Parker Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Parker Nursing & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Apr 27, 2023

  Based on observation, interview, and record review ,the facility failed to monitor the cooling down process of an undated, cooked pork roast on [DATE] at 5:58 am, and attempted to serve it for the noon meal on [DATE]; failed to wear the proper PPE (Personal Protective Equipment) during the preparation of food and during the sanitation of resident utensils; failed to date cooked food items to ensure use before expiration; failed to discard expired food; and failed to monitor and record the required refrigerator, freezer, and milk cooler temperatures, food temperatures of served foods, and the required dishwasher sanitation levels. […]

• Immediate jeopardy, isolatedF610Jun 3, 2025

  Based on interview and record review, the facility failed to identify and investigate an allegation of sexual abuse for two residents (R1 and R3); and failed to protect (R1 and R3) from any further possible alleged sexual abuse. These failures led to R1 and R3 to withdraw from socialization and daily activities. R1 and R3 remained in their rooms to avoid contact with the alleged perpetrator (R2). These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 05/26/2025 when R1 and R3 reported R2 was making sexually explicit remarks to them. The allegations were not investigated immediately and R2 had continued access to R1 and R3. […]

• Immediate jeopardy, isolatedF684Oct 1, 2021

  Based on interview and record review, the facility failed to ensure necessary gastrostomy equipment was available, failed to administer gastrostomy tube feeding per physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . These failures resulted in R98 suffering respiratory distress, being hospitalized with new diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . These failures resulted in an Immediate Jeopardy. While the Immediacy was removed on 9/30/21, the facility remains out of compliance at Severity level two while the facility is in the process of educating the Medical Director, reviewing the new gastrostomy and [CONDITION(S)] process, and initiating the Quality Assurance Audit tools for compliance. […]

• Actual harm, isolatedF692Apr 1, 2026

  Based on observation, interview and record review the facility failed to ensure that a resident received a diet as ordered, including failure to implement and communicate an ordered diet alternative. This resulted in a significant, unplanned weight loss of 11.1% for 1 of 4 residents (R13) reviewed for significant weight loss in the sample of 17.The findings include:R13's Face Sheet printed on 3/31/26 shows R13 was initially admitted to the facility on [DATE] with diagnoses that include polyneuropathy (damage to nerves in body), major depressive disorder, bipolar disorder, and personal history of transient ischemic attack and cerebral infarction (type of stroke) without residual deficits. […]

• Actual harm, isolatedF725Jan 4, 2024

  Based on interview and record review, the facility failed to have sufficient nursing staff on 12/8/23. This failure resulted in cares not being provided timely, and R3 becoming tearful to staff, crying, and stating she feels like a burden. Findings include: Facility Assessment Tool, dated 12/1/23, documents, General Staffing plan to ensure that we have sufficient staff to meet the needs of the residents at any given time. CNAs (Certified Nursing Assistant) day shift 4-7, and One restorative aide. Facility Resident Rights pamphlet, undated, documents, The facility must care for you in a manner and environment that promotes your quality of life. […]