Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Parkway Manor during CMS and state inspections, most recent first.
Nursing staff were found to be pre-pouring medications for multiple residents into labeled cups and leaving them unattended on medication carts, rather than preparing and administering medications to one resident at a time as required by facility policy and national guidelines. This practice was confirmed by both staff and a family member, and the DON acknowledged it was not in compliance with established procedures.
Surveyors found that call lights were not within reach for several residents with mobility and cognitive impairments, despite care plans and facility policy requiring accessibility. Observations and interviews confirmed that call lights were often placed out of reach, such as looped around headboards or under blankets, preventing residents from summoning assistance as needed.
A resident with chronic pain conditions did not receive hydrocodone-acetaminophen as ordered every 4 hours PRN due to staff miscommunication, resulting in the resident experiencing significant pain and distress until the medication was eventually administered.
A resident with multiple diagnoses, including Parkinson's Disease and dementia, had an MDS discharge assessment that was started but not closed or transmitted within the required timeframe. The assessment remained overdue and was only transmitted several months after the target date.
A resident with malnutrition, dementia, and hand deformity was inconsistently provided with ordered adaptive equipment such as weighted utensils and a plate guard during meals, despite documented difficulty eating and significant weight loss. The care plan did not address the resident's risk for weight loss, and staff confirmed that assistive devices were not reliably provided, contributing to ongoing nutritional concerns.
Improper Medication Handling and Storage
Penalty
Summary
Nursing staff at the facility were observed and reported to have improperly handled and stored medications by pre-pouring pills for multiple residents into medication cups, labeling them with resident names, and leaving them unattended on top of medication carts. This practice was witnessed by both family members and staff, with specific instances noted where LPNs prepared medications for several residents at once and left the cups exposed and accessible, rather than administering medications to one resident at a time as required. Interviews with staff confirmed that it was a common practice to prepare medications in advance for multiple residents, especially when several residents were seated together. Staff would place the medications in labeled cups and deliver them to the group simultaneously, rather than following the protocol of preparing and administering medications individually. The DON acknowledged that this was not in accordance with facility policy, which requires medications to be prepared and administered to one resident at a time, with documentation completed immediately after administration. Facility policy and national guidelines were reviewed, both of which emphasize the importance of proper medication labeling, storage, and administration to prevent errors. The facility's own policy requires that medications be documented at the time of administration and not prepared in advance. The observed and reported practices directly contravened these requirements, resulting in a deficiency related to the safe handling and storage of drugs and biologicals.
Failure to Ensure Call Lights Within Reach for Multiple Residents
Penalty
Summary
The facility failed to ensure that call lights were within reach for eight out of twelve residents reviewed for call light accessibility. Multiple observations documented that residents with significant mobility limitations, cognitive impairments, and fall risks did not have their call lights accessible. In several cases, call lights were found looped around the headboard, under blankets, or on the opposite side of the bed, making them unreachable for the residents. Family members and staff interviews confirmed that residents were unable to access their call lights without assistance, and in some cases, residents were unaware of the location of their call lights. Residents affected by this deficiency had various medical conditions, including recent joint replacements, heart failure, chronic obstructive pulmonary disease, diabetes, muscle weakness, Alzheimer's disease, and severe cognitive deficits. Care plans for these residents consistently included interventions instructing them to use the call light for assistance before transferring or getting out of bed. Despite these documented interventions, staff did not ensure that call lights were placed within reach, as observed during multiple surveyor visits and confirmed by staff and family interviews. Staff interviews revealed an expectation that call lights should be within reach of all residents, and the facility's own policy required staff to ensure call lights were accessible before leaving a resident's room. However, repeated observations showed that this policy was not consistently followed, resulting in residents being unable to summon assistance when needed. The deficiency was identified through direct observation, resident and family interviews, and review of care plans and facility policy.
Failure to Administer PRN Pain Medication as Ordered
Penalty
Summary
A deficiency occurred when a resident with multiple diagnoses including rheumatoid arthritis, osteoarthritis, and osteopenia did not receive pain medication as ordered by the physician. The resident's care plan specified the need for pain management, including administration of hydrocodone-acetaminophen 7.5-325 mg every 4 hours as needed for pain. Despite this order, the resident reported requesting her pain medication at 6:00 AM, but did not receive it until more than 2.5 hours later. During this time, the resident experienced significant pain, rating it as a 7 out of 10, and was observed to be tearful and in distress. Staff initially believed the medication was scheduled every 12 hours, not every 4 hours as needed, leading to a delay in administration. Interviews with staff confirmed a communication breakdown regarding the correct pain medication order. The resident, who was alert and oriented, consistently reported her pain and her usual pain management routine. Documentation showed that the resident's pain was effectively managed when the medication was administered as ordered, but the delay on this occasion resulted in unnecessary suffering. The facility's pain management policy emphasized the importance of timely and appropriate pain control, which was not followed in this instance.
Failure to Timely Transmit MDS Assessment
Penalty
Summary
The facility failed to timely transmit a Minimum Data Set (MDS) assessment for one resident. The resident, who had diagnoses including Parkinson's Disease, dementia, type 2 diabetes mellitus, and anxiety, was admitted following a qualifying hospital stay. The MDS Coordinator confirmed that the resident's most recent MDS assessment was started as a discharge with return anticipated but was not closed or transmitted as required. The discharge assessment, which had a target date of completion, remained open and overdue until it was finally transmitted several months later, well past the required timeframe.
Failure to Consistently Provide Adaptive Equipment for Nutrition Support
Penalty
Summary
A resident with diagnoses including moderate protein calorie malnutrition, dementia, osteoarthritis, and multiple rib fractures was admitted and identified as being at risk for altered nutritional status. The resident required partial to moderate assistance with eating and had documented hand deformity and tremors, necessitating the use of adaptive equipment such as weighted utensils and a plate guard. The care plan included these interventions, but did not specifically address the resident's risk for weight loss or nutrition concerns. Despite the care plan and occupational therapy recommendations, observations revealed that the resident was inconsistently provided with the necessary adaptive equipment during meals. On multiple occasions, the resident was served meals without the required weighted utensils or plate guard, resulting in visible difficulty eating, dropping food, and reduced intake. Staff interviews confirmed that the provision of adaptive equipment was inconsistent and dependent on the meal, and the facility lacked a policy to ensure these devices were always provided as ordered. The resident experienced a significant weight loss over several weeks, with documented losses exceeding 5% in a short period. Although the facility's weight monitoring policy required physician notification and intervention for significant weight changes, there was no evidence that the resident's nutritional risk was adequately addressed in the care plan or that consistent interventions were implemented to prevent further decline.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Marion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Helia Healthcare Of Energy | 3 mi | ★★★★★ | 32 | 1 |
| Integrity Hc Of Marion | 3.7 mi | ★★★★★ | 24 | 1 |
| Shawnee Senior Living | 5.4 mi | ★★★★★ | 5 | 0 |
| Integrity Hc Of Herrin | 5.5 mi | ★★★★★ | 2 | 0 |
| Axiom Healthcare Of West Frankfort | 10.7 mi | ★★★★★ | 27 | 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 July 2026) and official state health department websites.