Parkland Manor Living Center

In the surveyor’s words

From the most serious findings on record at Parkland Manor Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Nov 1, 2024

  Based on observation, record review, and interview, the facility failed to ensure: a. medications were administered as ordered for one (#2); b. an accurate account of controlled medications was maintained for two (#2 and #4); and c. a physician ordered medication was available to administer for one (#4) of three sampled residents reviewed for pain. The BOM identified 17 residents with orders for pain medication resided in the facility. Findings: An undated Medication Handling Procedure policy, read in part, .The facility staff is responsible for reordering the medication when needed .The Refill Order Form serves as the system's basic form to facilitate the transfer of medication reorders . […]

• No harm, potential for more than minimal, patternF645May 31, 2024

  Based on record review and interview, the facility failed to ensure accuracy of a level I PASARR assessment for three (#8, 10, and #13) of three residents reviewed for PASARR assessments. The administrator identified 21 residents who resided in the facility. Findings: 1. Res #10 had a level I PASARR screen, dated 04/27/23, which documented a primary diagnosis of hypertensive heart disease and chronic kidney disease with heart failure and a secondary diagnosis of hemiparesis and hemiplegia. […]

• No harm, potential for more than minimal, patternF689May 31, 2024

  Based on record review and interview, the facility failed to ensure the residents were free from accident hazards fro one (#8) for two residents sampled for accidents. The administrator reported 21 residents resided in the facility. Findings: On 05/29/24 at 9:55 a.m., Res #8 reported one person uses lift to transfers her most times. A monthly summary, dated 4/2/24, documented mechanical lift with 2 person assist. On 05/29/24 at 1:07 p.m., CNA #1 was asked how the resident is transferred. CNA #1 reported with the mechanical lift. CNA #1 was asked how many people transfer resident and he reported usually 2 but I can do it by myself. […]

• No harm, potential for more than minimal, patternF693May 31, 2024

  Based on observation, record review, and interview, the facility failed to ensure medications were administered separately and PEG tube placement was verified prior to the administration of medications for one (#17) of one resident reviewed for tube feedings. The DON identified one resident who received medications via PEG tube. Findings: An Administering Medications through an Enteral Tube policy, revised November 2018, read in parts, .Verify placement of feeding tube: if you suspect improper tube positioning, do not administer feeding or medications. […]

• No harm, potential for more than minimal, patternF755May 31, 2024

  Based on observation, record review, and interview, the facility failed to ensure medications were administered according to physician orders for two (#1 and #5) of six residents who were observed for medication administration. The administrator identified 21 residents who resided in the facility. Findings: A Medication Administration policy, undated, read in parts, .Ensure that the six rights of medication administration are followed: Right resident, Right drug, Right dosage, Right route, Right time, Right documentation .Compare medication source (bubble pack, vial, etc.) with MAR to verify resident name, medication name, form, dose, route, and time . 1. […]