Pleasant View Nursing Home

In the surveyor’s words

From the most serious findings on record at Pleasant View Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF678Aug 4, 2025

  Based on observation, interview, and record review, the facility failed to immediately provide basic life support, including cardiopulmonary resuscitation (CPR) to a resident requiring emergency care for 1 of 3 residents (R1) reviewed for code status. This has the potential to affect 12 full code residents that reside in the facility. R1 is a full code and was found on the floor of his room unresponsive on [DATE]. A Registered Nurse (RN) failed to initiate CPR immediately, the facility failed to ensure that staff were competent in using basic life support equipment, and failed to ensure that there was always a CPR-certified staff member in the building.The facility's failure to provide immediate life saving measures to a resident who wished to have basic life support measures initiated… […]

• Immediate jeopardy, isolatedF689Jul 9, 2024

  Based on observation, interview, and record review, the facility did not ensure adequate supervision and safety to prevent accidents from occurring for 1 of 1 residents reviewed for elopement (R58), 6 of 17 sampled residents (R2, R40, R59, R1, R66, R48) and 6 of 13 supplemental residents (R10, R31, R39, R45, R35, R50) reviewed for wandering, and 1 of 13 supplemental residents reviewed for accidents (R6). R58 has a history of multiple falls, exit seeking behaviors, and elopement. Facility staff did not provide adequate supervision to prevent elopement when R58 was exit seeking. R58 exited through an alarmed door, took his wheelchair down a stairwell, and was found at the bottom of a flight of stairs. […]

• Immediate jeopardy, isolatedF600Mar 12, 2024

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from physical abuse by a resident (R1). This affected 3 of 6 residents (R4, R5, and R6) reviewed for abuse. R1 has a history of resident-to-resident incidents including punching a resident in the back (R4), punching a resident in the face, putting a resident in a choke hold and banging her head on the wall, hitting the resident in the head and chest and pushing her into a chair and grabbing her wrist. The facility failed to update R1's care plan with new interventions after the incidents to prevent further abuse. […]

• Immediate jeopardy, isolatedF600Oct 20, 2022

  Based on observation, interview, and record review the facility failed to ensure a resident has the right to be free from sexual abuse for 1 out of 3 sampled Residents (R2). R1 and R2 are both unable to consent to sexual activity based on their cognitive status and lack of sexual consent assessment. R2 was found on 9/14/22 alone with R1 in her room. R1 had his pants down and was holding R2's hand over his genitals. The facility's failure to ensure residents were free from sexual abuse created a finding of immediate jeopardy that began on 9/14/22. Surveyor notified NHA A (Nursing Home Administrator) of the immediate jeopardy on 10/12/22 at 3:00 PM. […]

• Actual harm, isolatedF603Oct 9, 2024

  Based on observation, interview, and record review the facility failed to ensure 3 of 3 residents (R1, R2, and R3) were free from involuntary seclusion. The facility moved R1, R2, and R3 from the unit they resided on and placed them on a different unit within the facility. Facility staff erected a wall and placed R1, R2, and R3 behind this wall. R1, R2, and R3's families were not aware R1, R2, and R3 were being secured behind a wall isolating the residents from others in the facility. Using the reasonable person concept a resident would be fearful, anxious and feel dehumanized, when not afforded the individuality, compassion and civility as others who reside at the facility. […]