Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Parke View Rehabilitation & Care Center during CMS and state inspections, most recent first.
Staff were observed entering multiple resident rooms without knocking or waiting for acknowledgement, including the room of a resident with significant medical conditions. A CNA admitted to not following protocol due to being late, and the DON confirmed that knocking is required but was not done during these rounds.
A resident with complex medical conditions, including hepatitis C and alcoholic cirrhosis, received a new diagnosis of bipolar disorder, but the facility did not update the resident's MDS assessment to reflect this significant change in status. Staff confirmed the assessment was not revised as required.
The facility did not timely update or submit required Level I PASRR documentation for three residents with mental illness or developmental disabilities after significant changes in their diagnoses or conditions. One resident was prescribed a new antipsychotic medication, another had a diagnosis changed to bipolar disorder, and a third had a longstanding schizophrenia diagnosis that was not reflected in PASRR records for years. In each case, the facility failed to notify the appropriate authorities within the required timeframe.
The facility did not follow its bowel care standing orders for two residents with chronic medical conditions, failing to initiate the required bowel management protocol when they went more than 72 hours without a BM. Documentation showed that the protocol was not started during multiple extended periods of constipation, despite clear facility guidelines and staff acknowledgment of the requirement.
Controlled medications were not consistently tracked or secured due to missing licensed nurse signatures on narcotic accountability records for two medication carts. Staff confirmed that two nurses should have signed the records when accepting or releasing the carts, but this was not always done, potentially affecting all residents receiving controlled medications.
Medication carts were observed left unlocked and unattended in multiple facility areas for several minutes, with no staff present. An RN admitted to forgetting to lock the cart, and the DON confirmed that carts are required to be locked when unattended.
A CNA was observed providing care to three residents in succession, obtaining vital signs without performing hand hygiene before, during, or after each interaction. The CNA admitted to not following hand hygiene protocols, and the DON confirmed this was not in line with facility expectations.
Sharps containers in the rooms of two residents were observed to be filled past the full line. An LPN and the DON both confirmed that the containers should have been changed when full, but this was not done.
The facility failed to assess two residents for their ability to self-administer medications, as required by policy. One resident, cognitively intact, was observed with pills left on the bedside table without proper documentation or orders for self-administration. Another resident, severely cognitively impaired, was given pills to take with breakfast, also lacking necessary assessments and documentation. Interviews confirmed the process for self-administration was not followed.
A resident with mental health diagnoses remained in the facility beyond the initial 30-day exception period without a completed PASARR Level I assessment. The Medical Records staff missed completing the assessment, and the DON was unaware of the oversight. The facility's policy requires proper PASARR screening, which was not followed, resulting in a deficiency.
A resident with a history of obstructive and reflux uropathy had their Foley catheter flushed by an LPN without a physician's order, contrary to facility protocol and nursing guidelines. The resident's urine was observed to be slightly blood-tinged, and the LPN mistakenly believed there was a standing order for the procedure. Interviews with facility staff confirmed the requirement for a physician's order before catheter flushing.
The facility failed to consider alternative measures before installing bed rails for two severely cognitively impaired residents, as required by their policy. Both residents' assessments lacked documentation of alternatives, only noting risks, benefits, and consent. Interviews with staff revealed a lack of awareness about the need to document alternatives, despite the facility's policy stating otherwise.
Expired medications were found in the TCU medication room, including Bisacodyl suppositories and a Tubersol vial with an unclear expiration date. A nurse confirmed the expired status, and the DON stated that outdated medications should be discarded. Facility policy requires checking expiration dates and dating multidose containers when opened.
Failure to Knock Before Entering Resident Rooms Compromises Dignity
Penalty
Summary
Staff failed to honor residents' rights to dignity and self-determination by entering resident rooms without knocking and waiting for acknowledgement. During afternoon CNA rounds, a CNA was observed entering five out of six resident rooms consecutively without knocking, including the room of a resident with multiple diagnoses such as diabetes and heart failure. When interviewed, the CNA acknowledged not following the expected protocol due to being late for shift change. The Director of Nursing confirmed that staff are required to knock before entering resident rooms, but this was not done during the observed incidents.
Failure to Update MDS Assessment After New Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for one resident. Specifically, a resident with multiple diagnoses, including acute hepatitis C and alcoholic cirrhosis of the liver, was given a new diagnosis of bipolar disorder. Despite this significant change in the resident's mental health status, the facility did not submit a significant change in status assessment to update the resident's MDS. This omission was confirmed through record review and staff interview, where social services staff acknowledged that the MDS had not been updated following the new diagnosis.
Failure to Timely Update and Submit PASRR Documentation After Significant Change in Condition
Penalty
Summary
The facility failed to update and submit required Level I PASRR documentation for residents with mental illness (MI) or developmental disability (DD) following significant changes in their diagnoses or conditions, as mandated by Idaho Medicaid Plan Benefit 16.03.26.475.03. For three residents, the facility did not complete or timely submit updated Level I PASRRs when new diagnoses or changes in mental health status occurred. One resident was prescribed Lithium Carbonate for mood stabilization, which required an updated Level I PASRR to be submitted within two working days, but this was not done. Another resident's diagnosis was changed from depressive disorder to bipolar disorder, necessitating an updated Level I PASRR, which was not completed until nearly two months later. In both cases, facility staff acknowledged the delay or lack of awareness regarding the required timeframe for submission. A third resident had a longstanding diagnosis of schizophrenia that was not reflected in the PASRR documentation for over eight years. The original Level I and Level II PASRRs only documented depressive disorder and mental retardation, omitting the schizophrenia diagnosis. The omission was only recently identified and an updated Level I PASRR was sent to the state, with the facility still awaiting an updated Level II PASRR. These failures resulted in inaccurate assessments and a lack of timely notification to the appropriate authorities as required by regulation.
Failure to Initiate Bowel Management Protocol per Standing Orders
Penalty
Summary
The facility failed to follow its established bowel care standing orders for administering specific medications when residents did not have a bowel movement (BM) within 72 hours. According to the facility's routine standing orders, medications such as Miralax, Senna, Dulcolax, and Magnesium Citrate were to be used as needed for constipation if a resident had not had a BM within the specified timeframe. However, documentation review revealed that for two residents, the bowel management protocol was not initiated as required. One resident, with a history of stroke and chronic obstructive pulmonary disease, went 96 hours between BMs without the protocol being started. Another resident, diagnosed with diabetes and chronic respiratory failure with hypoxia, experienced two separate intervals of 84 and 117 hours without a BM, during which the bowel management protocol was also not initiated. Staff interviews confirmed that the expectation was to begin the bowel management protocol when a resident had not had a BM for 72 hours or more, but this was not done for the affected residents. The medication administration records (MARs) for both residents showed no evidence that the protocol was followed during the periods of constipation, despite clear documentation in the CNA Task Bowel Activity logs indicating the extended intervals without BMs.
Failure to Properly Track and Secure Controlled Medications
Penalty
Summary
The facility failed to ensure that controlled medications were properly tracked and secured, as evidenced by missing licensed nurse signatures on narcotic accountability records for two of three medication carts reviewed. During audits of the East Hall and North Hall medication carts, it was observed that the narcotic accountability records had missing signatures from licensed nurses who were responsible for signing when accepting or releasing the medication carts. Staff interviews confirmed that two nurses should have signed the records at each exchange, but this procedure was not consistently followed. This deficiency was identified through direct observation and staff statements, with the potential to affect all residents receiving controlled medications.
Unattended Medication Carts Left Unlocked
Penalty
Summary
Facility staff failed to ensure that medication carts were locked when unattended, as required for the safe storage of drugs and biologicals. On multiple occasions, an unlocked and unattended medication cart was observed in different areas of the facility, including the TCU hall outside the dining room and the 200 Hall, each time remaining unsecured for over three minutes without staff present. The responsible RN acknowledged forgetting to lock the cart and confirmed that medication carts are supposed to be locked when not attended. These observations were confirmed through interviews with the RN and the Director of Nursing.
Failure to Perform Hand Hygiene Between Resident Care
Penalty
Summary
Staff failed to adhere to infection prevention and control practices by not performing hand hygiene before, during, or after providing care to multiple residents. On three separate occasions, a CNA was observed obtaining vital signs—including blood pressure, oxygen saturation, and temperature—for three different residents without performing hand hygiene upon entering, during, or exiting each resident's room. The CNA acknowledged not performing hand hygiene between resident-to-resident care, attributing it to a bad habit. The Director of Nursing confirmed that hand hygiene should have been performed during these care activities.
Overfilled Sharps Containers Not Replaced When Full
Penalty
Summary
The facility failed to maintain a safe and functional environment as evidenced by the presence of overfilled sharps containers in the rooms of two residents. On separate occasions, observations revealed that the sharps containers in both rooms were filled past the designated full line. During these observations, an LPN confirmed that the containers should have been changed when full. The Director of Nursing also stated that sharps containers are to be changed when full. These findings were based on direct observation and staff interviews.
Failure to Assess Residents for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that residents who self-administer medications were properly assessed and evaluated for their cognitive and physical ability to do so, as well as reviewed by the Interdisciplinary Team (IDT). This deficiency was observed in two residents, R38 and R11, who were seen self-administering medications without the necessary assessments and documentation. R38, who was cognitively intact with a BIMS score of 13 out of 15, was observed with pills left on the bedside table by an LPN at the resident's request. However, there was no documentation in R38's electronic medical record (EMR) of an assessment for self-administration, nor was there an order or care plan documentation for self-administration of medications. Similarly, R11, who was severely cognitively impaired with a BIMS score of 3 out of 15, was observed with pills in the dining room, which had been given by an LPN to be taken with breakfast. Like R38, R11's EMR lacked documentation of an assessment for self-administration, and there was no order or care plan documentation for self-administration of medications. Interviews with the Director of Nursing (DON) and the Clinical Resource Nurse confirmed that the process for self-administration was not followed, as the necessary assessments and IDT involvement were absent. The facility's policy required evaluation of the resident's cognitive, communication, visual, and physical abilities before allowing self-administration, which was not adhered to in these cases.
Failure to Complete PASARR Level I Assessment
Penalty
Summary
The facility failed to complete a Preadmission Screening and Resident Review (PASARR) Level I assessment for a resident who remained in the facility beyond the initial 30-day exception period. The resident, who was admitted with diagnoses including schizoaffective disorder, major depressive disorder, anxiety disorder, and post-traumatic stress disorder, had an intact cognition as indicated by a Brief Interview for Mental Status (BIMS) score of 15 out of 15. The resident's admission was initially exempt from a Level II screen due to a hospital exception, which required a PASARR to be completed if the stay exceeded 30 days. The Medical Records staff acknowledged missing the completion of the PASARR Level I for the resident, who had been in the facility for almost two months. The Director of Nursing was unaware that a new Level I assessment had not been completed after the resident's stay exceeded 30 days. The facility's policy mandates that each resident be properly screened using the PASARR specified by the state, but this was not adhered to in this case, leading to the deficiency.
Failure to Obtain Physician's Order for Catheter Flushing
Penalty
Summary
The facility failed to ensure a physician's order was in place before flushing a Foley catheter for a resident with an indwelling urinary catheter. The resident, who was cognitively intact with a BIMS score of 13 out of 15, had a medical history of obstructive and reflux uropathy. During an observation, the resident was seen with slightly blood-tinged urine in the catheter tubing. A Licensed Practical Nurse (LPN) documented in the progress notes that the catheter was flushed after the resident returned from an ultrasound, despite the absence of a physician's order for this procedure. Interviews with the Director of Nursing (DON), Clinical Resource Nurse, and the LPN confirmed that a physician's order is required for flushing a Foley catheter, and the LPN acknowledged the error in assuming there was a standing order. The Assistant Director of Nursing (ADON) confirmed that the facility's nursing procedure reference, the Fundamentals of Nursing textbook, also requires verification of a physician's order before performing catheter irrigation. This oversight in following protocol could potentially introduce bacteria into the closed catheter system.
Failure to Consider Alternatives Before Bed Rail Installation
Penalty
Summary
The facility failed to ensure that alternative measures were considered before the installation of side rails for two residents, both of whom were severely cognitively impaired. Resident 84 was admitted with diagnoses including difficulty in walking and aftercare for joint replacement, and Resident 26 was admitted with diagnoses including lack of coordination and unsteadiness on feet. Both residents had care plans indicating a risk for falls with side rails as an intervention, but their side rail assessments lacked documentation of alternative measures being considered. The assessments only included the risks, benefits, and consent obtained. Interviews with facility staff revealed a lack of awareness regarding the requirement to document alternative measures before implementing bed rails. An LPN stated that they did not consider alternative measures prior to bed rail implementation, and the DON was unaware of the need for such documentation. The facility's policy, revised in December 2023, stated that appropriate alternatives should be attempted before installing bed rails, but this was not followed in practice.
Expired Medications Found in TCU Medication Room
Penalty
Summary
The facility failed to ensure expired medications were discarded in the main medication room on the TCU unit, which was reviewed for outdated medications. During an observation, two boxes of Bisacodyl suppositories were found stored in the refrigerator with an outdated expiration date. Additionally, a vial of Tuberculin Purified Protein Derivative (Tubersol) was found with an unclear expiration date, as the box was marked as opened but the expiration was not determined. A Registered Nurse confirmed the suppositories were expired and should not be used, and the Director of Nursing confirmed that outdated medications should not be administered and must be discarded. The manufacturer's instructions for Tubersol indicate that a vial in use for 30 days should be discarded, and the facility's policy requires checking expiration dates before administering medications and dating multidose containers when opened.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mini-cassia Care Center | 0.5 mi | ★★★★★ | 16 | 0 |
| Countryside Care & Rehabilitation | 9 mi | ★★★★★ | 0 | 0 |
| Oak Creek Rehabilitation Center Of Kimberly | 28.5 mi | ★★★★★ | 27 | 0 |
| Twin Falls Transitional Care Of Cascadia | 32.7 mi | ★★★★★ | 19 | 0 |
| Serenity Transitional Care | 35.4 mi | ★★★★★ | 17 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.