Parkview Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF804Mar 20, 2025

  Based on observation, interview, and facility policy review, the facility failed to assure the nutritive value of food was not compromised and destroyed because of prolonged holding on a steam table. The deficient practice had the potential to affect 163 of the facility's 163 residents who consumed food from the kitchen. Observation on 03/17/2025 at 3:20 PM, revealed macaroni and cheese and greens were placed on the steam table an hour and ten minutes prior to the evening meal being served. The findings include: Review of the facility policy titled, Food Temperature Control, revised 06/28/2024, revealed the food temperatures were to be maintained during mealtimes to ensure residents received safe food served at acceptable temperatures. […]

• No harm, potential for more than minimal, patternF880Mar 20, 2025

  Based on observation, interview, record review, and review of the facility policy, it was determined the facility failed to ensure infection control procedures to prevent the spread of infection were followed for 1 of 33 sampled residents, (Resident (R)139); and for all residents residing on the 900 hall/unit who used ice from the ice cooler. 1. Observation on 03/19/2025 revealed staff failed to use appropriate Personal Protective Equipment (PPE) when providing care for R139 who required Enhanced Barrier Precautions (EBP). 2. Observation on 03/18/2025 revealed staff, after overfilling a resident's used cup with ice, and then to proceed to pour the excess ice, off the top of the cup, back into the clean cooler of ice. The findings include: 1. […]

• No harm, potential for more than minimal, isolatedF644Apr 2, 2026

  Based on interview, record review, and review of the facility policy, it was determined that the facility failed to refer residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II Pre-admission Screening and Resident Review (PASARR). Resident (R) 11 admitted to the facility on [DATE]. On 10/08/2023, a new diagnosis of schizophrenia was added, however, the facility did not initiate a new level I PASARR. This affected one (1) of one (1) resident reviewed for PASARR. […]

• No harm, potential for more than minimal, isolatedF656Apr 2, 2026

  Based on observation, interview, record review and facility policy review, it was determined the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that are identified in the comprehensive assessment for three out of three residents, Resident (R) R5, R6 and R7. The findings include: Observation of (R) 5 on 03/30/2026 at 4:48 PM revealed a catheter bag anchored to the bedside, and the end of the catheter tubing was in the trash can. Observation on 03/31/2026 at 10:25 AM and 3:48 PM revealed that the catheter tubing remained in the trash can. […]

• No harm, potential for more than minimal, isolatedF688Apr 2, 2026

  Based on observation, interview, record review, and review of facility policies, it was determined that the facility failed to ensure interventions to prevent / decrease a resident's limitation in Range of Motion (ROM) were in place for two (2) of three (3) sampled residents, R6 and R7. The findings include: Review of the facility policy titled, Splints and Braces-Upper Extremity, reviewed 09/19/2025 stated the facility would provide splints and braces to the upper extremities in accordance with professional standards of practice, as outlined by [NAME]. […]