Inspection·December 24, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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 observations, resident and staff interviews, record review, review of cleaning procedures, and review of Resident Council meeting minutes, the facility failed to ensure resident rooms were routinely cleaned and maintained. This affected three (#29, #54, and #56) of nine residents reviewed for room cleanliness. The facility census was 62.Findings include:1. Review of the medical record for Resident #29 revealed an admission date of 07/14/23 with diagnoses including hypertension, pulmonary fibrosis, and dementia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #29 had intact cognition, and required substantial/maximal assistance for toileting hygiene and partial/moderate assistance to toilet transfers.Observation on 12/23/25 at 9:31 A.M. of Resident #29's bathroom revealed it had what appeared to be red discolored water stains all the way around the bowl coming from under the rim of the toilet. Additionally, a grey ring was around the water line. Concurrent interview with Resident #29 revealed she felt the toilet was always dirty, but had been told the discoloration in her toilet was rust. Resident #29 said somebody came in earlier in the morning and scrubbed it. Resident #29 stated she had not gone into the bathroom to look at it. Interview on 12/23/25 at 9:48 A.M. with Certified Nursing Assistant (CNA) #101 confirmed residents, including Resident #29, complained about the cleanliness of their toilets. CNA #101 stated she had reported her concerns to housekeepers and nurses.Observation on 12/23/25 at 11:55 A.M., and concurrent interview with Housekeeping Manager (HM) #400 revealed Resident #29's toilet bowl had discolored hard water stains coming down inside the bowl from under the rim to the water line, approximately every two inches all the way around the bowl. Additionally, the stains on the right side of the bowl were more orange/red while the remaining stains were off-white/yellow. A grey ring was around the water line. HM #400 confirmed the observations. HM #400 stated she cleaned the toilet earlier using just a rag, and wasn't able to get the hard water stains out of the toilet.Subsequent interview on 12/23/25 at 12:15 P.M. with HM #400 revealed she used a pumice stone to clean the inside of Resident #29's toilet and was able to remove the stains. HM #400 stated she did not realize the stains could be removed and had not previously attempted to use the pumice stone to clean the bowl.Observation on 12/23/25 at approximately 12:55 P.M. revealed Resident #29's toilet was free of hard water build-up and no ring was around the water line.Interview on 12/23/25 at 3:23 P.M. with the Director of Nursing (DON) revealed she heard complaints about unclean toilets. The DON stated when she reported her concerns to the housekeeping department, and the concerns were always addressed. The DON confirmed Resident #29 used their restroom.2. Review of the medical record for Resident #54 revealed an admission date of 11/18/14 with diagnoses including anxiety, hypertension, and chronic kidney disease. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #54 had intact cognition. Observation on 12/23/25 at 9:18 A.M., and concurrent interview with Licensed Practical Nurse (LPN) #201 revealed Resident #54's bathroom had brown substance, (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 3 Event ID: 365570 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 365570 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/24/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 328 West Vine Street Edgerton, OH 43517 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)