The Center at Parmer

In the surveyor’s words

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

• Actual harm, isolatedF697Dec 14, 2022

  Based on observation, interview, and record review the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one of six residents reviewed (Resident #1) for pain management, in that Resident #1 had uncontrolled pain when she did not receive hydrocodone-acetaminophen 10-325 mg PRN as prescribed and requested for three days, due to it not being available in the building. This failure allowed Resident #1 to experience unnecessary pain and placed other residents at risk of uncontrolled pain and diminished quality of life. […]

• No harm, potential for more than minimal, widespreadF944Sep 1, 2023

  Based on interview and record review, the facility failed to include as part of its QAPI program, mandatory training that outlined and informed staff of the elements and goals of the facility's QAPI program, for 11 of the 11 staff members reviewed for mandatory training, in that: All eleven staff members reviewed for mandatory training had not received training regarding the facility's QAPI program. This failure could place residents at risk of receiving inadequate care from staff who are unfamiliar with the facility's QAPI program. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food under sanitary conditions in the kitchen. The facility failed to: -Dispose of food stored in the walk-in refrigerator after the use-by date. -A plastic container of salsa and a plastic bag of chopped vegetables was not dated or labeled. -A bag of thawed chicken was not sealed properly in the walk-in refrigerator. This failure placed all residents at risk for food borne illnesses. […]

• No harm, potential for more than minimal, patternF656Jan 30, 2026

  Based on observation, interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights and that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 8 sampled residents (R#68). The facility failed to develop a care plan that described the respiratory care/services R#68 would receive for her shortness of breath per her physician's orders made on 10/25/25. […]

• No harm, potential for more than minimal, patternF657Jan 30, 2026

  Based on observations, interviews and record review, the facility failed to develop a comprehensive care plan within 7 days after completion of the comprehensive assessment for 1 of 8 sampled residents (R#63). The facility failed to revise R#63's care plan to reflect all fall risk interventions recommended by the PCP after his unwitnessed fall on 01/13/26. This failure could place residents at risk of falls, injuries or hospitalization. Review of R#63's admission record, dated 01/29/26, showed he was admitted to the facility on [DATE] with medical diagnoses including wedge compression fracture, low back pain and altered mental status. Review of R#63's 5-Day MDS assessment, dated 01/15/26, showed he had a BIMS score of 7/15, which indicated he had severe cognitive impairment. […]