Parkview Haven

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF761Jun 25, 2025

  Based on observation and interview, the facility failed to ensure medications were properly labeled and stored for 1 of 1 medication carts observed. (North Hall Cart) Finding includes: On 6/24/25 at 2:33 p.m., the North Hall Medication Cart was observed with QMA 2. The following medications were not labeled or stored properly: a. There was a bottle of Vitamin C 500 milligram tablets, Tylenol 500 milligram tablets, and famotidine 20 milligram tablets with Resident 25's name and physician written in black marker. There were no administration instructions for the medications. b. There was a bottle of Tylenol 500 milligram tablets with Resident 25's name and physician written in black marker. There were no administration instructions. c. […]

• No harm, potential for more than minimal, patternF880Apr 11, 2023

  Based on observation, record review and interview, the facility failed to ensure infection control guidelines were in place and implemented, including those to prevent and/or contain COVID-19, related to inaccurate documentation of employee COVID-19 test results, (Employee 1 and 2), lack of a policy related to care for COVID-19 positive residents, and hand hygiene during medication pass for 2 staff members observed during medication pass. (QMA 1 and LPN 2) Findings include: 1. The employee COVID-19 testing results and logs were reviewed on 4/6/23. Employee 1 was tested on [DATE], the result was positive. Contact tracing was conducted and 8 residents that the employee had been in contact with were tested for COVID-19. […]

• No harm, potential for more than minimal, isolatedF655Jun 25, 2025

  Based on observation, record review, and interview, the facility failed to ensure a resident's Baseline Care Plan was complete and accurate related to the use of half side rails for 1 of 7 residents reviewed for accidents. (Resident 183) Finding includes: During an observation and interview on 6/18/25 at 11:15 a.m., Resident 183 was observed sitting up in bed, there were half side rails on each side of the bed. The resident indicated she had a couple of falls out of her bed since she arrived to the facility. On 6/20/25 at 4:45 p.m., Resident 183 was observed sitting up in bed. She indicated the facility got her a longer bed and it was comfortable for her. There were half side rails observed on each side of the bed. Resident 183's record was reviewed on 6/19/25 at 3:52 p.m. […]

• No harm, potential for more than minimal, isolatedF656Jun 25, 2025

  Based on record review, and interview, the facility failed to ensure comprehensive care plans were implemented for residents for risk of elopement, pain, and antibiotic therapy for 3 of 15 resident care plans reviewed. (Residents 5, 25, and 6) Findings include: 1. Record review for Resident 5 was complete on 6/19/25 at 4:00 p.m. Diagnoses included, but were not limited to, paranoid schizophrenia, anxiety, and dementia. The Quarterly Minimum Data Set (MDS) assessment, dated 4/2/25, indicated the resident was cognitively impaired. The resident was independent with bed mobility, transfers, and walking. An Elopement Evaluation, dated 4/7/25, indicated the resident was independent with ambulation. The resident was cognitively impaired and had poor decision-making skills. […]

• No harm, potential for more than minimal, isolatedF657Jun 25, 2025

  Based on observation, record review and interview, the facility failed to update care plans related to safety and fall interventions for 2 of 15 resident care plans reviewed. (Residents 21 and 8) Findings include: 1. On 6/20/25 at 12:13 p.m., Resident 21's room was observed. The call light cord was wrapped around the upper assist rail on the bed and a black zip tie was holding the cord to the assist rail. There was a silver hand bell on top of the resident's dresser. The resident was not in the room at the time. The record for Resident 21 was reviewed on 6/19/25 at 11:59 a.m. […]