Inspection Reports for
The Parkway Health and Rehabilitation Center
200 South Pkwy W, Memphis, TN 38106, USA, TN, 38106
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 4
Date: Aug 5, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident funds notification, medication administration, infection control, and environmental safety in the nursing home.
Findings
The facility was found deficient in notifying residents of trust fund balances exceeding eligibility limits, administering medications according to physician orders, implementing proper infection prevention and control practices, and maintaining a safe, clean, and functional environment for residents.
Deficiencies (4)
F 0569: The facility failed to notify residents or their representatives of trust fund balances over the Medicaid eligibility limit for 5 sampled residents.
F 0684: The facility failed to follow physician orders for medication administration and failed to notify the physician of abnormal blood glucose levels and heart rates for 1 sampled resident.
F 0880: The facility failed to ensure proper infection control practices, including hand hygiene and tracking of infectious organisms, affecting multiple residents and staff.
F 0921: The facility failed to maintain a safe, clean, and functional environment, including clogged toilets, overflowing biohazard bags, dirty resident rooms, and nonfunctional beds.
Report Facts
Residents affected: 5
Residents affected: 1
Residents affected: 4
Staff affected: 2
Residents affected: 2
Residents affected: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Business Office Manager | Confirmed residents were not notified of account balances | |
| Director of Nursing | Acknowledged medication administration and notification failures; confirmed infection control and environment issues | |
| Infection Preventionist | Confirmed failure to track organisms being treated in the facility | |
| Administrator | Confirmed plumbing and environmental issues, including clogged toilets and overflowing biohazard bags | |
| Maintenance Manager | Confirmed unresolved clogged toilet | |
| Environmental Service Director | Confirmed housekeeping failures related to cleaning and waste removal | |
| Certified Nurse Assistant (CNA) B | Confirmed resident bed malfunction |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Feb 27, 2025
Visit Reason
The inspection was conducted to investigate complaints related to failure to timely report resident-to-resident abuse, failure to provide adequate assistance with activities of daily living, failure to administer prescribed medications, and failure to maintain a safe and sanitary environment in the kitchen.
Complaint Details
The complaint investigation substantiated that the facility failed to timely report resident-to-resident abuse, failed to provide adequate ADL assistance, failed to administer medications properly, and failed to maintain sanitary conditions in the kitchen.
Findings
The facility failed to timely report an allegation of resident-to-resident abuse, failed to provide shower assistance to two residents as scheduled, failed to administer prescribed medications for one resident, and failed to maintain a sanitary kitchen environment including mouse excrement contamination and unclean ice machine.
Deficiencies (4)
F 0609: The facility failed to timely report an allegation of resident-to-resident abuse involving Resident #37 and Resident #112. The nurse did not report the incident to the Director of Nursing or Administrator within the required 2-hour timeframe.
F 0677: The facility failed to provide scheduled shower assistance to Residents #82 and #320. Documentation and interviews confirmed multiple missed showers over January and February 2025.
F 0684: The facility failed to administer prescribed medications for Resident #90 as evidenced by blanks on the Medication Administration Record for multiple medications on 1/4/2025 and 1/5/2025.
F 0812: The facility failed to maintain a safe and sanitary kitchen environment. Observations revealed mouse excrement in the storage room and emergency food supply closet, a large hole in kitchen bathroom drywall, and hard water buildup inside the East Hall ice machine.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: Some
Incident date: Feb 18, 2025
Incident report date: Feb 20, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Confirmed failure to timely report abuse and acknowledged reporting requirements | |
| Director of Nursing (DON) | Confirmed inability to verify medication administration and shower documentation issues | |
| Dietary Manager (DM) | Confirmed mouse excrement should not be present and acknowledged ice machine cleaning needed |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 21, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to timely replace a resident's missing property and to thoroughly investigate an injury of unknown origin for another resident.
Complaint Details
The complaint investigation substantiated that the facility failed to timely replace a missing resident item and failed to conduct a thorough investigation into an injury of unknown origin, resulting in actual harm to Resident #10.
Findings
The facility failed to promptly replace a missing art pad for Resident #38 despite assurances from the Social Worker. The facility also failed to thoroughly investigate a comminuted humeral fracture of unknown origin sustained by Resident #10, resulting in actual harm.
Deficiencies (2)
F 0602: The facility failed to ensure a resident's missing property was replaced timely after the Social Worker promised replacement for Resident #38. The art pad was not replaced weeks after the promise.
F 0610: The facility failed to thoroughly investigate an injury of unknown origin for Resident #10 who sustained a comminuted humeral fracture. The investigation lacked timely staff interviews and delayed hospital transfer, resulting in actual harm.
Report Facts
Residents reviewed for property issue: 32
Residents reviewed for abuse: 9
Date of injury documentation: Apr 5, 2024
Date of x-ray: Apr 9, 2024
Hospital admission period: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Documented swelling on Resident #10's arm and notified Medical Director. |
| Social Worker | Promised to replace Resident #38's missing art pad but failed to do so timely. | |
| Administrator | Described facility process for missing resident items and acknowledged delay in replacement. | |
| DON | Director of Nursing | Discussed investigation process and acknowledged incomplete investigation of Resident #10's injury. |
| Medical Director | Ordered x-ray and doppler for Resident #10 and commented on injury and hospital referral. |
Inspection Report
Complaint Investigation
Deficiencies: 10
Date: Aug 21, 2024
Visit Reason
Complaint investigation related to allegations of abuse, neglect, injury of unknown origin, missing property, medication administration, falls, and infection control at Parkway Health and Rehabilitation Center.
Complaint Details
The complaint investigation involved multiple allegations including neglect, injury of unknown origin, missing property, medication administration errors, falls, infection control breaches, and environmental safety issues. Substantiation is indicated by findings of actual harm and failures in care and compliance.
Findings
The facility failed to protect residents from neglect and abuse, failed to investigate injuries of unknown origin, failed to monitor and assess residents after falls, failed to provide timely replacement of missing property, failed to ensure accurate assessments and hospice coding, failed to provide safe medication administration via PEG tubes, failed to maintain safe environment and supervision, failed to ensure functioning call light systems, and failed to follow infection prevention and control protocols.
Deficiencies (10)
F600: Facility failed to ensure Resident #10 was free from neglect resulting in a comminuted left humerus fracture due to delayed notification and investigation of left arm swelling, causing actual harm.
F602: Facility failed to replace missing property timely for Resident #38 after Social Worker promised replacement, causing minimal harm or potential for harm.
F610: Facility failed to thoroughly investigate an injury of unknown origin for Resident #10, resulting in actual harm.
F641: Facility failed to accurately complete assessments reflecting hospice services for Resident #61.
F689: Facility failed to ensure safe environment and adequate supervision to prevent accidents for Residents #44, #85, #89, #102, and #119, resulting in actual harm.
F692: Facility failed to obtain weights weekly as per policy for Resident #31, resulting in minimal harm or potential for harm.
F693: Facility failed to follow policy and physician orders for medication administration via PEG tubes for Residents #8 and #10, and failed to properly label enteral feeding solutions for Resident #90.
F780: Facility failed to assist Resident #67 with grooming and dressing in a timely manner to ensure readiness for transportation to a physician appointment.
F880: Facility failed to ensure medications were administered in a safe and sanitary manner during PEG administration for Residents #8 and #10, and failed to properly store hazardous and infectious waste in soiled linen rooms.
F919: Facility failed to provide a functioning call light system for Resident #108 for several days, potentially resulting in unmet care needs.
Report Facts
Weight loss: 14.2
Fall Risk Assessment Score: 12
Fall Risk Assessment Score: 15
Medication doses: 3
Water flush volume: 60
Incident report delay: 4
Hospital admission duration: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Failed to notify MD timely of Resident #10's swelling, failed to check PEG residual, failed to use enhanced barrier precautions during medication administration. |
| LPN B | Licensed Practical Nurse | Crushed and administered multiple medications together via PEG tube for Resident #8, failed to flush PEG tube as ordered. |
| DON | Director of Nursing | Confirmed failures in investigation, monitoring, and infection control practices. |
| RN F | Registered Nurse | Did not know about Resident #44 fall on 5/27/2024. |
| CNA L | Certified Nurse Assistant | Confirmed Resident #67 required assistance with dressing. |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 12, 2023
Visit Reason
A follow-up survey was conducted on January 11-12, 2023 to determine if previously identified deficient practices detrimental to resident health, safety, or welfare had been corrected following a complaint survey conducted in August 2022.
Complaint Details
The initial complaint survey was conducted August 22-30, 2022 due to deficient practices likely detrimental to residents. The follow-up survey confirmed correction of these deficiencies.
Findings
The follow-up survey found that the deficient practices had been corrected and the facility returned to substantial compliance. Consequently, the suspension of admissions was lifted as of February 1, 2023.
Report Facts
Dates of complaint survey: August 22 through August 30, 2022
Dates of follow-up survey: January 11 through January 12, 2023
Notice
Deficiencies: 0
Date: Aug 2, 2022
Visit Reason
The Health Facilities Commission conducted a complaint survey at Parkway Health and Rehabilitation Center from August 2 to August 30, 2022, due to violations detrimental to resident health, safety, or welfare.
Complaint Details
The visit was complaint-related, with violations substantiated as detrimental to the health, safety, or welfare of residents.
Findings
The survey revealed serious violations in administration, basic services including records and residents' rights, leading to the suspension of new admissions and imposition of six Type A civil monetary penalties totaling $45,000.
Report Facts
Civil Monetary Penalties: 6
Penalty Amount per Violation: 7500
Total Penalty Amount: 45000
Suspension Effective Date: Sep 13, 2022
Monitor Hours: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Logan Grant | Executive Director | Signed the order for suspension and penalties. |
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