Parkview Care Center
PARKVIEW CARE CENTER in FREMONT, OH — inspection on November 20, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the October 2025 physician orders revealed no orders for monitoring, flushing, or dressing changes for Resident #5's PICC line until 10/26/25 (15 days after the PICC line was placed).
Review of the Treatment Administration Record (TAR) for October 2025 revealed no evidence Resident #5's PICC line was flushed, monitored, or had dressing changes completed from 10/11/25 until 10/26/25.
Interview on 11/19/25 at 9:18 A.M. with the Director of Nursing (DON) verified there were no orders from 10/11/25 until 10/26/25 for PICC line site dressing changes, monitoring of the site for bleeding/leakage/signs of infection every shift, and normal saline flushes every eight hours for line patency and before and after each medication dose and there should have been physician orders in place for the care of Resident #5's PICC line.
Review of the facility policy titled, Peripheral and Midline IV Catheter Flushing and Locking, revised June 2025, revealed for short and long midline catheters used for intermittent infusions, flush the catheter and aspirate for blood return prior to each infusion and at least every 24 hours to assess catheter function, lock following each use.
Document the procedure in the TAR, note location of catheter, condition of insertion site, and dressing in the nurse's notes.
This was an incidental finding discovered during the complaint investigation.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Parkview Care Center
1406 Oak Harbor Rd Fremont, OH 43420
SUMMARY STATEMENT OF DEFICIENCIES
Review of a physician order, dated 10/11/25 at 10:20 P.M., revealed Resident #5 was ordered vancomycin IV solution 1000 mg/200 ml, give 1000mg intravenously every 12 hours for UTI for six days.
Review of the pharmacy delivery receipt signed 10/12/25 at 5:30 A.M. revealed vancomycin 1 gram (gm) per 250 ml was delivered to the facility for Resident #5.
Review of the Medication Administration Record (MAR) for October 2025 revealed vancomycin was not administered to Resident #5 until 10/13/25 at 9:00 A.M.
Review of the nursing progress note dated 10/12/25 at 8:17 P.M. revealed the nurse informed the Director of Nursing (DON) and Assistant Director of Nursing (ADON) #400 that Resident #5 needed medication ran through a PICC line.
The nurse was informed that it would not be able to be completed and was asked to call the doctor to hold the medication until 9:00 A.M. on 10/13/25.
The doctor was called and stated he did not feel comfortable holding the medication due to it being ordered on 10/11/25.
Further review revealed a nursing progress note dated 10/12/25 at 9:54 P.M. that stated vancomycin was not infused due to Resident #5 having a chest port (PICC line) and (the medication) needed to be ran by a Registered Nurse (RN).
The DON and ADON were made aware of the situation and the on-call doctor did not give an order to hold the medication.
Interview on 11/19/25 at 9:18 A.M. with the DON confirmed Resident #5's doses of vancomycin were not administered on 10/12/25 at 9:00 A.M. and 10/12/25 at 9:00 P.M. due to an RN not being available to initiate the medication.
The DON stated the ADON was no longer employed at the facility and she was the only RN.
Review of the facility policy titled, Administering Medications, revised April 2019, revealed staffing schedules were arranged to ensure that medication was administered without unnecessary interruptions.
Medications were administered in accordance with prescriber orders, including any required time frame.
This deficiency represents non-compliance investigated under Complaint Number 2641971.
Facility ID: