Parkhill North Nursing Home

In the surveyor’s words

From the most serious findings on record at Parkhill North Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Apr 24, 2023

  Based on interview and record review, the facility failed to ensure an RN (Registered Nurse) was on duty for eight hours a day on the weekends, a total of 38 days. This had the potenital of effecting all 38 residents residing in the facility A report titled Labor Analysis-Overtime Report, did not document an RN was on duty for the Saturdays and Sundays for the weeks of 10/1/22 through 04/24/23. On 04/21/23 at 2:12 p.m., ADON #1 was asked why there was no RN coverage on the weekends. They stated they didn't have RN coverage on the those weekends.

• No harm, potential for more than minimal, widespreadF812Apr 24, 2023

  Based on observation, record review, and interview the facility failed to maintain a clean ice machine. The Resident Census and Conditions report, dated 04/14/23, documented 36 residents received ice from the ice machine. Findings: On 04/21/23 at 2:00 p.m., the ice machine was observed to have a black substance on the plastic components inside the machine. The ice came in contact with the black substance. A log titled Ice Machine Cleaning Schedule 2022, was reviewed. The ice machine was documented to have been cleaned once in November 2022 and December 18, 2022. There was no documentation of cleaning the ice machine in 2023. On 04/22/23 at 11:15 a.m., Cook #1 was asked to identify the black substance on the inside plastic components of the ice machine. They stated it was scum. […]

• No harm, potential for more than minimal, patternF770Dec 18, 2025

  Based on record review and interview, the facility failed to ensure labs were obtained as ordered by the physician for 2 (#33 and #5) of 5 sampled residents whose labs were reviewed.The DON identified 37 residents had lab orders.Findings:1.A policy titled Lab and Diagnostic Test Results-Clinical Protocol, dated November 2018, read in part, 1. The physician will identify and order diagnostic and lab testing based on the resident's diagnostic and monitoring needs. 2. The staff will process test requisitions and arrange for tests.A physician order, dated 04/11/25, showed Resident #33 was to have a CBC and CMP every six months in April and October.A quarterly assessment, dated 10/31/25, showed Resident #33 had a BIMS score of 2, which indicated the resident was severely impaired in cognition… […]

• No harm, potential for more than minimal, patternF801Dec 18, 2025

  Based on observation and interview, the facility failed to employ a full-time dietary manager and have competent kitchen staff assigned to perform the duties of cook and/or dietary aide. The DON identified 39 residents received meals prepared in the kitchen. Findings: On 12/09/25 at 10:50 a.m., there was no dietary manager observed in the kitchen.On 12/09/25 at 1:30 p.m., there was no dietary manager observed in the kitchen.On 12/10/25 at 10:30 a.m., there was no dietary manager observed in the kitchen. A hospice aide entered the kitchen without a hair net or hair cover and scooped ice from a cooler located in the center of the kitchen. [NAME] #1 and cook #2 were present, but neither corrected the hospice aide nor offered them a hair net. […]

• No harm, potential for more than minimal, patternF803Dec 18, 2025

  Based on observation, record review, and interview, the facility failed to provide meals according to the menu approved by the registered dietician for two of two observed meal services. The DON identified 39 residents ate meals prepared in the kitchen and cook #1 identified six residents received pureed diets.Findings:On 12/15/25 at 9:20 a.m., cook #1 was observed pureeing canned carrots. [NAME] #1 slid a butter knife back and forth between the blender housing and the cover until the safety engaged and the blender started. On 12/15/25 at 11:10 a.m., cook #1 was observed pureeing prepared lasagna. [NAME] #1 slid a butter knife back and forth between the blender housing and the cover until the safety engaged and the blender started. […]