Park Village Health Care Center Inc

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Dec 27, 2023

  Based on medical record review, review of hospital records, interviews, and facility policy review, the facility failed to provide timely and necessary care and treatment to prevent complications following a fall with injury and changes in resident condition. This resulted in Immediate Jeopardy and serious life-threatening harm on [DATE] when Resident #2 sustained a fall with his left arm assessed to have an area that was raised, red, and warm to touch between his ulna and humerus bone without evidence of additional medical treatment. […]

• No harm, potential for more than minimal, widespreadF812Apr 22, 2026

  Based on observation, interview with staff, and review of the recommendations of the US Department of Agriculture, the facility failed to store and serve food in a manner to prevent foodborne illness. This had the potential to affect 75 of 76 residents who received meals from the facility kitchen. The facility census was 76.Findings include: Observation and interview on 04/19/26 between 9:05 A.M. and 9:24 A.M. during the initial kitchen tour revealed four full loaves and one half loaf of [NAME] sandwich bread with use by date of 04/14/26 on the bread rack used for meal service on 04/19/26. This was verified at the time of observation by Dietary [NAME] (DC) #513 who removed the bread and discarded it in the trash. Observation on 04/21/26 at 11:20 A.M. […]

• No harm, potential for more than minimal, widespreadF880Feb 28, 2024

  Based on record review, interview, and facility policy review the facility failed to ensure proper infection control practices and procedures were in place to prevent the spread of Respiratory Syncytial Virus (RSV). This had the potential to affect all 70 residents who resided in the facility. Findings Include: Resident #76 was admitted to the facility on [DATE] and expired [DATE]. Diagnoses included diabetes mellitus, persistent mood affect disorder, major depressive disorder, and anxiety disorder. Review of the comprehensive Minimum Data Set (MDS) 3.0 assessment, dated [DATE], revealed Resident #76 had severely impaired cognition and required substantial assistance for walking and had behaviors of wandering one to three days during the seven-day look back period. […]

• No harm, potential for more than minimal, widespreadF867Dec 27, 2023

  Based on record review and interview the facility failed to implement an effective plan/policy to prevent recurrence of a system failure that resulted in harm for Resident #5. This affected one resident (#5) and had the potential to affect all 83 residents residing in the facility. Findings included: Review of staff education dated 05/08/23 and 05/12/23 revealed when a resident has a change of condition you would need to notify the physician or the practitioner on call. Physician #501 had a communication book at each nurse station with instructions on how to contact a practitioner. If you were unable to reach a practitioner, then you have to contact the Medical Director and his phone number would be in the rolodex at each nurse's station. […]

• No harm, potential for more than minimal, widespreadF867Dec 27, 2023

  Based on record review and interview the facility failed to implement an effective plan/policy to prevent recurrence of a system failure that resulted in harm for Resident #5. This affected one resident (#5) and had the potential to affect all 83 residents residing in the facility. Findings included: Review of staff education dated 05/08/23 and 05/12/23 revealed when a resident has a change of condition you would need to notify the physician or the practitioner on call. Physician #501 had a communication book at each nurse station with instructions on how to contact a practitioner. If you were unable to reach a practitioner, then you have to contact the Medical Director and his phone number would be in the rolodex at each nurse's station. […]