Park View Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 12, 2023

  Based on interview and record review, the facility failed to adequately supervise a resident (R126). This failure resulted in R126 eloping from the facility from the patio area. R126 has not returned to the facility. This was identified as an Immediate Jeopardy which began on 7/10/23, when R126 eloped from the facility under no staff supervision. On 10/6/23 at 3:32 PM, the Administrator was notified of the Immediate Jeopardy. The Immediate Jeopardy began on 7/10/23, and was removed on 10/12/23. […]

• Actual harm, isolatedF600May 4, 2026

  Based on interview and record review, the facility failed to affirm the right of one (R5) resident to be free from physical abuse. The deficient practice resulted in actual harm when R5 sustained nondisplaced fracture of the distal tip of the nasal bones. The findings include:R5's admission record / face sheet shows admit date on 3/28/22, with diagnoses not limited to Bipolar disorder, Hyperlipidemia, Other asthma, Paranoid schizophrenia, Depression, Fracture of nasal bones, Vitamin d deficiency, Type 2 diabetes mellitus. MDS (Minimum Data Set), dated 1/15/26, shows R5's cognition is moderately impaired.On 5/3/26 At 10:32AM, R5 was sitting up on wheelchair, alert, and verbally responsive. R5 stated R6 struck / hit him with closed fist on the face and nose inside the bathroom. […]

• Actual harm, isolatedF600Jan 24, 2026

  Based on interview and record review the facility failed to protect the residents rights to be free from physical abuse by residents. This failure affected 3 (R4, R6, and R12) residents and resulted in R6 sustaining a nasal bone fracture and subdural hematoma. Findings Include: 1.R6's Face Sheet, dated 1/23/2026, documents diagnoses of but not limited to Traumatic Subdural Hemorrhage without Loss of Consciousness, Subsequent Encounter, Unspecified Injury of Head- Subsequent Encounter, Fracture of Nasal Bones-Subsequent Encounter for Fracture with Routine Healing, Acute Embolism and Thrombosis of Unspecified Vein, Schizophrenia, and bipolar disorder. […]

• Actual harm, isolatedF600Jun 3, 2025

  Based on interview and record review, the facility failed to ensure four of ten residents (R2, R3, R7, and R9) were free from abuse. This failure affected R2, R3, R7, and R9 who were physically hit, pushed, and punched by peers. As a result of this failure, R3 was hit, pushed, and punched, and sustained a laceration to the forehead requiring 8 stitches. Findings include: 1.R3's admission Record documented date of admission to the facility as 02/01/2024, with diagnoses that includes but not limited to Schizophrenia unspecified, bipolar disorder unspecified, depression unspecified, insomnia, obstructive sleep apnea (adult) (pediatric), history of falling, muscle weakness (Generalized), unsteadiness on feet, and other abnormalities of gait and mobility. […]

• Actual harm, isolatedF689Dec 2, 2024

  Based on interview and record review, the facility failed to use extensive assistance of two staff members during a manual bed-to-wheelchair transfer for one resident (R2) out of three residents reviewed for resident injury and falls. This failure resulted in R2 falling in the facility on 09/17/2024, during a manual bed-to-wheelchair transfer, sustaining a head injury and requiring four staples to the head. Findings include: R2s' Facesheet documents R2 has diagnoses not limited to: Diffuse traumatic brain injury with loss of consciousness, muscle spasm, other seizures, history of falling, and weakness. R2's MDS/Minimum Data Set, dated dated [DATE], documents R2 does not score on the BIMS/Brief Interview for Mental Status, and indicates R2 has memory problems. […]