Webster City, IA

Southfield Wellness Community

1-star overall rating with 1-star inspections with $71,897 in total fines with 20 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

2416 Des Moines Street, Webster City, IA

(515) 832-3881

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1999-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.36

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.77

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

0.95

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.35

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

4.12

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,701

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

54.66

Composite VBP score used to determine payment impact.

Payment multiplier

1.0096

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

5.67

Baseline 7.29% · Performance 6.14% · Measure score 5.67 · Achievement 5.67 · Improvement 4.50

Total nurse turnover

5.15

Baseline 44.62% · Performance 42.65% · Measure score 5.15 · Achievement 5.15 · Improvement 0.50

Adjusted total nurse staffing

5.58

Baseline 4.24 hours · Performance 4.67 hours · Measure score 5.58 · Achievement 5.58 · Improvement 2.26

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.45%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 75 · Observed rate 9.33% · Lower 95% interval 7.18%
Discharge to community	46.14%	50.57% 4.4 pts worse	No Different than the National Rate · Eligible stays 57 · Observed rate 42.11% · Lower 95% interval 33.04%
Medicare spending per beneficiary	0.77	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 36 · Denominator 36
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 36
Discharge self-care score	45.16%	53.69% 8.5 pts worse	Numerator 14 · Denominator 31
Discharge mobility score	51.61%	50.94% 0.7 pts better	Numerator 16 · Denominator 31
Pressure ulcers or injuries, new or worsened	2.78%	2.29% 0.5 pts worse	Numerator 1 · Denominator 36 · Adjusted rate 2.62%
Healthcare-associated infections requiring hospitalization	6.14%	7.12% 1 pts better	No Different than the National Rate · Eligible stays 28 · Observed rate 0% · Lower 95% interval 3.12%
Staff COVID-19 vaccination coverage	4.65%	8.2% 3.5 pts worse	Numerator 4 · Denominator 86
Staff flu vaccination coverage	64.71%	42% 22.7 pts better	Numerator 66 · Denominator 102
Discharge function score	48.39%	56.45% 8.1 pts worse	Numerator 15 · Denominator 31
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	1.5 About the same	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.4	2.1 1.3 pts worse	1.8 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	94.0% 5 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.8% · Q3 98.1% · Q4 100.0% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.7% 0.7 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.2% · Q3 3.8% · Q4 3.8% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	6.2%	4.9% 1.3 pts worse	5.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 7.1% · Q3 6.2% · Q4 4.4% · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.3%	20.6% 8.3 pts better	19.6% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 11.9% · Q3 12.5% · Q4 6.5% · 4Q avg 12.3%
Percentage of long-stay residents who received an antipsychotic medication	23.7%	19.8% 3.9 pts worse	16.7% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 19.4% · Q3 22.9% · Q4 17.1% · 4Q avg 23.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	20.5%	18.5% 2 pts worse	16.3% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.0% · Q2 15.0% · Q3 15.3% · Q4 15.8% · 4Q avg 20.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.8%	18.3% 3.5 pts worse	14.9% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 10.5% · Q3 14.0% · Q4 25.0% · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.9%	1.7% 0.2 pts worse	1.0% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.5%	2.5% 1 pts worse	1.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 2.2% · Q3 1.9% · Q4 2.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.3%	26.0% 1.3 pts worse	19.8% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 31.5% · Q3 17.7% · Q4 31.2% · 4Q avg 27.3%
Percentage of long-stay residents with pressure ulcers	3.9%	4.3% 0.4 pts better	5.1% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.9% · Q3 4.8% · Q4 3.0% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	88.9%	84.3% 4.6 pts better	81.7% 7.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 75.0% · Q3 89.7% · Q4 94.3% · 4Q avg 88.9%
Percentage of short-stay residents who had an outpatient emergency department visit	26.0%	13.1% 12.9 pts worse	12.0% 14 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 28.6% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.2%	1.9% 1.3 pts worse	1.6% 1.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.0%	73.3% 16.7 pts better	79.7% 10.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.1%	21.3% 1.2 pts better	23.9% 3.8 pts better	Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 23.8% · Expected 28.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-03 · Fire 2025-03-03

20 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

8 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 2 Health 2023-11-06 · Fire 2023-11-06

27 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-08-11 · Fire 2022-08-11

8 health deficiencies

Top issue: Infection Control (4 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-13

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2026-01-14

F · Potential for more than minimal harm 2025-03-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-03-21

F · Potential for more than minimal harm 2025-03-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-03-14

F · Potential for more than minimal harm 2025-03-03

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-03-11

F · Potential for more than minimal harm 2025-03-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-11

E · Potential for more than minimal harm 2025-03-03

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-03-17

E · Potential for more than minimal harm 2025-03-03

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-31

E · Potential for more than minimal harm 2025-03-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-17

E · Potential for more than minimal harm 2023-11-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-21

E · Potential for more than minimal harm 2023-11-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-28

F · Potential for more than minimal harm 2022-08-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-08-11

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2022-09-16

E · Potential for more than minimal harm 2022-08-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-08-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-08-16

E · Potential for more than minimal harm 2022-08-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-08-11

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2022-08-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-28

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-02-02

D · Potential for more than minimal harm 2025-12-17

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-16

E · Potential for more than minimal harm 2025-11-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-11-18

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-11-18

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-11-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-11-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-11-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-19

F · Potential for more than minimal harm 2025-03-03

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-04-02

F · Potential for more than minimal harm 2025-03-03

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-04-02

E · Potential for more than minimal harm 2025-03-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F713 · Nursing and Physician Services Deficiencies

Health

Provide or arrange emergency care by a doctor 24 hours a day.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-03

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-02

G · Actual harm 2024-12-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-19

G · Actual harm 2024-12-04

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-12-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-19

G · Actual harm 2023-11-06

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-11-29

G · Actual harm 2023-11-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-29

E · Potential for more than minimal harm 2023-11-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-12-11

E · Potential for more than minimal harm 2023-11-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-11

E · Potential for more than minimal harm 2023-11-06

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-12-11

E · Potential for more than minimal harm 2023-11-06

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-11-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-11-06

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-11-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-11

G · Actual harm 2023-04-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-04-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-18

D · Potential for more than minimal harm 2023-04-18

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2023-05-18

E · Potential for more than minimal harm 2022-08-11

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-09-11

D · Potential for more than minimal harm 2022-08-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-11

D · Potential for more than minimal harm 2022-08-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-09-11

D · Potential for more than minimal harm 2022-08-11

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-09-11

D · Potential for more than minimal harm 2022-08-11

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2022-09-11

Penalties and ownership

What sits behind the stars

$33,540 2024-12-04

Fine

Fine · fine $33,540

Fine

$38,357 2023-11-06

Fine

Fine · fine $38,357

Fine