Parma Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 5, 2022

  Based on observation, review of physician orders, review of the bowel movement (BM) log, review of the hospital discharge instructions, review of the medical records, review of the facility policy Bowel Management and Treatment and interviews with the Director of Nursing, Regional Nurse #625 and Certified Nurse Practitioner (CNP) #626 the facility failed to provide appropriate care and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in Immediate Jeopardy on 03/02/22 when Resident #53, who had not had a bowel movement for four days, was not assessed for constipation and no treatment was provided by the facility. […]

• Immediate jeopardy, isolatedF684Aug 5, 2022

  Based on observation of Resident #04, review of the medical records for Resident #04, Review of the current, online Medscape application titled Medscape Report of the Expert Committee on the diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] #574, the facility failed to provide timely care and services for the monitoring and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in Immediate Jeopardy on 03/26/22 at approximately 10:51 A.M. when Resident #04, who was not previously diagnosed with diabetes, was noted to have excessive urination with incontinence (loss of urine control), high ketones (chemical derived from fat in the body when the body is unable to use glucose for energy and is an indicator of a life threatening condition known as diabetic ketoacidosis) with a blood… […]

• Actual harm, isolatedF689Sep 18, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of a facility investigation, hospital documentation review, resident and staff interview, review of a mechanical lift manufacturer instructions document, policy review, and review of facility corrective action documentation, the facility failed to ensure residents who required staff assistance and use of a mechanical lift for transfers were safely transferred without injuries. […]

• Actual harm, isolatedF689Jun 28, 2023

  Based on observation, medical record review, staff interview, mechanical lift customer service technician interview, review of the facility investigation, review of hospital records, review of manufacturer's recommendations, and policy review, the facility failed to ensure mechanical lift equipment was maintained in a safe and working condition to prevent an avoidable fall for Resident #244. This resulted in Actual Harm on 06/20/23 when Resident #244 was lifted in the mechanical lift by State tested Nursing Assistant (STNA) #573 and STNA #592 who failed to ensure the integrity of the mechanical lift pad which led to mechanical failure when the lift pad ripped resulting in Resident #244 descending three to four feet to the floor. […]

• No harm, potential for more than minimal, widespreadF761Aug 5, 2022

  Based on observation, interview, and review of the facility policy, the facility failed to ensure expired medications and expired medical supplies were removed from the medical supply rooms and the medication cart, after the expiration date. This had the potential to affect all 73 residents residing at the facility. Findings include: Interview on 07/27/22 at 8:03 A.M. with Assistant Director of Nursing/Registered Nurse (ADON/RN) #805 revealed the main medication room, of the five located in the facility, used by all nurses for all residents had an Alixa dispensing machine, intravenous (IV) supplies including IV solutions, IV starter kits, IV tubing, over the counter stock medications, and additional medical supplies. Observation on 07/27/22 at 8:05 A.M. […]