Inspection·December 23, 2025

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the medical record, staff interview, and policy review, the facility failed to ensure a resident's representative was notified of changes in condition. This affected one (#31) of three residents reviewed for changes in condition. The facility census was 30. Findings include: Review of the medical record for Resident #31 revealed an admission dated of 11/11/25 and a discharge date d of 12/04/25. Diagnoses included acute respiratory failure with hypoxia, non-pressure chronic ulcer of buttock, adjustment disorder, vitamin D deficiency, muscle weakness, dysphagia, hypertension, pneumonia, Parkinson's disease, mass of right lung, and severe protein calorie malnutrition. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment. The resident required set-up assistance for meals. The resident had no admission weight documented on the admission MDS assessment. Review of hospital documentation dated 10/30/25 through 11/10/25 revealed the resident reported a 45-pound weight loss in three months which was intentional. The resident's hospital weight on 11/11/25 was noted as 159 pounds. Review of a physician order dated 11/13/25 revealed an order for weekly weights for four weeks then complete monthly weights unless otherwise indicated. Review of the resident's weights and vitals summary revealed the resident's weight was not documented upon admission on [DATE]. On 11/19/25 the resident weighed 148 pounds. On 11/24/25 the resident weighed 145 pounds. There was no documentation of weights from 11/25/25 through discharge on [DATE]. Review of a dietary progress note dated 11/24/25 at 7:56 A.M., revealed the dietician was notified of the resident's weight loss. The resident was noted with meal intakes of 75 percent to 100 percent with an occasional meal intake of less than 75 percent. The dietician recommended a health shake and frozen nutritional supplement to increase the resident's protein and calories. Review of the physician orders dated 11/24/25 revealed the resident had orders for a house shake (nutritional supplement) twice daily, and a protein supplement 30 milliliters (ml) daily. Also, on 11/24/25 the resident received new orders to upgrade his diet from mechanical soft consistency to a regular diet with regular texture with nectar thickened fluids. There were no physician orders for the frozen nutritional supplement. Review of the nurses' notes revealed no documentation the resident's representative was notified of the weight loss, recommended interventions, and new physician orders. Interview on 12/23/25 at 12/23/25 at 6:17 A.M., Regional Clinical Registered Nurse (RCRN) #120 verified there was no documentation Resident #31's representative was notified of the resident's weight loss, and new dietary orders. Review of the facility policy Change in a Resident's Condition or Status, revised 02/2021, revealed the resident's representative would be notified of changes in the resident's physical condition and the need to alter the resident's medical treatment. This deficiency represents noncompliance investigated under Complaint Number 2677988. 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: 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 12/23/2025 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)