Parkwood in the Pines

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Oct 20, 2023

  Based on observations, interviews, and record reviews, the facility failed to ensure residents were free from sexual and physical abuse for 2 of 9 residents (Resident #1 and Resident #3) reviewed for abuse. The facility failed to prevent sexual abuse for Resident #1 found crying in her room with Resident #2's hand under her brief in perineal area on 10/8/23. The facility failed to prevent physical abuse for Resident #3 that was hit in the face in his room by Resident #4 and sustained injuries to include a bloody nose, skin tear to left side of nose, and swelling to his left ear on 10/11/23. The noncompliance was identified as PNC. The IJ began on 10/08/2023 and ended on 10/12/2023. The facility had corrected the noncompliance before the investigation began. […]

• Immediate jeopardy, isolatedF607Oct 20, 2023

  Based on observations, interviews, and record reviews, the facility failed to implement policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents for 2 of 9 residents (Resident #1 and Resident #3) reviewed for abuse. The facility failed to implement policies and procedures to prevent sexual abuse for Resident #1 found crying in her room with Resident #2's hand under her brief in perineal area. The facility failed to implement policies and procedures to prevent physical abuse for Resident #3 that was hit in the face in his room by Resident #4 and sustained injuries to include a bloody nose, skin tear to left side of nose, and swelling to his left ear. The noncompliance was identified as PNC. The IJ began on 10/08/2023 and ended on 10/12/2023. […]

• Actual harm, isolatedF689Oct 7, 2024

  Based on observation, interview, and record review the facility failed to provide adequate supervision and assistance devices to prevent accidents for 1 of 8 residents reviewed for accidents/supervision. (Resident #1) The facility failed to ensure Resident #1 was transferred to her bed using a mechanical lift on 10/2/24, causing pain to her right leg. This failure could place residents at risk of severe injuries. Findings included: Record review of Resident #1's undated current admission record indicated that Resident #1 was a [AGE] year-old female admitted to the facility 12/16/21, with diagnoses including hemiplegia (describes severe or complete unilateral loss of strength or paralysis) and hemiparesis (refers to weakness in one leg, arm, or side of the face) following cerebral… […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and distributed under sanitary conditions in 1 of 1 kitchen reviewed for kitchen sanitation in that: During the initial observation on in the kitchen the low temperature, chemical sanitation dish machine, did not reach the manufacturer's recommended minimal water temperature of 120 degrees Fahrenheit, (F) during the final rinse cycle This failure could place the residents at risk of foodborne illnesses. Findings included: During an observation and interview 01/08/24 beginning at 9:15 a.m., DA-N was standing at the dish machine washing the breakfast dishes, he said he had worked at the facility for two years. He said he was trained to test the machine by the DM. […]

• No harm, potential for more than minimal, patternF755Apr 21, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of medications for 3 of 6 medication carts (medication cart for halls 400, 500, and 600, nurse cart for odd room numbers on hall 100 and 200, and medication cart for hall 100 and 200) reviewed for pharmacy services.The facility failed to remove (1) bottle of expired aspirin 325 mg and (1) box of arginaid powder (medication used to aid in wound healing) and a plastic bag of a white powder without a date from the medication cart for halls 100 and 200 on 4/20/2026.The facility failed to remove (1) box of arginaid powder from the medication cart for halls 400, 500, and 600 on 4/20/2026.The… […]