Parke View Rehab: Bowel Care Protocol Failures - ID
Inspectors who visited Parke View Rehabilitation & Care Center in August found that two residents had gone without the bowel intervention their own care protocols required, leaving them to endure discomfort that staff had the tools to prevent and simply did not use.
The facility's routine standing orders, dated August 28, 2024, spelled out exactly what nurses were supposed to do when a resident hadn't had a bowel movement in 72 hours. Staff could give Miralax mixed in fluid, Senna tablets, Dulcolax, or Magnesium Citrate. The medications were available. The order was in writing. Nobody gave them.
The first resident, identified in inspection records as Resident 7, is a stroke survivor who also lives with chronic obstructive pulmonary disease. His bowel tracking records showed a movement on July 27, 2025, at 1:55 in the afternoon. The next one wasn't recorded until July 31, at 1:59 p.m. That gap was 96 hours, four full days. His medication administration record for July showed the bowel management protocol was never started during that stretch.
The second resident, Resident 10, has diabetes and chronic respiratory failure with hypoxia, a condition in which his lungs cannot adequately oxygenate his blood over time. His records showed the problem happening not once but twice in the same summer.
The first time, he went without a bowel movement from July 25 at 9:05 p.m. until July 29 at 9:50 a.m., a gap of 84 hours. No protocol was initiated. The second time was worse. His records showed a bowel movement on August 9 at 3:31 p.m. and then nothing until August 14 at 10:31 a.m., 117 hours later, nearly five days. Again, his medication administration record showed staff had not started the bowel management protocol at any point during that window.
When inspectors interviewed the director of nursing on August 19, she confirmed that staff should have started the protocol once a resident went 72 hours without a bowel movement. She acknowledged they had not.
That was it. No explanation for why the protocol was skipped. No account of whether anyone had noticed the gap in real time. The documentation simply showed the hours accumulating, day after day, with nothing done.
Constipation in nursing home residents is not a minor inconvenience. For people with limited mobility, serious underlying illness, and reduced ability to communicate discomfort, it can cause significant pain, nausea, and in prolonged cases, more serious complications. The facility's own physicians had anticipated this and put a protocol in place specifically to prevent it. The protocol required no special approval, no additional orders, no call to a doctor first. Staff had standing permission to act. They did not.
What the records do not show is whether either resident told a nurse or aide they were uncomfortable. What the records do not show is whether anyone checked the bowel tracking logs and noticed the 72-hour mark had passed. What they do show is that both men went well past that mark, one of them by nearly two full additional days, and the medications sitting in the facility's dispensary were never administered.
Inspectors classified the violation as having the potential for actual harm, with minimal harm documented. The deficiency affected few residents. By the measures federal inspectors use to categorize nursing home violations, this one sits near the lower end of the scale.
For Resident 10, the gap between his last bowel movement and the next one in August was 117 hours. That is four days and twenty-one hours. The standing order that required staff to act had been in place for nearly a full year before inspectors arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Parke View Rehabilitation & Care Center from 2025-08-21 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
Parke View Rehabilitation & Care Center in Burley, ID was cited for violations during a health inspection on August 21, 2025.
Staff could give Miralax mixed in fluid, Senna tablets, Dulcolax, or Magnesium Citrate.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.