Parkway Manor

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 11, 2026

  Based on interview and record review the facility failed to develop and implement interventions to prevent future falls for 2 of 6 residents (R106, R38) reviewed for falls in a sample of 45. This failure resulted in R106 having three falls on 2/19/2026 and suffering a non-displaced fracture of the right distal fibula.Findings include:1. R106's Face Sheet documented an admission date of 7/25/2023 with diagnoses of atrial fibrillation, late onset of Alzheimer's disease, mild dementia without behavioral disturbance, psychotic disturbance and anxiety among others.R106's MDS (minimum data set) dated 1/1/2026 documents a BIMS (brief interview for mental status) score of 12 out of 15 total which indicates R106 has moderate cognitive impairment. […]

• Actual harm, isolatedF697Apr 4, 2025

  Based on observation, interview, and record review, the facility failed to provide pain medications per physician's orders for 1 (R251) of 2 residents reviewed for pain management in the sample of 40. This failure resulted in R251 becoming tearful and experiencing increased pain. Findings Included: R251's Resident Face Sheet documented an admitted [DATE]. This same document listed diagnoses including other specified disorders of bone density and structure, other site, osteopenia of spine, rheumatoid arthritis, unspecified, unilateral primary osteoarthritis, right knee, bilateral primary osteoarthritis of hip, and primary osteoarthritis, right shoulder. […]

• No harm, potential for more than minimal, widespreadF761Apr 23, 2025

  Based on interview and record review the facility failed to properly store medications by pre-pouring medications and administering more than one residents medications at a time. This has the potential to affect all 103 residents currently residing at the facility. Findings Include: The facility Daily Census Report dated 4/21/2025 documents 103 residents currently reside at the facility. The untitled letter from V22 (Family Member) to V1 (Administrator) dated 4/13/25 documents in part, Improper Medication Handling and Storage: Medication cups containing loose, pre-poured pills labeled for different patients were repeatedly observed stacked on top of medication carts by multiple nurses (V9/Licensed Practical Nurse, V6 (LPN), and others), most recently on 04/13/2025. […]

• No harm, potential for more than minimal, patternF812Jun 11, 2026

  Based on interview, observation, and record review the facility failed to serve and hold food at the designated temperature as directed by the recipes for 11 (R8, R10, R16, R23, R29, R60, R62, R74, R81, R88, and R90) of 14 residents reviewed for dining in a sample of 45. Findings include:The week at a glance dated day 9 lunch documents: honey mustard chicken salad plate/lettuce, caramelized Naan bread, pickled beets, and peach dump cake.The recipe for the honey mustard chicken salad documents: 3. cover, label and date and refrigerate overnight to marinate. […]

• No harm, potential for more than minimal, patternF558Apr 23, 2025

  Based on observation, interview, and record review the facility failed to ensure call lights were within reach for 8 of 12 (R1-R5, R8, R10, and R11) residents reviewed for call lights in the sample of 12. Findings Include: 1. R1's Resident Face Sheet with a print date of 4/22/25 documents R1 was admitted to the facility on [DATE] and discharged on [DATE] with diagnoses that include aftercare following a joint replacement of left total knee, heart failure, diarrhea, depression, and weakness. R1's Care Plan documents a Problem area with a start date of 4/9/25 of, Ambulation Program- x (times) 1 assist using walker. […]