Marywood Heights: Medication & Documentation Failures PA
This failure represents a fundamental breach of care standards....
Latest reports, citations, and penalties from CMS data
This failure represents a fundamental breach of care standards....
Federal inspectors documented a troubling escalation of violence against the resident....
The resident, who required total assistance with daily activities, experienced falls from mechanical lifts on April 14 and June 1, 2024....
Hospital staff contacted Parkview Care Center to notify them that the resident was returning by taxi....
During multiple cardiac events, staff discovered critical gaps in their crash cart supplies and accessibility....
The malfunctioning alarms were located at the 100 hall door, the west hall door facing the parking lot, and the downstairs hallway office door....
The facility had only submitted the basic Facility Reported Incident (FRI) form to the state agency, which contained minimal information about the incident....
Inspection records revealed that staff failed to administer prescribed breathing treatments on multiple occasions in March 2025....
Two residents experienced dangerous delays in receiving ordered laboratory work that could have detected serious health problems....
However, federal surveyors identified a fundamental flaw in the facility's approach....
The incident involved **60 oxycodone/acetaminophen tablets** belonging to one resident and **30 oxycodone tablets** belonging to another....
The citation references WAC 388-97-0640 (6)(a)(b), indicating violations related to facility operations and resident care standards....
Inspectors found that a resident prescribed antibiotics for a urinary tract infection was not properly tracked or monitored according to established protocols....
The missed medications included **Levetiracetam**, a critical anti-seizure medication prescribed at 750 mg twice daily....
The damaged door exposed multiple construction nails with sharp points facing into the room....
Inspectors documented water temperatures reaching **124 degrees Fahrenheit** in a shower room sink and **123.2 degrees Fahrenheit** in a resident room sink....
Federal surveyors found that weekly audits conducted by nurse managers from February through May 2025 were fundamentally flawed in their design and execution....
The patient, who has paraplegia, seizure disorder, and dysphagia (difficulty swallowing), was found unresponsive and required a code blue emergency response....
Despite these critical warning signs, nursing staff failed to contact medical providers or emergency services for nearly 10 hours....
The resident had an above-knee amputation of his left leg and required a specialized leg rest attachment for his wheelchair due to his medical conditions....