Parkview Care Center

In the surveyor’s words

From the most serious findings on record at Parkview Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF610Feb 1, 2023

  Based on observation, interview, and document review the facility failed to ensure actions were taken to protect 1 of 1 resident (R1) from sexual abuse when R1 voiced concerns with nursing assistant (NA)-A. Further the facility failed investigate this allegation, report timely to the state agency (SA), or take actions to protect other residents with a subsequent second accusation of sexual abuse involving (NA)-A. The facility implemented intervention, and the deficiency is being issued as past noncompliance. The immediate jeopardy began on [DATE], when the facility failed to report and investigate R1's report of rough handling of NA-A, and received an additional accusation of sexual abuse from R1 about NA-A on [DATE]. […]

• Actual harm, isolatedF684Feb 5, 2026

  Based on observation, interview, and record review, the facility failed to comprehensively assess, monitor, timely develop and revise a care plan, and follow physician-ordered treatments for a surgical wound for 1 of 3 residents (R1) reviewed for non-pressure related skin injuries. The facility's failures resulted in actual harm, as evidenced by documented deterioration of R1's surgical wound from partial to complete dehiscence, with measurable increases in wound depth and tunneling, increased pain, and the need for ongoing treatments. Findings include: R1's face sheet dated 1/29/26, identified diagnoses of malignant neoplasm (cancer) of the anal canal. […]

• Actual harm, isolatedF686Feb 5, 2026

  Based on observation, interview, and document review the facility failed to monitor, comprehensively assess, develop, and implement individualized interventions to prevent/mitigate the risk of pressure ulcers to /or deterioration for 2 of 3 residents (R2, R3) reviewed for pressure ulcers. This resulted in actual harm for R2 who developed an unstageable pressure ulcer on her right heel and stage 3 pressure ulcer on sacrum. Findings include: Pressure Ulcer/Injury (PU/PI) is localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury occurs because of intense and/or prolonged pressure or pressure in combination with shear. Stage 1 Pressure Injury: Non-blanchable erythema of intact skin. […]

• Actual harm, isolatedF686Apr 24, 2025

  Based on observation, interview, and document review the facility failed to comprehensively assess, monitor, and provide interventions to prevent pressure ulcer development, promote healing, and prevent deterioration for 1 of 3 residents (R3) who had pressure ulcers. The facility's failures resulted in harm when R3 developed a stage 2 pressure ulcer (PU) that deteriorated to a stage 3. Findings include: STAGING Staging of a PU/PI is performed to indicate the characteristics and extent of tissue injury, and should be conducted according to professional standards of practice. Determining whether damage to the skin and underlying tissue is a PI or PU depends on the staging of the damaged tissue. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2025

  Based on observation, interview, and document review, the facility failed to ensure plates, trays, and plate covers were completely dry before storing, and failed to ensure refrigerated food was disposed of timely to prevent bacterial growth and foodborne illness. This had the potential to affect all 18 residents residing in the facility. Findings include: During initial kitchen observation on 6/23/25 at 6:25 p.m., dietary aide (DA)-A was washing dishes. Clean plates, serving trays, and plate covers were lined up air drying near the dishwasher. During observation and interview on 6/23/25 at 7:00 p.m., DA-A had put all dishes away. […]