Parkview Manor: Nurse Abused Resident, Kept Job Months - TX

Her cigarettes had to be moved.

The nurse, identified in federal inspection records only as LVN A, had made such a point of not wanting the resident's cigarettes stored at the nurses' station that staff relocated them to the memory care unit's station instead. LVN A was a smoker herself. She took another resident out for smoke breaks. Resident #1, the woman who had complained about her, had to wait for a second staff member to come off the floor and take her out separately, after LVN A finished.

Two separate smoke break times were created at Parkview Manor because one nurse refused to take one resident outside.

The inspection report, completed March 30, 2026, following a complaint investigation, documents what federal surveyors found when they looked into how the facility had handled allegations that LVN A abused Resident #1. The findings describe a months-long pattern of intimidation that administrators were told about, that multiple staff observed, and that the facility declined to treat as abuse.

The resident had first reported something more serious. On November 11, 2025, the facility's corporate office notified the administrator that Resident #1 had made an abuse allegation against LVN A. The resident said LVN A had popped her in the mouth.

The administrator, who also served as the facility's abuse coordinator, told inspectors he immediately suspended LVN A and conducted an investigation. He said he found no witnesses who could corroborate the allegation and unsubstantiated the finding. LVN A returned to work.

What happened after that is where the inspection record becomes most detailed.

A housekeeping staff member told inspectors that after LVN A came back, she began making rude comments to Resident #1 and restricted the resident from coming near the nurses' station when LVN A was on shift. The housekeeping staff member said she noticed the resident had stopped going down that hall and asked her why. Resident #1 told her she was not going anywhere near LVN A, refusing to even say the nurse's name. When the housekeeping staff member pressed her, the resident said she had not wanted to get anyone in trouble, so she had simply been avoiding her.

"She told the residents not to worry about getting anyone in trouble," the housekeeping staff member told inspectors, describing what she said to Resident #1 after that conversation.

It did not change what the resident did. She kept riding all the way around the other side of the facility.

On November 10, 2025, a progress note documented what another nurse, LVN B, had witnessed directly. According to that note, LVN A told Resident #1: "Get off my hall and go back down to your room right now."

When inspectors asked the interim Director of Nursing about that documented incident, he said it was not enough evidence to substantiate any form of abuse against LVN A.

The administrator told inspectors that after he unsubstantiated the initial allegation, he was not made aware by the resident or any staff that Resident #1 was continuing to have issues with LVN A that intimidated her. The housekeeping staff member's account, and the relocated cigarettes, and the split smoke break schedule, and the resident routing herself around the entire building — none of it had reached him, he said.

LVN A had signed off on an abuse and neglect in-service on November 11, 2025, the same day the facility's corporate office called about the allegation. The training record shows her signature. She kept working.

What ended her employment had nothing to do with Resident #1. On February 28, 2026, LVN A created what the facility's own disciplinary report described as a hostile work environment by behaving in an unprofessional manner toward the administrator. The Director of Nursing signed her termination effective March 4, 2026. LVN A refused to sign the disciplinary report.

She was gone by the time inspectors arrived. But the record of what had happened to Resident #1 between November 2025 and March 2026 remained.

Inspectors also noted that a resident-to-resident incidents in-service training had been conducted on March 10, 2026. LVN A had not signed off on receiving it. By that point she had already been fired for six days.

The CNA interviewed during the inspection said she was aware that LVN A could not get along with Resident #1 but could not provide specific details or incidents. She listed the forms of abuse the facility had trained her to recognize: financial, verbal, mental, physical, sexual. She said she had received her most recent in-service on abuse and neglect on the day inspectors were interviewing her, March 11, 2026.

Federal surveyors cited Parkview Manor for failing to protect Resident #1 from abuse, with a finding of actual harm affecting some residents. The facility's own undated abuse policy, reviewed during the inspection, states that residents should not be subjected to abuse by anyone, including facility staff, and that residents have the right to be free from involuntary seclusion.

What the inspection record describes is a woman who, for months, rerouted her entire day around a single hallway. She moved her cigarettes. She waited for someone else to take her outside. She told the housekeeping aide she didn't want to cause trouble.

She caused none. She just stopped going near the nurses' station.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Parkview Manor Nursing and Rehabilitation from 2026-03-30 including all violations, facility responses, and corrective action plans.

Additional Resources

• View all inspection reports for Parkview Manor Nursing and Rehabilitation
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