Parker Health Care & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Parker Health Care & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF565Aug 2, 2024

  Based on interview and record review, the facility failed to provide the resident group the opportunity to select a resident representative to serve as the Resident Council President for 10 of 10 residents interviewed in a group setting. Findings include: During a resident group interview on July 31, 2024 at 10:00 a.m. the following concerns regarding Resident Council were indicated: The facility had informed the members of Resident Council they would no longer have a resident council president. The residents did not initiate this practice. The Activity Director informed the council that this was how it was going to be going forward. The residents indicated the Activity Director had told them that other facilities did not have a president of Resident Council, so they would not either. […]

• No harm, potential for more than minimal, isolatedF880Jan 29, 2026

  Based on observation, record review, and interview, the facility failed to ensure enhanced barrier precautions (EBP) were followed during transfers and perineal care for 1 of 3 residents reviewed for transfers (Resident B). Finding includes:During an observation, on 1/29/26 at 11:11 a.m., Resident B was lying in a low bed with mats on either side of the bed. Her eyes were closed. An orange magnet indicating EBP was on the doorframe of the door entering the resident's room. Resident B's clinical record was reviewed on 1/29/26 at 11:12 a.m. Diagnoses included age related physical debility, Alzheimer's disease, delusional disorders, and dementia with other behavioral disturbance. […]

• No harm, potential for more than minimal, isolatedF578May 23, 2022

  Based on interview and record review, the facility failed to clarify a resident's end of life wishes for 1 of 3 residents reviewed for Advanced Directives. (Resident 4) Findings include: A review of Resident 4's clinical record was completed on [DATE] at 2:24 p.m. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident had a physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . A quarterly Minimum Data Set (MDS) assessment, dated [DATE], indicated the resident had severe cognitive impairment, was able to understand and be understood, and did not have disorganized thinking. During an interview on [DATE] at 1:41 p.m., Resident 4 was able to identify the day of week and the calendar date within one day, and his location. […]

• No harm, potential for more than minimal, isolatedF645May 23, 2022

  Based on record review and interview, the facility failed to ensure timely completion of a required Level I Preadmission Screening and Resident Review (PASARR) assessment for 1 of 2 residents reviewed for PASARR. (Resident 21) Findings include: Resident 21's clinical record was reviewed on 5/18/22 at 2:17 p.m. He admitted to the facility on [DATE] and remained in the facility. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . His clinical record lacked a pre-admission Level I PASARR. During an interview on 5/18/22 at 3:09 p.m., the Director of Nursing (DON) was requested to provide the PASARR document for Resident 21. […]

• No harm, potential for more than minimal, isolatedF679May 23, 2022

  Based on observation, interview, and record review, the facility failed to provide ongoing activity programs to meet individual resident needs for 2 of 2 physically dependant, cognitively impaired residents reviewed for individualized activities. (Residents 51 and 55) Findings Include: 1. During an interview on 5/16/22 at 1:30 p.m., Resident 51's family member indicated the resident required assistance from staff to get out of bed and move about in her specialized wheelchair. The family member indicated he would like the resident to leave her room and move about the building a little bit. Resident 51 was observed in her room during the following observations: a. On 5/16/22 at 11:46 a.m., the resident was in bed with the TV on. She was not looking at the television. b. […]