage can along with scraps of food. The FND stated residents' dietary tickets were thrown into the garbage with food scraps. […]

• No harm, potential for more than minimal, patternF760Apr 29, 2025

  Based on observation, interview, and record review the facility failed to ensure residents were free of medication errors when one of three sampled residents (Resident 3) was not given the correct dosage of a medication, Uptravi (generic name selexipag) a medication used to treat pulmonary hypertension (high blood pressure in the arteries that carry blood from the heart to the lungs). This failure had the potential for Resident 3 to have a drug overdose causing physical problems ranging from pain, rashes, weakness, organ failure, (when organs in the body such as the heart, lungs, kidneys or liver are unable to perform their critical functions), seizures or even death. […]

• No harm, potential for more than minimal, patternF550May 17, 2024

  Based on observation, interviews, and record reviews, the facility failed to ensure the rights of five (5) unsampled residents (Resident 20, Resident 55, Resident 69, Resident 76 & Resident 63) and three (3) of 24 sampled residents (Resident 3, Resident 51 & Resident 42) were honored and respected, when: 1) facility staff did not answer or respond to call lights or call for assistance, making residents wait for 20 minutes or more; 2) the facility did not follow its Smoking Policy, when Resident 42 wheeled himself across the facility's parking lot to smoke without staff supervision, and; 3) facility staff entered and exited the building using the slider doors in the residents' rooms that opened to the back patio. […]