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Inspection visit

Health inspection

Park View Care CenterCMS #4556063 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to permit a resident to return to the facility after being hospitalized or placed on therapeutic leave for 1 of 3 residents (Resident #1) reviewed for bed hold. The facility failed to re-admit Resident #1 after he was hospitalized for having shortness of breath. Emergency services attempted to return Resident #1 on 12/18/25 and again on 12/19/25, and the facility sent him back to the hospital. This failure could place residents at risk of not getting the care and services required. Findings included:Record review of Resident #1's nursing home discharge MDS, dated [DATE], reflected Resident #1 was a [AGE] year-old male who was admitted to the facility originally on 08/18/21, readmitted [DATE] and again on 12/09/25. Resident #1's diagnoses included diabetes mellitus (high blood sugar levels), chronic respiratory failure with hypoxia (not having enough oxygen in the blood), chronic obstructive pulmonary disease (group of lung diseases that obstruct airflow and make breathing difficult), major depressive disorder (pervasive low mood, low self-esteem, and loss of interest or pleasure), end stage renal disease (kidney failure), morbid obesity (body mass index of 40 or higher), other seizures (sudden burst of electrical activity in the brain). The MDS reflected Resident #1 was dependent on staff with all activities of daily living skills. Also, the MDS Discharge Assessment did not indicate if a return was anticipated or not anticipated. Record review of Resident #1's current care plan reflected Resident #1 was Resistant to Care and at risk for injury, a decline in functional abilities, and not having their needs met in a timely manner. Resistance is related to: Resident refused dialysis care, refused medications/care, Resident refused/delays diabetic care, Resident frequently refuses incontinent care/wear brief, refused to wear clothes. Goal: Resident will maintain highest level of independence and not experience a decline in functional abilities. Resistance behaviors will not interfere with ADLs being met in a timely manner on a daily basis. Interventions included Use the Buddy System when interacting with Resident #1. Monitor behavior episodes and attempt to determine underlying cause. Consider location, time of day, persons involved, and situations. Document behaviors and interventions in behavior log. Give a clear explanation of daily care activities prior to and as they occur during each contact. Encourage as much participation and interaction by the resident as possible. Provide resident with opportunities to make decisions during ADL cares and daily routine. If possible, negotiate a time for ADLs so that the resident participates in the decision making process and return at a time when resident is more likely to be compliant with receiving assistance with ADLs. Discuss the possible outcomes of not complying with therapeutic regimen.Record review of Resident #1's undated care plan reflected Resident #1 had Congestive Heart Failure. Goal: Resident will be free from complications related to Congested Heart Failure. Interventions included Give cardiac medications as ordered. Monitor/document/report to Physician PRN any signs and symptoms of Congestive Heart Failure: dependent edema of legs and feet, periorbital edema (accumulation of fluid to lower extremities), shortness (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 8 Event ID: 455606 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 455606 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 3301 View St Fort Worth, TX 76103 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)
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few of breath on exertion, cool skin, dry cough, distended neck veins, weakness, weight gain unrelated to intake, crackles and wheezes upon auscultation (to listen to the sounds of the lungs with stethoscope) of the lungs, Orthopnea (shortness of breath when lying down), weakness and/or fatigue, increased heart rate (tachycardia) lethargy and disorientation. Oxygen therapy per physicians orders. Vital signs as needed.Record review of Resident #1's undated care plan reflected Resident #1 had a diagnosis of diabetes and is at risk for unstable blood sugars and abnormal lab results. Goal: Resident will be free from the signs and symptoms of hyper/hypoglycemia (high/low blood sugar). Interventions included Administer diabetic medications as ordered by the physician. Monitor for adverse reactions and report abnormal as detected. Provide therapeutic diet as ordered. Monitor blood Sugar as ordered by physician. Administer sliding scale insulin if ordered. For any blood sugars not within the acceptable parameters as dictated by the physician, document and notify the physician. Monitor for signs and symptoms of hyperglycemia such as: Reduced appetite, increased thirst, urinary frequency, weight loss, fatigue, nausea, vomiting, dry skin, muscle cramps, Kussmaul breathing (deep, labored breathing pattern), acetone breath (smells fruity), stupor (mental condition marked by absence of spontaneous movement), and coma. Document and report to the physician as needed.Record review of Resident #1's undated care plan reflected Resident #1 had dialysis. Resident #1 received dialysis related to renal failure and is at risk of the potential complications of dialysis related to End Stage Renal Disease. Goal: Resident will have no complications from routine dialysis. Interventions included Encourage resident to attend scheduled dialysis appointments. Hemodialysis treatments are to be performed on the following days of the week: Tuesday, Thursday, Saturday. Obtain vital signs and weight per protocol. Report significant changes in pulse, respirations, and blood pressure to the physician. Do not draw blood or take blood pressure readings on any arm containing an Arteriovenous fistula (arteriovenous fistula is an abnormal connection between an artery and a vein). Arteriovenous shunt (surgical connection that allow blood to flow directly from a high-pressure artery into a lower-pressure vein): Auscultate shunt site for bruit and palpate for thrill (to listen for swishing or whooshing sounds) as ordered. Notify physician for absence of bruit/thrill. Monitor dialysis dressing and change as ordered. Report abnormal bleeding to the physician. Monitor/document/report to physician any signs or symptoms of infection at the access site such as redness, swelling, warmth, pain, or purulent drainage (thick, pus-like fluid that indicate infection). In case of dislodgment of dialysis access device to Right side of neck, apply pressure to prevent bleeding, call emergency services, and notify physician.Record review of Resident #1's undated care plan reflected Resident #1 had Discharge Plans, LTC: Resident #1 is in the facility for long-term care placement as a result of a continued need for the services of skilled nursing staff as evidenced by an inability to provide selfcare and discharge planning is not needed. Either the family or the resident has requested that questions regarding return to the community only be asked on comprehensive assessments. Goal: Resident and family's wish would be honored. Interventions included Observe for change in conditions that may affect long-term care goals and notify the physician and responsible party as needed. Discuss the need for continuing long-term care placement with the resident or family as indicated or requested. Encourage and allow the resident or family to discuss feelings and concerns regarding long-term care placement. Discuss with the resident or family the level of care that would be needed to safely return to an assisted living facility, group home, or the community when indicated or requested.Record review of Resident #1's progress note written by RN E on 12/16/25 at 2:43 PM reflected Data: Resident refusing to go to dialysis - using profanity words being disrespectful to staff. residents continue to refuse care daily and frequently. RN encouraged resident to go to dialysis and follow current medical care (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455606 If continuation sheet Page 2 of 8 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 455606 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 3301 View St Fort Worth, TX 76103 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)
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few plan. Resident denies any increased pain or discomfort at this time. Resident allowed staff to clean him but refused to transfer to stretcher for dialysis. Action: continue to encourage resident to complete his care plan. Response: resident states he does not want to do anything right now and will most likely call the state again. No abuse or neglect has been noted.Record review of Resident #1's progress note written by RN F on 12/16/25 at 10:54 PM reflected Data: While this writer was on break, the resident called 911 requesting a breathing treatment. Another nurse assessed the resident, confirmed the request, and administered the breathing treatment as ordered. This writer talked with a resident and educated the resident if he needed anything ask the staff first.Record review of Resident #1's progress note written by RN E on 12/17/25 at 9:05 AM reflected Data: Resident has new order to transport resident to hospital.Record review of Resident #1's progress note written by the Administrator on 12/19/25 at 12:40 PM reflected Resident initiated discharge on [DATE] to hospital. Resident had previously stated he did not feel safe in the facility and did not want to remain in the facility. Facility followed resident's wishes with discharge. MD agreed with resident discharge.Record review of the facility's current resident roster, dated 12/22/25, reflected Resident #1 was not listed as a resident currently in the facility or listed as a resident in the hospital.Interview on 12/22/25 at 10:21 AM with the Emergency Medical Technician revealed she received a call to transport Resident #1 from the hospital back to his home, a nursing facility, accompanied by the police due to this being Resident #1's second attempt to reenter the facility. The Emergency Medical Technician stated the facility had refused Resident #1 twice, and she did not understand why because Resident #1 needed assistance with all of his care. The Emergency Medical Technician stated she entered the facility to gather discharge paperwork but was given the runaround and never received any documentation regarding a safe discharge. The Emergency Medical Technician stated she was told by facility staff that the facility was not refusing Resident #1, but Resident #1 refused care and was rude and disrespectful to staff, and they would not allow Resident #1 to enter the facility. The Emergency Medical Technician stated Resident #1 expressed to her that he would have to return to the hospital because he could not do anything for himself. The Emergency Medical Technician voiced Resident #1 did not have a safe discharge placing him at risk of being homeless and without medical care. Interview on 12/22/25 at 12:32 PM with Hospital Staff revealed Resident #1 entered the hospital due to needing dialysis, Resident #1 received dialysis and was sent back to the nursing home on [DATE] and again on 12/19/25. The Hospital Staff stated Resident #1 returned to the hospital and was admitted on [DATE] due to the nursing home facility rejecting him. The Hospital Staff stated Resident #1 was currently admitted in the hospital. The Hospital Staff stated she reached out to the facility to assist with his return and was told Resident #1 will not be allowed back to the facility. According to the Hospital Staff, the facility was placing Resident #1 at risk of an unsafe discharge, and it was the facility's responsibility to allow him to return until he was able to relocate to an alternative placement to accommodate his care needs. Interview on 12/22/25 at 2:34 PM with the Ombudsman revealed she had received a call from Resident #1 reporting that he had attempted to return to the facility after a hospital stay, however the facility was rejecting his return. The Ombudsman stated she had not received any notice or documentation from the facility on his discharge, so she reached out to the Administrator. According to the Ombudsman, The Administrator acknowledged Resident #1 went out to the hospital and would not be allowed to return. The Ombudsman shared there was a Care Plan meeting completed in November 2025, which did not disclose any concerns regarding his stay in the facility. The Ombudsman stated she expressed concern with the Administrator and advised Resident #1 should be allowed to return to his home, however the Administrator was adamant that Resident #1 was not allowed to return (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455606 If continuation sheet Page 3 of 8 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 455606 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 3301 View St Fort Worth, TX 76103 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)
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few to the facility. The Ombudsman stated not allowing Resident #1 to return to the facility placed him at risk of not having a safe discharge. Interview on 12/22/25 at 3:00 PM with Resident #1 revealed he was sent to the hospital on [DATE] due to shortness of breath. Resident #1 stated he had missed dialysis and needed to have fluid removed, which was completed at the hospital. Resident #1 stated upon his return to the nursing home facility, the Administrator came outside voicing he was denied reentry. Resident #1 stated he was taken back to the hospital. Resident #1 stated the hospital discharged him twice to return to the facility, however, was rejected by the Administrator to return. Resident #1 stated he expected to return to the facility because he had no other place to go. Resident #1 voiced that the facility had tried relocating him, however his referrals were all denied. Resident #1 stated he was currently admitted to the hospital, and according to Resident #1 the Administrator was trying to kick him out of the facility with no place to go. Interview on 12/22/25 at 3:25 PM with RN F revealed she worked closely with Resident #1, he was always agitated with staff, would refuse care, medication and often refused dialysis. According to RN B, Resident #1 would call emergency medical services when he felt uncomfortable or wanted to be seen at the hospital. RN B stated she was not aware of him being discharged from the facility. RN B stated Resident #1 had not voiced feeling unsafe in the facility and anticipated his return. Interview on 12/22/25 at 3:35 PM with RN E revealed Resident #1 was sent to the hospital on [DATE] due to having shortness of breath and chest pain. RN A stated Resident #1 did not say anything about him not returning to the facility and she did not complete any discharge paperwork. RN A stated she was not aware that Resident #1 was not allowed to return to the facility. RN A stated not allowing Resident #1 to return to the facility would place him at risk of not having a safe place for care . Interview on 12/22/25 at 4:35 PM with the ADON revealed she was aware Resident #1 had been sent to the hospital on [DATE] due to shortness of breath and chest pain. The ADON stated staff and the Nurse Practitioner were working with him to assess his breathing and pain, however Resident #1 voiced if they did not call emergency services for him, he would call emergency services himself. The ADON stated hospital documentation was provided to emergency services upon his exit from the facility, and she anticipated Resident #1 was to return to the facility. The ADON voiced she understood that Resident #1 was unhappy and wanted to eventually relocate. The ADON stated on 12/19/25 she was in the building, and heard from an unknown staff member that Resident #1 had returned to the facility however the Administrator refused to allow him to return. The ADON stated Resident #1 had voiced that he was thinking about relocating to another facility that had inhouse dialysis, but she had heard that referral was denied. According to the ADON, nursing staff would be responsible for completing discharge documentation which would include resident discharge summary, medication list with instructions and where they are discharging to. According to the ADON Resident #1 had not been properly discharged . The ADON stated not allowing Resident #1 to return to the facility placed him at risk of not having a safe place to live with the care he needed. Interview on 12/22/25 at 5:00 PM with the Administrator revealed on 12/13/25 Resident #1 was involved in a Priority 1 Health and Human Services investigation which he alleged he did not feel safe residing in the facility. The Administrator stated this led to her creating her own investigation, finding that Resident #1 would refuse his medications, activities of daily living care, and dialysis treatment along with being rude and abusive towards staff. The Administrator stated she was aware of Resident #1 being sent out to the hospital for shortness of breath and chest pain. According to the Administrator, she discussed her investigation findings with her corporate office, and it was then decided that Resident #1 would not be readmitted to the facility after his hospital stay. The Administrator explained that Resident #1 was brought to the facility by Emergency Medical Technician and the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455606 If continuation sheet Page 4 of 8 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 455606 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 3301 View St Fort Worth, TX 76103 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)
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete police on 12/19/25 which she then explained Resident #1 had voiced not feeling safe and his want to relocate therefore the facility would be supporting and honoring his wishes . The Administrator stated she understood not allowing Resident #1 to readmit to the facility placed him at risk for an improper discharge. According to the Administrator Resident #1 did not have a proper discharge and he was not going to be allowed to return to the facility. Record review of facility policy dated 12/06/16 titled Discharge Planning did not address allowing residents to return after a hospital visit and reflected: Anticipated Outcome: The resident will receive medically related social services means services provided by the facility's staff to assist residents in maintaining or improving their ability to manage their everyday physical, mental, and psychosocial needs. Including discharge planning services (e.g., helping to place a resident on a waiting list for community congregate living, arranging intake for home care services for residents returning home, assisting with transfer arrangements to other facilities).Fundamental InformationSocial Service must develop and implement an effective discharge planning process that focuses on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions. The facility's discharge planning process must be consistent with the discharge rights of a resident.Document, completed on a timely basis based on the resident's needs, and included in the clinical record, the evaluation of the resident's discharge needs and discharge plan.The results of the evaluation must be discussed with the resident or resident's representative.All relevant resident information must be incorporated into the discharge plan to facilitate its implementation and to avoid unnecessary delays in the discharge or transfer.Discharge SummaryPost-discharge plan of care that is developed with the participation of the resident and, with the resident's consent, the resident representative(s), which will assist the resident to adjust to his or her new living environment.The post-discharge plan of care must indicate where the individual plans to reside, any arrangements that have been made for the resident's follow up care and any post-discharge medical and non-medical services. Event ID: Facility ID: 455606 If continuation sheet Page 5 of 8 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 455606 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 3301 View St Fort Worth, TX 76103 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)
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 resident of 8 residents (Resident #2) reviewed for care plans.The facility failed to address Resident #2's wound, and her non-compliance with care in her care plan.This failure could place residents at risk of not receiving the care they require. Findings included:Record review of Resident #2's quarterly MDS, dated [DATE], revealed Resident #2 was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses which included a stroke that affected her left side, poor circulation, and nicotine dependence. Her BIMS score was 11, indicating she was moderately cognitively impaired. Her Functional Abilities assessment revealed she was totally dependent on staff for her ADLs. She had no pressure ulcers according to her Skin Conditions assessment. Record review of Resident #2's care plan, dated 10/06/25, revealed she had cognitive impairment, had an ADL self-care deficit, she was at risk of developing pressure ulcers, and she had fragile skin. It did not address the resident's Arterial wound (wound to leg caused by poor blood flow) or her non-compliance with care. Record review of Resident #2's Skin Issue assessment, dated 10/28/25, revealed she had developed an Arterial wound to her left outer ankle. Her assessment on 12/12/25 revealed the wound was larger and had poor healing. Record review of Resident #2's wound physician's note on 12/10/25 revealed the resident had poor healing related to her smoking and failure to offload pressure to the wound. His measurements revealed the wound was larger than it was initially. In an interview on 12/22/25 at 1:46 PM CNA-A stated Resident #2 did not like getting out of bed. Her. hHer family would get her up when they came to visit, but otherwise the resident stayed in bed. Staff would try to position the resident on her right side to take pressure off her wound, but the resident would eventually make it back to her backside and tuck her left foot under her right leg. She stated staff tried using pillows to keep the left foot clear of the right leg, but the resident would work the pillow out. In an interview on 12/22/25 at 2:30 PM LVN-B stated Resident #2 rarely got out of bed. Her family would take her out to smoke and sit in the common area to visit when they were there, otherwise the resident wanted to stay in bed. LVN-B stated the staff tried multiple things to keep pressure off the resident's wound, but she would eventually get her foot under her other leg. She stated the resident was educated multiple times about offloading pressure. In an interview on 12/22/25 at 4:55 PM the Wound Care Nurse stated the resident was seen weekly by the wound care physician, had daily dressing changes, and her wound continued to deteriorate. The resident was educated about offloading pressure, and she would say That's what you say (meaning she did not believe what she was being told) and continue to be non-compliant. In an interview on 12/22/25 at 4:35 PM the ADON stated she was responsible for keeping care plans updated on the South Hall residents. She stated she was new to the position and facility and was trying to catch up. She stated the admitting nurse created the baseline care plan, the MDS nurses added more detail to it after their assessment, and then the ADONs kept the care plan updated with changes. Review of the facility's policy Comprehensive Care Plans, dated 02/10/21, reflected: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. 3. The comprehensive care plan will describe, at a minimum, the following: a. The services that are to be furnished to attain or maintain the resident's (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455606 If continuation sheet Page 6 of 8 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 455606 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 3301 View St Fort Worth, TX 76103 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)
F 0656 highest practicable physical, mental, and psychosocial well-being. Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455606 If continuation sheet Page 7 of 8 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 455606 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/22/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Park View Care Center 3301 View St Fort Worth, TX 76103 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)
F 0914 Provide bedrooms that don't allow residents to see each other when privacy is needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and record review, the facility failed to ensure full visual privacy for each resident in 6 rooms of 30 rooms (Rooms # 12, # 15, #23, # 71, #72 and #77) reviewed for privacy. The facility failed to maintain functional window blinds to provide privacy for the residents of Rooms #12, # 15, #23, # 71, #72 and #77. This failure could place residents at risk for exposure and decreased sense of dignity. Findings included:Observation on 12/22/25 at 9:45 AM in room [ROOM NUMBER] revealed the window blinds had 8 slats that were broken, allowing visualization of the bed from outside the facility. Observation on 12/22/25 at 9:53 AM in room [ROOM NUMBER] revealed the window blinds had 4 slats that were broken, allowing visualization of the bed from outside the facility.Observation and interview on 12/22/25 at 10:00 AM in Room # 77 revealed the window blinds had 12 slats that were broken, allowing visualization of the bed from outside the facility. The resident stated the blinds had been broken a long time, stating the needed to be replaced for privacy. Observation on 12/22/25 at 10:25 AM in room [ROOM NUMBER] revealed the window blinds had 10 broken slats, allowing visualization of the bed from outside the facility. Observation and interview on 12/22/25 at 10:30 AM in room [ROOM NUMBER] revealed the window blinds had 7 broken slats, allowing visualization of the bed from outside the facility. The resident did not like the broken blinds, stating it let people see in. Observation on 12/22/25 at 11:00 AM in room [ROOM NUMBER] revealed the window blinds had 12 broken slats, allowing visualization of the bed from outside the facility. In an interview on 12/22/25 at 11:54 AM, MA-C stated any repairs needed to the resident rooms were entered into the Maintenance Logbook, located at each nurses' station, for maintenance to address. She was unaware of any blinds in need of replacement. In an interview on 12/22/25 at 11:58 AM, LVN-D stated anything that needed to be fixed in the resident rooms was written in the Maintenance Logbook or told directly to the Maintenance Director. She was unaware of any blinds that needed to be replaced. Record review on 12/22/25 at 12:00 PM of Maintenance Logbooks for all three stations, revealed no requests for blind repair/replacement. In an interview on 12/22/25 at 5:00 PM, the Maintenance Director stated he was responsible for making repairs to the physical plant. He stated staff had been educated on the process of entering any repair requests in the logbook. He stated he checks the books the first thing in the morning, and then several times throughout the day. He stated he tries to make a sweep of all the rooms once a month, looking for things that need to be addressed, but he relies heavily on the staff to alert him about repairs needed. He was unaware there were blinds that needed replacement, he stated he has replacements in stock and would get them replaced. Record review of the facility's policy Homelike Environment, dated 04/24/25, reflected: .A homelike environment is essential for promoting the comfort, dignity, and quality of life of residents. 2. Privacy and Dignity: Ensure that residents have privacy and that their dignity is maintained at all times. This includes respecting their personal space and providing private areas for personal care and family visits. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455606 If continuation sheet Page 8 of 8

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Citations

3 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0627GeneralS&S Dpotential for harm

    F627 - Transfer and discharge-

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  • 0656GeneralS&S Dpotential for harm

    F656 - Comprehensive Care Plans

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0914GeneralS&S Epotential for harm

    F914 - Be designed or equipped to assure full visual privacy for each

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

FAQ · About this visit

Common questions about this visit

What happened during the December 22, 2025 survey of Park View Care Center?

This was a inspection survey of Park View Care Center on December 22, 2025. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Park View Care Center on December 22, 2025?

Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transf..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.