Inspection·June 30, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, record review, review of the AccuWeather forecast and facility policy review, the facility failed to maintain a comfortable temperature in the facility. This affected six (Residents #3, #15, #18, #55, #64, and #84) and had the potential to affect all residents in the facility. The facility census was 92. Findings include: Review of facilities recent hospital transfers revealed Residents #3 and #18 were sent to the hospital on [DATE] due to heat exhaustion symptoms including lethargy, shortness of breath, dizziness, and weakness. 1. Review of Resident #3's medical record revealed an admission date of 01/31/25. Diagnoses included adult failure to thrive, encephalopathy, atrial fibrillation, chronic obstructive pulmonary disease, major depressive disorder, and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 had severely impaired cognition and required set up assistance with eating and oral hygiene, supervision or touching assistance with showers, dressing, personal hygiene and bed mobility and required partial to moderate assistance by staff for toileting hygiene. Review of Resident #3's progress notes dated 06/23/25 at 8:45 P.M. revealed the resident had gone outside for an extended period of time with another resident. Further review of Resident #3's progress notes dated 06/23/25 at 11:24 P.M. revealed the resident was sent to a local emergency room due to facility staff indicating how hot the facility was, and the resident had complaints of shortness of breath, feeling dizzy, and unable to catch his breath. Vital signs included blood pressure (BP) 115/88, pulse (P) 84, temperature (T) 98.1 degrees Fahrenheit (F), respirations (R) 20 and oxygen saturation (SpO2) 90 percent (%) on three liters per minute of oxygen. Nursing staff assessed the resident and found lungs were clear to auscultation, the resident was very lethargic with slurred speech. The resident had no complaints of pain. Further review of Resident #3's medical record revealed he returned from the hospital on [DATE] at 3:56 A.M. with no new orders. 2. Review of Resident #18's medical record revealed an admission date of 10/14/24 with diagnoses including Multiple Sclerosis, anxiety, hypertension, and protein calorie malnutrition. (continued on next page) 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 (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 5 Event ID: 365275 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365275 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/30/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park Vista Nursing and Rehab 1216 5th Ave Youngstown, OH 44504 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)