Parkview Manor Care Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF610Sep 30, 2024

  Based on staff interview, facility investigation review, time card detail, and policy review, the facility failed to separate a staff member from dependent residents accused of alleged physical and verbal abuse that occurred on 8/30/24 around 11:30 PM in a timely manner for 1 of 13 residents reviewed for abuse (Resident #9). The staff member not only continued to work the rest of her shift on 8/30/24, they worked full shifts on 8/31/24, 9/1/24, and 9/2/24. Due to the facility failing to separate the alleged abuser from the alleged victim and/or other vulnerable residents, this resulted in an immediate jeopardy situation. The facility didn't initiate an investigation for the alleged abuse until 9/3/24. […]

• Immediate jeopardy, isolatedF609Sep 30, 2024

  Based on staff interview, facility investigation review, clinical record review, and policy review, the facility failed to notify the Department of Inspections, Appeals and Licensing (DIAL) of alleged physical and verbal abuse that occurred on 8/30/24 around 11:30 PM in a timely manner. The Certified Nursing Aide (CNA) reported the alleged incident after first rounds on 8/30/24 to a Licensed Practical Nurse (LPN). The facility didn't start their investigation for the alleged abuse until 9/3/24 for 1 of 13 residents reviewed for abuse (Resident #9). The facility reported the incident to DIAL at approximately 1:00 PM on 9/3/24. The Department notified the facility of the immediate jeopardy (IJ) on 9/24/24, that began on 8/30/24. […]

• Immediate jeopardy, isolatedF689Sep 30, 2024

  Based on clinical record review, staff interviews, observations, hospital record review, and policy review, the facility failed to provide adequate nursing supervision to prevent accidents and injuries for 1 of 3 residents reviewed (Resident #21). On 9/17/24 Resident #21 attempted suicide by wrapping the bed remote cord around his neck twice which resulted in transfer to the hospital for a psychiatric evaluation and medication changes at the facility. Following his return, the facility gave him back his television, but failed to secure the television cords, cable cords, and a power cord under the bed to prevent access. […]

• Actual harm, isolatedF686Sep 30, 2024

  Based on record review, staff and family interviews and facility policy the facility failed to complete and document treatment to a stage 2 pressure ulcer consistent with professional standards of practice for 1 of 2 residents reviewed (Resident #8). The facility reported a census of 26 residents. The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only, it may appear with persistent blue or purple hues. Stage II is partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough (dead tissue, usually cream or yellow in color). […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on observation, staff interviews and policy review, the facility failed to maintain a sanitary kitchen and dining room. In addition, the facility failed to handle dishes in a sanitary manner to reduce the risk of cross contamination and food borne illness. The facility reported a census of 26.Findings include:On 8/18/25 at 9:45 AM observed during the initial walk through of the kitchen, limescale and rust on the dishwasher. In addition, the ice machine in kitchen had limescale build-up inside and outside. In the dining room saw the ice/water machine had limescale rust with rust on the waterspout. Observed dirty hand-washing stations in the dishwashing room and kitchen. The floor in the dishwashing room looked very dirty and had leaves under the shelves. […]