Parkview Manor Nursing And Rehabilitation
Parkview Manor Nursing and Rehabilitation in Weimar, TX — inspection on March 30, 2026.
Found 4 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
making rude comments to her and restricting her from going near the nurse's station when LVN A was
Resident #1 out on smoke breaks and expressed Resident #1 was not allowed to come down the hall
smoke breaks as a result.
She stated at first, she asked Resident #1 why she was not going down the hall near the nurse's station and Resident #1 would say she was not going anywhere near LVN A, refusing to use LVN A's name.
She stated she spoke to Resident #1 about how it made her feel and the resident told her she had not wanted to get anyone in trouble so she would avoid the nurse's station.
She told the residents not to worry about getting anyone in trouble.
She stated Resident #1 would ride all the way around the other side of the facility to get to an area that was easily accessible by just passing the nurse's station to avoid LVN A.
She stated Resident #1's cigarettes had to be removed from the nurse's station to the memory care nurse's station because LVN A made a big deal about them being at the nurse's station and not wanting them there.
She stated LVN A was a smoker, would take the other facility's smoking resident out on smoke breaks, but not Resident #1 making another staff have to come off the floor to take Resident #1 out after LVN A finished.
She stated it had was discussed in the morning meeting and it had not made sense to have two smoke break times because of LVN A's discontent.
She stated nevertheless, two smoke times were initiated.
She stated the ADM was the abuse coordinator and named the following as forms of abuse: physical, verbal, sexual, emotional, neglect, and financial.
She stated the facility provided ANE in-services monthly and as needed. In an interview on 03/11/2026 at 01:05 p.m., CNA A stated she was aware that LVN A could not get along with Resident #1 but could not provide any specific details or incidents as to why.
She stated the ADM was the facility's abuse coordinator and listed the following as forms of abuse: financial, verbal, mental, physical, and sexual.
She stated she received her last in-service on ANE on this date. In an interview on 03/11/2026 at 02:56 p.m., the interim DON stated LVN B witnessing LVN A tell Resident #1 as noted in the progress note dated 11/10/2025 at 9:00 p.m. stating Get off my hall and go back down to your room right now was not enough evidence to substantiate any forms of abuse against LVN A. He stated that the ADM was the abuse coordinator who ensured the facility received in-service training on ANE at least monthly but also as needed. In an interview on 03/12/2026 at 12:28 p.m., the ADM stated he was the abuse coordinator and had was notified on 11/11/2025 by the facility's corporate office that Resident #1 made an abuse allegation against LVN A. He stated Resident #1 stated LVN A popped her in the mouth. He stated the facility immediately suspended LVN A at that time and conducted an investigation finding no witnesses to collaborate with the allegations and he had to unsubstantiate the findings. He stated after he was not made aware by the resident or any staff, Resident #1 had issues with LVN A, which intimidated her after the allegations was made. In an interview attempt on 03/13/2026 at 11:28 a.m., the MD left a voicemail message for a return call. No interview was obtained.
Record review of ANE in-service training dated 11/11/2025 reflected LVN A signed off on receiving this in-service.
Record review of LVN A's employee disciplinary report reflected an infraction that occurred on 02/28/2026 where LVN A created a hostile work environment by behaving in an unprofessional manner towards the ADM. LVN A was terminated effective immediately signed by DON on 03/04/2026. LVN A refused to sign off on the report.
Record review of resident-to-resident incidents in-service training dated 03/10/2026 reflected incidents were to be reported to the ADM for investigation. LVN A had not signed off on receiving this in-service.
Record review of the facility's, undated, policy titled Abuse/Neglect reflected Residents should not be subjected to abuse by anyone, including, but not limited to, facility staff, other residents, consultants or volunteers, staff of other agencies serving the resident, family members or legal guardians, friends, or other individuals.
The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart.
This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms.
675922 03/30/2026
Parkview Manor Nursing and Rehabilitation 206 N Smith St Weimar, TX 78962
spoken to Family 2 about CR status at that time.
She stated that LVN D came on shift to relieve her,
nurse, it would have been LVN A's responsibility to complete CR's discharge documentation
completed the required discharge documents. In an interview on 03/11/2026 at 02:25 p.m., the Med Aid stated since CR's discharge, she had not seen any clinical notes in CR's records reflecting CR's reason for being sent out of the facility.
She stated she would have expected LVN A to complete CR discharge documentation prior to LVN A ending LVN A's shift. In an interview on 03/11/2026 at 02:56 p.m., the interim DON stated on 03/04/2026, the CR was found to have a change of condition that required her immediate transfer by ambulance to a higher level of care facility. He stated as CR's nurse, after completing a physical assessment, SBAR report summarizing CR change of condition that required the ER transfer to a higher level care facility, LVN A should have completed a discharge summary for CR's discharge to reflect on the ADT list required by CMS. He stated LVN A had not completed the SBAR which was unable to trigger the discharge summary report and effected CR's discharge from reflection on the ADT report within the following 24-hours of CR's discharge. He stated that because of LVN A's failure to complete CR's discharge documentation, there were no notes reflecting CR's physician and family contacts or the status of CR's location and current condition. He stated CR's discharge documentation was important for the continuity of CR's care. In an interview on 03/12/2026 at 12:28 p.m., the ADM stated he learned CR discharged CR's hospital on [DATE]. He stated he asked LVN A why the resident was sent out and LVN A stated due to a change in condition. He stated he attempted to get more information from LVN A who was CR's charge nurse and the nurse who discharged CR to the hospital, with no response. He stated on 03/05/2026 Family #3 requested CR's clinical records, but he stated he had provided Family #3 with only the last hospital notes documented in CR's progress notes because he wanted to find out more from his staff the reason for CR's discharge before he released the information. He stated that LVN A had not completed the required change of condition/SBAR documentation that triggered and initiated the discharged documentation as to when, where, and why CR was sent to the hospital to date resulting. He stated charge nurses were responsible for completing a SBAR, skin, and pain assessment in preparation of a resident's discharge out of the facility. He stated failure to complete those assessments resulted in untimely information being reported to CMS. He stated LVN A was terminated on 03/04/2026 at 3:00 p.m. for unrelated issues. In an interview on 03/13/2026 at 02:14 pm., MD B stated on 03/04/2026 at 03:29 p.m., she received a call from LVN A reported CR's eyes were rolling in the back of head and her blood pressure was elevated. MD B directed LVN A send CR out for immediate transfer to the hospital due to stroke like symptoms.
Record review of the facility's ADT log, dated 03/04/2026 - 03/11/2025, reflected CR discharged to an acute care hospital on [DATE].
Record review of CR's Discharge summary dated after survey intervention on 03/11/2026 at 08:56 p.m. and signed and completed by interim DON, reflected CR admitted to the facility on [DATE] and was discharged to the hospital on [DATE], due to a change in condition on 03/04/2026.
675922 03/30/2026
Parkview Manor Nursing and Rehabilitation 206 N Smith St Weimar, TX 78962
interim DON stated LVN B documented a nursing progress note, dated 11/10/2025 at 9:00 p.m.
follow-up psychosocial assessment for Resident #1. He stated the importance of a psychosocial
He stated there were also no risk assessments conducted after the incident. He stated on 03/11/2026 he completed a trauma assessment interview with Resident #1 had expressed no risks other than falls related to the allegation. In an interview on 03/12/2026, at 12:28 p.m., the ADM stated he was unaware the facility had not completed a psychosocial evaluation to ensure Resident #1 had not experienced any adverse effects from her abuse allegation on 11/11/2025. He stated it had been his expectation that the facility's social worker (SW) who was no longer with the facility would have been responsible for initiating that evaluation but was unaware why it had not been. He stated Resident #1 had not expressed to him or any other staff she had issues with LVN A after 11/11/2025.
He stated LVN A received disciplinary actions prior to her termination on 03/04/2026, but they were related to her professionalism with and towards staff not residents.
Record review of facility's, undated, policy titled Behavior Management Policy reflected: Policy: Behavior management includes the management of anger, confusion, hallucinations, and other behavior by utilizing techniques such as area limitations, self-responsibility, group interactions, limit setting, and behavior modifications depending on individual needs.
Behavior changes can be attributed to dementia disorders or psychological conflicts resulting from a loss of control over body, environment, and unmet needs such as pain, hunger, thirst, and toileting.
They may include combativeness, arguing, agitation, and aggressiveness.
Goals1.
The resident will modify behavior for optimal functioning and well-being.
675922 03/30/2026
Parkview Manor Nursing and Rehabilitation 206 N Smith St Weimar, TX 78962
last hospital notes noted in CR's progress notes and Family #3 requested more details, which he
who was CR's charge nurse and the nurse who sent CR to the hospital, with no response. He stated in
belongings. He stated that LVN A had not completed the required change of condition/SBAR documentation as to when, where, and why CR was sent to the hospital to date. He stated LVN A was terminated on 03/04/2026 at 3:00 p.m. for an unrelated issue. He stated charge nurses should be completing a SBAR, skin, and pain assessment at the time when a resident prepared to discharge out of the facility. He stated failure to complete those assessments resulted in untimely information being reported to CMS. In an interview on 03/12/2026 at 03:11 p.m., CNA B stated she worked the evening shift and on 03/03/2026 into 03/04/2026 and had not noticed any changes in condition in CR. In an interview on 03/12/2026 at 03:13 p.m., CNA C stated she had cared for CR on many occasions overnight and was familiar with CR's baseline.
She stated on 03/03/2026 into 03/04/2026 she had not noticed any changes in condition that required her to inform CR's nurse.
She stated she last saw CR on 03/04/2026 at 5:00 a.m. when providing CR incontinent care, as CR was wet and CR thanked her for the brief change.
She stated CR was normally like that and had not looked sick.
She stated CR was sleepy but that was normal because she cared for CR throughout the night shift.
She stated she had no reports to share with LVN D related to a change in condition. In an interview on 03/13/2026 at 02:14 pm., MD B stated on 03/04/2026 at 03:29 p.m., LVN A called to inform her that while at the facility CR's eyes were rolling in the back of head and her blood pressure was elevated. MD B directed LVN A to call 911 to have CR immediately transferred to the hospital and CR was med-flight to the hospital due to stroke like symptoms.
Record review of CR's physician note dated 03/03/2026 at 09:55 a.m., reflected PA-C assessed CR noting no issues and continue to report any s/sx of issues.
Record review of CR's March 2026 MAR reflected the CR received her doses of medication on 03/02/2026 and were administered by the Med Aid.
Record review of the facility's admissions, transfer, discharges log, dated 03/04/2026 - 03/11/2025, reflected on 03/04/2026 CR discharged to an acute care hospital.
Record review of CR's discharge summary date on 03/11/2026 at 08:56 p.m., after survey intervention reflected CR admitted to the facility on [DATE] and was discharged to the ER on [DATE] due to a change in condition on 03/04/2026 signed and completed on 03/11/2026 by interim DON.