Parkview Manor

In the surveyor’s words

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

• Immediate jeopardy, patternF600Jan 3, 2024

  Based on clinical record review, family and staff interviews, observations, and policy review, the facility failed to maintain a safe environment free from resident abuse for 8 of 9 residents reviewed for abuse (Resident #2, #3, #4, #5, #6, #8, #11, #15). Clinical record review revealed on 9/26/23 at 4:00 p.m., Resident #6 fell and sustained a hematoma to her head. After the initial hour of assessments, the facility staff neglected to conduct follow up assessments and neurological assessments (as per ordered by the provider) throughout the evening, night and next morning. […]

• Immediate jeopardy, patternF684Jan 3, 2024

  Based on observations, clinical record review, staff interviews and policy review, the facility failed to conduct assessments and provide timely interventions for 6 out of 6 residents with a change of condition (Resident #13, #6, #1, #14, #8 & #10). The facility failed to assess Resident #13 after the Speech Therapist conducted a swallowing evaluation that revealed moderately severe dysphagia, and clinical signs of aspiration during the study on 10/11/23, and subsequently the resident was hospitalized [DATE] with Hypoxia (lack of oxygen), fever, acute aspiration pneumonia, Rhinovirus (common cold), Methicillan-resistant Staphylococcus Aureus (MRSA, a contagious antibiotic-resistant staph infection) positive in both nares, acute kidney injury and a leaking PEG feeding tube that required… […]

• Immediate jeopardy, patternF880Jan 3, 2024

  Based on observations, clinical record review, staff interviews and policy review, the facility failed to implement their infection control policy to ensure MRSA (a contagious staph bacteria infection) was contained. Hospital record review revealed Resident #13 was hospitalized for hypoxia, aspiration pneumonia and was found to be positive for MRSA in the nares (nose). Due to the nursing staff that readmitted Resident #13 not reviewing the hospital discharge records, lab results were not reported and the facility did not provide personal protective equipment for staff use for 10 days. The facility also failed to follow infection control practices during a meal service for Resident #19 & #20. […]

• Immediate jeopardy, isolatedF697Jan 3, 2024

  Based on clinical record review, family and staff interviews, and policy review, the facility failed to provide appropriate pain management for 1 out of 5 residents reviewed (Resident #6). Clinical record review revealed on 9/26/23 at 4:00 p.m., Resident #6 fell and sustained a hematoma to her head. The facility staff failed to conduct a dementia pain assessment for 16 hours, or treat the resident's pain. The facility sent the resident to the emergency room (ER) where the resident was assessed to have a subdural hematoma (brain bleed), fracture of the right clavicle, and a urinary tract infection. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of September 26, 2023 on December 19, 2023 at 12:15 p.m. […]

• Immediate jeopardy, isolatedF689Mar 10, 2021

  Based on observation, staff interview, and facility policy the facility failed to provide adequate supervision for one of five residents that the facility staff identified as cognitively impaired but independently mobile. (Resident#13), which resulted in immediate jeopardy to resident health and safety. The resident that eloped from the facility had combative and wandering behaviors. The facility failed to execute the missing person's policy in a timely manner, and failed to ensure door alarms had been in working order. The resident had eloped from the facility, and had not been found for 2 hours and 45 minutes. […]