Pleasant View Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 11, 2026

  Based on observation, interview, and review of the facility's Food Preparation and Service policy, the facility failed to ensure that hot and cold food items were maintained within required temperature ranges and that all food items, including alternates, were properly temperature checked prior to service. The facility also failed to monitor and maintain food temperatures throughout tray line and tray cart distribution. This deficient practice had the potential to affect 96 of 97 residents who received meals. Resident #30 received nothing by mouth.Findings include:Observations of the kitchen tray line on 06/11/26 beginning at 11:36 A.M. revealed the lunch menu included roasted turkey with gravy, yams, winter mix vegetables, pears, and a roll. […]

• No harm, potential for more than minimal, widespreadF725Feb 15, 2023

  Based on interview, resident record review, and review of the facility assessment, the facility failed to provide adequate staff to assure residents received their routine showers. This affected three residents, (Resident #188, #131, and #135) of four residents reviewed for showers/bathing. The facility census was 114. Findings include: 1. Record review for Resident #188 revealed an admitted [DATE]. Diagnosis included retention of urine, obstructive and reflux uropathy, and frontal lobe and executive function deficit following cerebral infarction. Record review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #188 was moderately cognitively impaired. […]

• No harm, potential for more than minimal, patternF677Apr 8, 2026

  Based on medical record review, interview, and facility policy review, the facility failed to ensure oral care was provided daily as required for four residents (#81, #82, #100, and #101) of five residents reviewed for oral care. The facility census was 116.Findings include:1. Review of the medical record for Resident #81 revealed an admission date of 04/27/18. Diagnoses included but were not limited to Alzheimer's dementia, vascular dementia with psychotic disturbance, and unspecified protein-calorie malnutrition.Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] for Resident #81 revealed a Brief Interview of Mental Status (BIMS) score of 08 which indicated moderate cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF695Jun 11, 2026

  Based on record review, observation, interviews, and facility policy review, the facility failed to ensure that respiratory equipment, including oxygen tubing, humidification bottles, and nebulizer masks, was changed according to physician orders, stored properly, and maintained in a clean condition. These failures resulted in the use of outdated and improperly stored respiratory equipment and affected three residents (Residents #21, #27, and #68) of three residents sampled for oxygen or nebulizer therapy. The facility census was 97.Findings include:1. […]

• No harm, potential for more than minimal, isolatedF880Jun 11, 2026

  Based on record review, observation, interview, and review of the facility policy and procedure, the facility failed to ensure infection prevention protocols were maintained for Resident #6, who required enhanced barrier precautions (EBP). This affected one resident (Resident #6) of 24 residents (Residents #2, #5, #6, #8, #11, #13, #14, #21, # 30, #35, #42, #43, #48, #54, #64, #66, #67, #76, #79, #90, #91, #93, #117, #119) on EBP. The facility census was 97.Findings include:Review of the medical record revealed Resident #6 was admitted on [DATE] with diagnoses including dysfunction of the bladder, major depressive disorder, anxiety, gastro-esophageal reflux disease (GERD), post-traumatic stress disorder (PTSD), atrial fibrillation, gastrostomy status, and diabetes type one.Review of the… […]