Parkview Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF804Apr 8, 2022

  Based on observations, record review, resident and staff interview the facility failed to serve food that was palatable and at an acceptable temperature for 2 of 5 residents (Resident #150 and Resident #154) that were reviewed for food palatability. Findings included: An observation was made of the steam table in the kitchen on April 6, 2022, at 12:20 PM. The lunch meal was already on the steam table and cook #1 revealed she had taken the temperatures already. Cook #1 used a digital thermometer to recheck the temperature of the food on the steam table and they were: tomato soup 195 degrees F, grilled cheese sandwich 187 degrees F, spring vegetable stick 168 degrees F and hamburger patties 187 degrees F. […]

• No harm, potential for more than minimal, isolatedF553Apr 28, 2023

  Based on record review and staff and resident interviews the facility failed to invite a cognitively intact resident to participate in the planning of the resident's care for 1 of 3 residents reviewed for participation in care plan meetings. (Resident #12) Resident #12 was admitted on [DATE]. Review of the electronic medical record for Resident #12 revealed a form titled, Care Plan Attendance Sheet dated 11/11/2022 contained the Residents name, Responsible Party's (RP) name and the people who had attended the meeting. The Social Worker and the Unit Manager reviewed the plan of care with Resident #12's family member. Resident #12 did not attend the meeting. […]

• No harm, potential for more than minimal, isolatedF636Apr 28, 2023

  Based on record review and staff interviews the facility failed to complete Minimum Data Set (MDS) assessments within 14 days of the Assessment Reference Date (ARD), which was the last day of the assessment period) for 2 out of 12 sampled residents (Resident #19, and #52). Findings include: 1. Resident #19 was admitted to the facility on [DATE]. A review of Resident #19's 5-day/admission MDS assessment with an ARD of 11/4/22 was signed as completed on 11/14/22. An interview with MDS Coordinator on 4/27/23 at 9:31 AM, revealed she did not sign the MDS assessments as completed. The MDS Coordinator reported that the Corporate MDS Nurse Consultant signed the assessments after she filled them out and was unable to say why the assessments were signed as completed late. […]

• No harm, potential for more than minimal, isolatedF640Apr 28, 2023

  Based on record review and staff interviews, the facility failed to transmit Minimum Data Set (MDS) assessments to the Centers for Medicare & Medicaid Services (CMS) within the regulatory timeframe for 2 of 12 residents reviewed (Resident #11 and #19). 1.Resident #11 was admitted to the facility on [DATE]. A review of Resident #11's most recent admission MDS assessments with an Assessment Reference Date (ARD) of 10/28/22 revealed it was signed as completed on 11/6/22. The assessment was transmitted to CMS on 12/8/2022. An interview with the Corporate MDS Consultant on 4/28/23 at 9:07 AM, revealed she completed facility MDS assessments. The corporate billing office transmitted the assessments. She was unaware the assessments were transmitted late. […]

• No harm, potential for more than minimal, isolatedF759Apr 28, 2023

  Based on observations, record review and staff interviews, the facility failed to maintain a medication error rate of less than 5% as evidenced by a medication error rate of 10.34% (3 errors out of 29 opportunities) for Resident #235 and Resident #62. The findings included: 1a. A medication administration for Resident #235 was observed on 4/27/23 at 9:26 AM, Nurse #1 administered a simethicone 125 milligram (mg) tablet orally. Review of physician orders 4/14/23 revealed Resident #235 was prescribed simethicone tablet chewable 80 mg by mouth four times a day for heartburn. An interview on 4/27/23 at 2:25 PM, Nurse #1 stated she gave the 125 mg simethicone dose, even though the order was for 80 mg. […]