Parkwood Health Care Facility

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 13, 2026

  Based on observations, interviews, and a facility policy title Cleaning Dishes/Dish Machine: the facility failed to ensure sanitary conditions were maintained in the dishwashing area to prevent cross contamination. Specifically, staff were observed working on both the soiled (dirty) side and the clean side of the dish room without changing gloves between tasks.This practice had the potential to affect 71 of 71 residents who received meals from the kitchen.Findings Include: A facility policy titled, Cleaning Dishes/Dish Machine dated 2023 revealed: . Procedure: Staff will follow these procedures for washing dishes: . 2. […]

• No harm, potential for more than minimal, isolatedF584Feb 13, 2026

  Based on observation, interviews, and the facility's policy titled Housekeeping the facility failed to ensure a safe, clean, and comfortable environment for three of 21 residents reviewed.Specifically Resident Identifier (RI) #3's, RI #41's, and RI #51's rooms had scrapes and holes in the drywall and cracks in the ceiling. Additionally, RI #3's and RI #41's room had brown stains observed on the ceiling, and the window blinds in RI #41's room were not functioning properly. These conditions had the potential to negatively impact residents' comfort and overall homelike environment. Findings Include:An undated policy titled Housekeeping documented: . Housekeeping is one of the most important environmental services since it plays a major role in providing a healthy, comfortable environment. […]

• No harm, potential for more than minimal, isolatedF600Feb 13, 2026

  Based on interviews, resident's medical records, review of Facility Reported Incidents (FRIs) received by the State Agency, the facility's investigative files, the facility's policies titled ABUSE POLICY and Behavior Management Program Policy and Procedures the facility failed to protect the residents' right to be free from physical abuse perpetrated by other residents. Specifically:1. On 06/08/2024 the facility failed to protect Resident Identifier (RI) #39's right to be free from physical abuse perpetrated by RI #78. On 06/08/2024 Registered Nurse (RN) #9 witnessed RI #78 slap RI #39 on the head. RI #78 had a history of aggressive behaviors, which included verbal and physical aggression. […]

• No harm, potential for more than minimal, isolatedF656Feb 13, 2026

  Based on interview, medical record review and a facility policy titled, Care Planning Policy and Procedure, the facility failed to develop a comprehensive care plan to address Resident Identifier (RI) #53 use of PRN (as needed) oxygen. Record review indicated the resident received oxygen as needed however, there was no care plan in place to address the use of PRN oxygen, including indications, monitoring or staff interventions. This failure had the potential to result in inconsistent implementation of care and unmet respiratory needs.This deficient practice affect RI #53 one of one resident sampled for respiratory care.Findings Include: A policy titled Care Planning Policy and Procedure with a revised date of October 2022 documented: Policy: The care plan is a guide for all staff on a… […]