Parkside Villa

In the surveyor’s words

From the most serious findings on record at Parkside Villa, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Apr 30, 2025

  Based on observations, resident record review, resident interviews, and staff interviews. The facility failed to ensure adequate staff levels to meet the needs of the residents. This affected three (#4, #79, #104) of three residents reviewed and had the potential to affect all residents residing in the facility. The facility census was 142. Findings include: 1. Interview on 04/21/25 at 9:55 A.M. with Resident #148 revealed there weren't enough staff in the building and call lights went unanswered. Interview on 04/21/25 at 10:04 A.M. with Resident #72 revealed there were not enough staff, especially aides, and call light wait times were long. Interview on 04/21/25 at 10:12 A.M. […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2025

  Based on observation, interview, review of the facility policy and review of facility temperature monitoring logs, the facility failed to ensure unit refrigerators temperature monitoring logs were completed as required. This had the potential to affect all 115 residents receiving food from the facility kitchen. The facility identified twelve residents who received nothing by mouth (NPO). The facility census was 142. Findings include: Observation and interview on 04/24/25 at 3:00 P.M. with Registered Dietitian (RD) #852 of the facility unit refrigerators used for outside foods brought in for residents revealed no temperature monitoring logs were on the facility refrigerators. […]

• No harm, potential for more than minimal, patternF695Apr 30, 2025

  Based on observations, resident record reviews, resident interviews, staff interviews, and facility policy review, the facility failed to ensure oxygen tubing labeled and changed routinely. This affected six (#84, #91, #114, #118, #160, #367) of six residents reviewed for respiratory services. The facility census was 142. Findings include: 1. Review of the medical record for Resident #114 revealed she was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes, chronic obstructive pulmonary disease, and dependence on supplemental oxygen. […]

• No harm, potential for more than minimal, patternF761Apr 30, 2025

  Based on observation, staff interview, and facility policy review, the facility failed to ensure medications were stored in a safe, secured and proper manner. This had the potential to affect 101 residents who were identified by the facility to be independently mobile. The census was 142. Findings include: Observation on 04/22/25 at 1:00 P.M. revealed the staff development room was full of unreturned resident prescription medications. There were seven large boxes filled with cards of medications, and a table full of prescription medication cards for residents who had discharged . Additional medications were stacked on the floor of the room. There were three large purple bags of medications that were ready to be returned. […]

• No harm, potential for more than minimal, patternF761Apr 30, 2024

  Based on observations and interviews the facility failed to name and date open insulin and discard expired and unused insulin from the medication cart. This affected five (#18, #27, #85, #105, and #115) of 21 residents that required insulin. Findings include: Observation on [DATE] at 9:29 A.M. of Medication cart #1 revealed an open vial of insulin for Resident #105, the vial was not dated as to when it was opened; an open vial of insulin with no name or date as to when the insulin vial had been opened, and six additional opened insulin vials for residents that were either discharged or moved to another unit. […]