Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Park Village Health Care Center Inc during CMS and state inspections, most recent first.
A hospice-enrolled resident with multiple chronic conditions had scheduled Ativan and Dilaudid orders from the hospice medical director for symptom management. Facility staff administered early doses but did not document giving several later doses despite recorded pain levels, and the medical record contained no rationale for holding the medications. A hospice LPN later documented that an RN had withheld doses based on her own judgment, even after the resident’s family agreed with hospice’s recommendation to administer medications as ordered. There was no evidence the facility notified hospice of any change in condition or sought revised orders, contrary to facility policy and the hospice contract requiring documented communication and prohibiting unilateral changes to the hospice plan of care.
The facility failed to properly store food in the refrigerators, affecting 73 residents. Observations revealed a thawed and leaking pan of chicken, rusty shelving, expired milk, and undated peanut butter and jelly sandwiches. The Dietary Manager confirmed these findings.
The facility failed to complete a PASRR for a resident after the expiration of a Hospital Exemption. The resident, admitted with multiple diagnoses including dementia and major depressive disorder, did not have a level two PASRR completed by the 29th day after admission, as required by the facility's policy. The Social Services Director confirmed the oversight during an interview.
A resident with congestive heart failure, cerebrovascular accident, and dementia was prescribed and administered an antibiotic for aspiration pneumonia without proper indication. The medication was discontinued after a chest x-ray revealed no evidence of pneumonia, and the facility's policy for antibiotic use was not followed.
The facility failed to provide a written bed hold notice to a resident upon her transfer to the hospital. The resident, who had diagnoses including hyponatremia and altered mental status, was not given the required notice because the facility only provided it to Medicaid recipients. The facility's policy did not specify the notification process.
Failure to Follow Hospice Medication Orders and Communicate with Hospice
Penalty
Summary
The deficiency involves the facility’s failure to effectively communicate with a hospice agency and to follow hospice medication orders for a hospice-enrolled resident, as required by the hospice contract and facility policy. The resident, admitted in early March with diagnoses including muscle weakness, anxiety disorder, major depressive disorder, hypertension, and unspecified vascular dementia, was on hospice care with care plan interventions to administer medications as ordered by hospice and to maintain safety and comfort. On a specific date in late May, the hospice medical director ordered scheduled Ativan 1 mg by mouth every three hours starting at 3:00 A.M. and Dilaudid 4 mg every two hours starting at 2:00 A.M. Review of the Medication Administration Record showed that the resident received the early morning doses of Ativan and Dilaudid as ordered, but the midday doses of both medications were not documented as given. Specifically, the 12:00 P.M. and 3:00 P.M. Ativan doses and the 10:00 A.M. and 12:00 P.M. Dilaudid doses were not recorded as administered, even though the MAR documented pain levels of one and two at 10:00 A.M. and 12:00 P.M., respectively. The resident’s medical record contained no documentation explaining why these doses were held, and there was no evidence of communication with the hospice agency regarding any change in condition, medication concern, or rationale for altering the ordered regimen. An LPN confirmed that there was no indication or rationale in the record for holding the medications. Hospice records for the same date also showed no communication from the facility reporting a change in condition or requesting changes to the medication regimen. A hospice LPN documented that she visited the resident for periods of apnea and found the resident unresponsive to verbal and tactile stimuli and noted that the resident was receiving scheduled Ativan and Dilaudid, but that the facility RN had held doses based on her judgment that the resident did not need them. The hospice LPN discussed medication administration with the resident’s daughter, who stated she wanted the resident kept comfortable and agreed with hospice’s recommendation to administer medications as ordered. The hospice LPN then discussed the family’s wishes and the ordered medications with the facility RN, who remained unwilling to give the medications, and with the DON, who voiced understanding of the family’s request. The facility’s hospice contract required both parties to document communications, prohibited the facility from modifying the hospice plan of care without consulting hospice, and required immediate notification of hospice for changes in condition or inconsistent physician orders; these requirements were not met in this case, leading to the cited deficiency.
Improper Food Storage in Refrigerators
Penalty
Summary
The facility failed to properly store food in the refrigerators, which had the potential to affect 73 of 74 residents who receive meals from the kitchen. Observations revealed a large pan of chicken on the bottom shelf of the meat refrigerator that had thawed and leaked, as well as rusty shelving. Additionally, a gallon of milk was found to be expired, and a gallon Ziploc bag of peanut butter and jelly sandwiches was not dated. The Dietary Manager confirmed these findings. The facility's policy on date marking and disposal of ready-to-eat potentially hazardous foods indicated that such foods must be marked with the date of preparation and consumed or discarded within seven calendar days after the original package is opened.
Failure to Complete PASRR for Resident After Hospital Exemption Expired
Penalty
Summary
The facility failed to ensure that Resident #57 had a Pre-Admission Assessment Screening (PASRR) in place after the expiration of a Hospital Exemption. Resident #57 was admitted to the facility with multiple diagnoses, including cerebral atherosclerosis, dementia with psychotic disturbance, congestive heart failure, anxiety disorder, delusional disorders, hallucinations, neurocognitive disorder with Lewy bodies, and major depressive disorder. A significant change minimum data set (MDS) dated [DATE] revealed that Resident #57 did not have a level two PASRR, which is necessary to ensure appropriate placement and determine if specialized rehabilitative services are required. The Hospital Exemption for Resident #57 expired on 03/29/23, and there was no evidence of a PASRR being completed prior to admission or the expiration of the 30-day Hospital Exemption. An interview with the Social Services Director (SSD) on 04/02/24 confirmed that new PASRRs are typically completed within the first 30 days for residents coming from the hospital. However, the SSD acknowledged that a PASRR was not completed for Resident #57, although a hospital exemption was in place. The facility's PASRR policy, dated 03/24/20, mandates that PASRRs should be completed for all residents prior to admission, except for those with a hospital exemption, in which case the PASRR should be completed by the 29th day after admission. The policy also states that all PASRRs should be reviewed and signed by the Director of Nursing, and a new resident review should be conducted following a significant change in the resident's condition. Despite these guidelines, the facility did not adhere to the policy, resulting in the deficiency for Resident #57.
Inappropriate Antibiotic Use Without Proper Indication
Penalty
Summary
Resident #54, who had diagnoses including congestive heart failure, cerebrovascular accident, and dementia, was prescribed the antibiotic amoxicillin-potassium clavulanate for aspiration pneumonia. The prescription was made on 03/21/24 and the medication was administered as ordered from the evening of 03/21/24 to the morning of 03/23/24, totaling four doses. However, a chest x-ray completed on 03/23/24 revealed no evidence of pneumonia, leading to the discontinuation of the antibiotic on the same day. An antibiotic assessment completed on 03/23/24 indicated that the criteria for antibiotic use were not met due to the negative chest x-ray results. This resulted in the resident receiving four doses of an antibiotic without an appropriate indication for its use. The facility's policy, titled Antibiotic Surveillance Policy and Procedure, reviewed in October 2023, mandates that a McGeer's assessment be initiated when a resident shows signs and symptoms of an infection. If the criteria are met, the physician is to be notified, and if an antibiotic is ordered without an assessment, the nurse must notify the practitioner for the reasoning behind the antibiotic usage. In this case, the policy was not followed as the antibiotic was started before obtaining a chest x-ray and without completing a McGeer's assessment. This was verified by an interview with RN #101 on 04/04/24, who confirmed that the antibiotic was started prior to obtaining the chest x-ray and was discontinued after the negative result.
Failure to Provide Written Bed Hold Notice
Penalty
Summary
The facility failed to provide a written bed hold notice to Resident #72 upon her transfer to the hospital. Resident #72, who was admitted with diagnoses including hyponatremia, altered mental status, and paroxysmal atrial fibrillation, was sent to the hospital on 01/31/24 and did not return to the facility. The Director of Nursing confirmed that the facility only provides written bed hold notices to residents with Medicaid as their payer source, which was not the case for Resident #72. The facility's policy on Discharge/Transfer did not specify how or when the bed hold notice should be provided to the resident or their representative.
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Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Dover
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hennis Care Centre Of Dover | 0.3 mi | — | 0 | 0 |
| Country Club Center I | 2.2 mi | — | 20 | 1 |
| New Dawn Rehabilitation And Healthcare Center | 2.2 mi | — | 6 | 0 |
| Amberwood Manor | 4.1 mi | — | 0 | 0 |
| Park Village Hc Np Llc | 5.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.