Pleasantview Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 2, 2026

  Based on observation, interviews, and policy review the facility failed to discard expired food and beverage items, maintain sanitary work stations, and ensure staff complete hand hygiene during meal preparation during 3 of 3 kitchen observations. The facility reported a census of 58 residents. Findings include:1. During the initial observation on 03/30/2026 from 10:12 AM through 10:52 AM the following items were noted to be expired:a. A box of black tea with a use by date of 11/13/2025 was located on a top shelf in view of the food preparation areab. Four boxes of shredded wheat cereal with use by dates of 01/17/2026 were located on the top shelf in the dry storage roomc. […]

• No harm, potential for more than minimal, isolatedF550Apr 2, 2026

  Based on observation, clinical record review, facility policy review, resident and staff interview, the facility failed to assist a resident to use the bathroom in a timely manner causing them to have been incontinent for 3 of 4 resident (Resident #6, Resident #21and Resident #64) reviewed for dignity. The facility reported a census of 58 residents.Findings included:1. Review of Resident #21 Minimum Data Set (MDS) assessment, dated 3/17/26, revealed the resident had intact cognition based on a a Brief Interview for Mental Status (BIMS) score of 15 out of 15. The MDS indicated Resident #20 required substantial assistance with toileting and dependent for transfers. The MDS assessed Resident #21 frequently incontinent of urine and always incontinent of bowel. […]

• No harm, potential for more than minimal, isolatedF760Apr 2, 2026

  Based on clinical record review, facility policy review, resident and staff interviews, the facility failed to ensure nursing staff administered medications without a significant medication error for 1of 10 residents (Resident #47) reviewed for medication administration. The facility reported a census of 58 residents. Findings included:Review of the Minimum Data Set assessment, dated 1/20/26, revealed that Resident #47 had a Brief Interview for Mental Status score of 15 out of 15, which indicated intact cognition. The list of diagnoses included major depressive disorder (MDD) and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF880Apr 2, 2026

  Based on clinical record review, observation, facility policy review and staff interview, the facility failed to ensure staff performed hand hygiene with a change in gloves after completing catheter care for 1 of 1 sampled residents (Resident #10.) The facility reported a census of 58 residents. Findings included: Review of the Minimum Data Set (MDS) assessment for Resident #10, dated 3/10/26, revealed the resident had an indwelling urinary catheter and required partial to moderate assistance with toileting and personal hygiene, set up assistance with oral hygiene, substantial assistance with lower body dressing, and partial to moderate assistance for upper body dressing. […]

• No harm, potential for more than minimal, isolatedF880Mar 27, 2025

  Based on observation, clinical record review, staff interviews, and facility policy review, the facility failed to administer oral medications following standard infection control practices for 2 of 6 residents observed for medication administration (Resident #6 and Resident #9). The facility reported a census of 59 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. Review of the March 2025 Medication Administration Record (MAR) revealed Resident #9 scheduled the following medication in the morning: a. Omeprazole 40 mg (milligram) 1 cap (capsule) PO (by mouth) early every morning. b. […]