Parkway Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure one sampled resident (Resident #1) out of five sampled residents, with known diagnoses of dementia, impulsive disorder, bi-polar disorder, anxiety disorder, cognitive impairment, and who was a known elopement risk received adequate supervision to prevent accidents. On 02/28/26, the magnetic door locks and alarm failed on the secured unit. Staff assigned to supervise the resident, to ensure safety, left the resident unsupervised. The resident went out the door, located off a busy street and major highway, between 7:15 P.M. and 7:20 P.M. The resident remained unaccounted for until 03/01/26 at 2:00 P.M., when he/she was found on the public transit system in a major metropolitan area. […]

• Immediate jeopardy, isolatedF600Jun 4, 2024

  Based on observation, interview, and record review, the facility failed to protect one resident (Resident #1) from physical abuse when a staff member threw a plastic meal tray at the resident, hitting the resident on his/her upper lip and causing the resident to go to the hospital and receiving eight stiches to the space between his/her lip and nose. Facility staff failed to protect three residents (Resident #2, #3, and #10) out of 10 sampled residents, from abuse by another resident. On 5/22/24, Resident #2 self-propelled him/herself towards Resident #10 unprovoked and struck him/her in the face causing his/her nose to bleed. On 5/28/24, Resident #2 called Resident #3 a racial slur and struck the resident. […]

• Immediate jeopardy, isolatedF689Jun 14, 2022

  Based on observation, interview, and record review, the facility failed to provide supervision to prevent an elopement for one sampled resident (Resident #7) who was identified at risk on the facility elopement risk assessment and his/her care plan. Staff failed to check on the resident between the night shift and the day shift, and staff were not aware the resident had left the building. At 7:52 A.M. the resident was found a mile and a half away from the facility at a busy intersection. The resident resided on a locked behavioral dementia unit. Eight sampled residents were reviewed. The facility census was 93 residents. The Administrator was notified on 6/10/22 at 5:05 P.M., of the Immediate Jeopardy (IJ) which began on 6/10/22. […]

• Immediate jeopardy, isolatedF600Dec 27, 2021

  Based on interview and record review, the facility failed to prevent employee to resident abuse for one sampled resident (Resident #1) when on 12/22/21 Hall Monitor A was observed by the Corporate Human Resources (HR) Manager dragging the resident across the cement floor by his/her shirt and arms from the smoke deck patio back inside to the memory care unit. The facility census was 92 residents. The Administrator was notified on 12/23/21 at 3:07 P.M. of an Immediate Jeopardy (IJ) which began 12/22/21. The IJ was removed on 12/27/21 as confirmed by surveyor onsite verification. […]

• Actual harm, isolatedF600Feb 22, 2023

  Based on interview and record review, the facility failed to prevent resident to resident abuse for one sampled resident (Resident #1) out of six sampled residents, when on [DATE] Resident #2 punched Resident #1 several times in his/her face resulting in a bloody nose, a black eye and red marks on his/her head. The facility census was 91 residents. On [DATE] the Administrator was notified of the past noncompliance, which occurred on [DATE]. On [DATE], the facility administration was notified of the incident and the investigation was started. Facility staff were educated on abuse and neglect policy, resident intervention and behaviors on their next shifts. […]