Inspection·November 20, 2025

F 0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, review of hospital records, staff interview, and review of facility policy, the facility failed to ensure physician orders were in place and care was provided for a peripherally inserted central catheter (PICC line - used for long term intravenous [IV] access). This affected one (#5) of one resident reviewed for PICC line care. The facility identified one resident with a PICC line. The facility census was 36. Findings include:Review of the medical record for Resident #5 revealed an admission of 07/31/25 and a readmission date of 09/28/25. Diagnoses included multiple sclerosis (MS), neuromuscular dysfunction of the bladder, and Crohn's disease of the large intestine.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #5 had intact cognition and required staff assistance for Activities of Daily Living (ADLs).Review of a hospital After Visit Summary (AVS) dated 10/11/25 revealed Resident #5 was seen in the emergency room for painful urination and was given a diagnosis of urinary tract infection (UTI) without hematuria. A PICC line was placed in the upper left chest and a new order for vancomycin IV solution 1000 milligrams (mg) per 200 milliliters (ml), use 1000 mg IV every twelve hours for UTI for six days.Review of the care plan, revised on 11/12/25, revealed Resident #5 required the use of an IV for antibiotics. Interventions included administer antibiotics as ordered and monitor for adverse reactions, evaluate the site for leakage/bleeding/signs of infection, monitor dressing and change as ordered, and monitor tubing and change as ordered. 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. Residents Affected - Few 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 2 Event ID: 366081 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 366081 B. Wing A. Building (X3) DATE SURVEY COMPLETED 11/20/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Care Center 1406 Oak Harbor Rd Fremont, OH 43420 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)