Parkway Pavilion Health and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 13, 2025

  Based on review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for accidents, the facility failed to ensure a resident who was at high risk for falls and sustained multiple falls with major injuries (fractures) had adequate supervision and adequate fall interventions to maintain safety. The findings include: Resident #1 had diagnoses that included falls, right femur fracture, generalized muscle weakness, need for assistance with personal care, type 2 diabetes mellitus, difficulty walking, generalized muscle weakness, cognitive communication deficit, and unspecified lack of coordination. A Fall Risk Evaluation dated 4/22/2025 by LPN #5 identified Resident #1 was a moderate fall risk. […]

• No harm, potential for more than minimal, widespreadF726Sep 11, 2024

  Based on review of facility documentation and staff interviews, the facility failed to ensure nursing staff completed in-servicing and competencies training yearly and failed to ensure annual performance evaluations were completed The findings included: 1,An interview and review of facility documentation on 9/5/2024 at 1:15 PM with RN#1 and the DNS identified the Fear of Retaliation in-servicing for 2023 each staff member received reviewed and signed the fear of retaliation facility policy. However, no training materials were utilized for the training. […]

• No harm, potential for more than minimal, widespreadF812Sep 11, 2024

  Based on the tour of the Dietary Department/Nourishment Rooms, review of policy and staff interview, the facility failed to ensure the Dietary department was maintained in a clean, sanitary manner. The findings included: Tour of the Dietary Department on 9/4/2024 at 10:07 AM during the initial walk through of the kitchen with the Dietary Manager (DM) identified the following: (see photos) a. The ceiling in the kitchen was identified to be discolored and had grayish, brown hanging substance noted around the lights and duct work. b. […]

• No harm, potential for more than minimal, widespreadF908Sep 11, 2024

  Based on observation, facility policy and interview, the failed to ensure the Automated Emergency Defibrillator (AED) equipment pads were not outdated. The findings include. On 9/05/24 at 1:39 PM Building and Fire Safety Investigator indicated the AED on the center unit in the facility was serviced appropriately and safe, but the pads were outdated and were changed by the facility. On 9/10/24 at 8:40 AM an interview and observation with the DNS identified the AED on the center unit with pads dated 6/8/2025 as the outdated pads noted prior were replaced. During observation the DNS indicated the AED on the TCU unit was new 3 months ago with noted pad dates 6/24/2025. […]

• No harm, potential for more than minimal, widespreadF947Sep 11, 2024

  8Based on review of the facility annual training for Nurse Aides, facility documentation and interview, the facility failed to ensure the required 12 hours Nurse Aide training was completed. The findings include: An interview with the DNS on 9/11/2024 at 12:30 PM indicated there had been Nurse Aide training but the Staff Development Nurse who was responsible for the training is no longer employed by the facility. The DNS also indicated s/he could not provide evidence of the facility's annual 12 hours of in-service hours for 2024 because/he could not locate the training.