Health inspection·July 18, 2023

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, medical record review, staff interview, review of the facilities investigation, review of the facilities self-reported incidents (SRIs), review of guardianship documents, review of a police report, and review of a facility policy, the facility failed to provide adequate supervision to prevent the elopement of Resident #100, who had impaired cognition, assessed with exit seeking behaviors and resided in a secured behavioral building. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injuries, and/or death on [DATE] when Resident #100 eloped from the facility without staff knowledge. The lack of adequate supervision and timely response to interventions resulted in Resident #100 exiting the secured building at an unknown time. Resident #100 was discovered missing from the facility at 6:30 P.M. during nursing rounds and Resident #100 was discovered by fire department personnel at 7:10 P.M. when the resident walked into an apparatus bay of the local fire department which was 1.1 miles from the facility and located in a congested, highly trafficked area. This affected one resident (#100) of three residents assessed at risk for elopement in the facility. The facility census was 46. On [DATE] at 1:36 P.M., the Administrator, Regional Director of Clinical Operations (RDCO) #801, and Licensed Practical Nurse (LPN) #17 were notified Immediate Jeopardy began on [DATE] at 6:30 P.M., when Resident #100 was not provided adequate supervision and eloped from the facility, without staff knowledge. On [DATE] at 7:10 P.M., the resident was found by the fire department personnel when the resident walked into an apparatus bay of the local fire department which was 1.1 miles away and located in a congested, highly trafficked area. The fire department personnel called the local police department who responded to the fire department and transported Resident #100 back to the facility at 7:15 P.M. Observation of the facility's front door on [DATE] at 2:22 P.M. with the Administrator, revealed the front door was left unalarmed and was able to be opened with no delayed egress while there were no staff present in the area watching the door. The Administrator stated she was not aware the door was left unalarmed and verified the door was able to open without the delayed egress. The Administrator was observed to ask the nurse at the nurse's desk if she had been watching the door and the nurse stated she had no knowledge that the door was unlocked, and it was not alarmed. No other staff were in the vicinity and no staff members identified themselves as watching the door as the Administrator was attempting to find out who was watching the door while maintenance staff had the front door alarm and delayed egress turned off and were not in the vicinity of the door. Interview with the Administrator at the same time verified the front door was left unalarmed and was able to open with no delayed egress. The Administrator also verified the door was not being watched by staff and maintenance staff were not present at the door. The Immediate Jeopardy was removed [DATE] when the facility implemented the following corrective actions: (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 11 Event ID: 366256 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 366256 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/18/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Northwest Healthcare Center 3875 East Galbraith Road Cincinnati, OH 45236 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)