Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Parkside Manor during CMS and state inspections, most recent first.
The facility did not follow its own policy requiring pre-employment screening, including criminal background checks and Adult/Child Central Registry checks, for all new staff before they worked with residents. Record review showed that a NA was hired without a criminal background check, and a dietary staff member was hired without a criminal background check or Adult/Child Central Registry check. The BOM confirmed that these checks were required for all new employees but were not completed for these two staff members.
A resident received Tobradexame eye drops, a steroid/antibiotic combination, under an order that did not include a treatment duration as required by the facility’s Antibiotic Stewardship Program (ASP) policy. The ASP policy specified that all antibiotic orders must include dose, duration, route, and indication and be tracked in the medical record. Review of the Treatment Administration Record showed the PRN Tobradexame order for blepharitis had a start date but no stop date, and the medication was administered on multiple days for red eyes. In an interview, the DON confirmed that all antibiotic orders were supposed to include a duration and acknowledged that this order did not meet that requirement.
The facility failed to conduct COVID-19 testing for six residents who exhibited symptoms of respiratory illness, as required by their infection prevention and control program. Residents displayed symptoms such as cough, nasal congestion, and diminished lung sounds, yet no COVID-19 or respiratory panel testing was performed. This oversight potentially affected all residents in the facility, given the contagious nature of respiratory illnesses. Interviews confirmed that the facility was not routinely testing residents with respiratory symptoms, contributing to the deficiency.
A facility failed to ensure a resident's as-needed antipsychotic medication, Haloperidol, was reviewed and renewed every 14 days as required. Despite the resident not exhibiting adverse behaviors and not using the medication since a specific date, the facility did not conduct the necessary evaluations or document a rationale for continued use. Interviews confirmed the oversight, highlighting a deficiency in compliance with psychotropic medication regulations.
The facility failed to date insulin pens upon opening for two residents, as required by its insulin administration policy. An LPN confirmed that the insulin pens for these residents were not dated when opened or expired, which is necessary for safe administration.
Failure to Complete Required Background and Registry Checks for New Staff
Penalty
Summary
The facility failed to follow its own abuse, neglect, and misappropriation policy requiring pre-employment screening of all employees and volunteers before they worked with residents. The written policy stated that screening components included verification of references, certification and license verification, and criminal background checks. It further specified that, before new employees were permitted to work with residents, references and appropriate board registrations and certifications would be verified, and that the facility would not employ individuals found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment. The policy also required a criminal background check on all prospective employees, with significant findings resulting in denial of employment in accordance with state and federal regulations. Record review showed that one nursing assistant, hired on 8/5/25, did not have a criminal background check completed. Another staff member in dietary, hired on 9/26/25, did not have either a criminal background check or an Adult and Child Central Registry check completed. In an interview, the Business Office Manager confirmed that all new employees were required to have criminal background checks and Adult/Child Central Registry checks completed upon hire, and acknowledged that these checks had not been completed for the two identified staff members, despite the facility census being 27 residents.
Antibiotic Order Lacked Required Duration Under Facility ASP Policy
Penalty
Summary
The facility failed to implement its Antibiotic Stewardship Program (ASP) requirements when ordering and administering an antibiotic medication for Resident 26. The facility’s undated Antibiotic Stewardship Policy stated that all antibiotic orders must include dose, duration, route, and indication, and that these orders would be tracked and kept in the medical record. Record review of Resident 26’s March 2026 Treatment Administration Record (TAR) showed an order for Tobradexame suspension, a steroid/antibiotic combination, to be instilled as one drop to both eyes four times daily as needed for blepharitis, with a start date of 08/25/25 but no stop date documented. The TAR further showed that the resident received the eye drops on March 4 and March 5, 2026, for red eyes, despite the absence of a documented duration for the antibiotic therapy. In an interview, the DON confirmed that all antibiotic orders were required to have a duration and acknowledged that Resident 26’s Tobradexame order did not include this required element. This deficiency occurred in the context of a facility census of 27 residents and was identified through record review and staff interview, demonstrating that the specific antibiotic order for Resident 26 was not written in accordance with the facility’s established ASP policy regarding inclusion of treatment duration.
Failure to Conduct COVID-19 Testing for Symptomatic Residents
Penalty
Summary
The facility failed to conduct COVID-19 testing for six residents who exhibited symptoms of respiratory illness, as required by their infection prevention and control program. This oversight was identified through observations, record reviews, and interviews. The residents involved displayed various symptoms such as cough, nasal congestion, and diminished lung sounds, yet no COVID-19 or respiratory panel testing was performed to identify the specific illness. This failure to test potentially affected all residents in the facility, given the contagious nature of respiratory illnesses. Resident 10 exhibited confusion, a harsh cough, and low oxygen levels, yet was not tested for COVID-19 or isolated when symptoms began. Similarly, Resident 11 showed signs of nasal congestion and a productive cough, but no testing was conducted. Resident 17 also experienced sinus and nasal congestion without subsequent testing. Interviews with the infection control nurse confirmed that these residents were not tested for COVID-19 or other respiratory illnesses when symptoms first appeared. Further review of other residents, such as Resident 14, who had moderate cognitive impairment and symptoms of a respiratory infection, revealed a lack of COVID-19 testing. Resident 21, who had pneumonia and lung disease, was transferred to the hospital due to labored breathing but was not tested for COVID-19 prior to transfer. Resident 26, with a history of respiratory conditions, also showed symptoms of congestion and malaise without being tested. The Director of Nursing confirmed that the facility was not routinely testing residents with respiratory symptoms, which contributed to the deficiency identified in the report.
Failure to Review and Renew Antipsychotic Medication as Required
Penalty
Summary
The facility failed to ensure that a resident's as-needed antipsychotic medication, Haloperidol, was reviewed for continued necessity and renewed every 14 days as required. The facility's policy mandates that all residents with antipsychotic drug orders should have a proper diagnosis, daily monitoring of behaviors, and routine monitoring by the pharmacy for appropriate dose reductions. However, the resident, who had severe cognitive impairment and a diagnosis of dementia, anxiety, and depression, was not seen by a provider every 14 days for evaluation of the need for Haloperidol. The medication was last administered on 11/28/24, and despite multiple physician visits, there was no documentation addressing the continued need for the medication or a resident-specific rationale for its use. Interviews with the RN and DON confirmed that the resident had not been seen every 14 days as required for the as-needed Haloperidol. The resident had not exhibited any adverse behaviors and had not used the medication since 11/28/24. Despite this, the medication order was not appropriately reviewed or renewed, leading to a deficiency in the facility's compliance with regulations regarding the use of psychotropic medications.
Failure to Date Insulin Pens Upon Opening
Penalty
Summary
The facility failed to ensure that insulin pens were properly dated when opened, which is necessary for the safe administration of insulin. This deficiency was observed in the cases of Resident 17 and Resident 129. The facility's policy on insulin administration requires that the expiration date be checked if drawing from an opened multi-dose vial, and if a new vial is opened, the expiration date and time must be recorded on the vial. However, during an observation, it was found that Resident 129's Aspart insulin pen did not have an open date or expiration date documented. Similarly, an inspection of the medication cart revealed that Resident 17's Toujeo insulin pen also lacked an open date or expiration date. Interviews with the LPN confirmed that the insulin pens for both residents were not dated when opened or expired, which is against the facility's policy.
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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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Nursing homes near Stuart
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Society - Atkinson | 10.1 mi | ★★★★★ | 16 | 0 |
| Rock County Hospital Long Term Care | 20.2 mi | ★★★★★ | 8 | 0 |
| Butte Senior Living | 26.4 mi | — | 0 | 0 |
| Accura Healthcare Of O'neill | 26.5 mi | ★★★★★ | 1 | 0 |
| Sandhills Care Center | 36 mi | ★★★★★ | 0 | 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.