Accura Healthcare of Ames, LLC

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Ames, LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF689Mar 9, 2021

  Based on observations, staff and resident interviews and clinical record review, the facility failed to ensure 6 of 6 sampled residents received the appropriate diet, ( Residents #1, #4, #5, #6, #7 and #8) coupled with adequate nursing supervision while consuming an altered textured diet, ( Resident #1). Resident #1 was to receive a mechanical soft diet and was to be supervised while eating due to the altered textured diet. Resident #1 received whole brussel sprouts and although a Certified Nurses Assistant (CNA) assisted Resident #1 to dine, the CNA failed to identify that the resident was on a mechanically soft diet which resulted in Resident #1 pocketing the brussel sprouts (keeping the food in her cheeks instead of swallowing the food). […]

• Immediate jeopardy, isolatedF689Feb 24, 2022

  Based on observation, record and policy review and staff interviews, the facility failed to ensure the 100 hall exit door was alarmed and failed to educate staff on how to properly ensure the exit alarm activated, and failed to ensure that each resident received adequate supervision to prevent elopement for 1 of 3 residents identified by the facility at risk for elopement. A serious adverse outcome was likely when cognitively impaired Resident #1 exited the facility unsupervised and wearing inadequate clothing for the weather on 2/3/22. Weather temperatures reported at 5 degrees Fahrenheit and a feels like temperature of minus 8 degrees. Staff unaware the resident eloped until she returned to the facility after a nonstaff person saw the resident outside. […]

• Actual harm, isolatedF689Sep 18, 2024

  Based on observation, clinical record review, staff interviews, facility self report and facility inservice record, the facility failed to ensure a resident was safe in the environment. Review revealed Resident #1 required assistance of one staff for personal hygiene and ambulation. On 7/4/24 at approximately 6:58 a.m., Staff A, Certified Nursing Assistant (CNA) assisted Resident #1 to the bathroom with a walker. Staff A proceeded to leave Resident #1 alone in the bathroom for which Resident #1 lost balance and fell to the bathroom floor and sustained a left hip fracture. Additionally on 8/27/24, Resident #2 was transported to an appointment with no staff assistance, fell while at the appointment, taken to the nearest emergency room and sustained a dental fracture to upper incisors. […]

• Actual harm, isolatedF686Jan 26, 2023

  Based on clinical record review, observations, and staff interview, the facility failed to ensure that residents did not develop avoidable pressure ulcers for 1 of 1 residents reviewed (Resident #8). The facility reported a census of 64. Findings include: The quarterly Minimum Data Set (MDS) dated [DATE] for Resident #8 identified a Brief Interview for Mental Status (BIMS) score of 11 indicating a moderate cognitive impairment. The MDS revealed the resident required extensive assistance of 1 staff member for bed mobility and personal hygiene, and extensive assistance of 2 staff members for transfers. The MDS further revealed the resident did not walk in her room or in the corridor. […]

• Actual harm, isolatedF760Jan 26, 2023

  Based on clinical record reviews, facility policy review, staff, Pharmacist, and Advance Registered Nurse Practitioner (ARNP) interviews, the facility failed to provide 3 of 5 residents (Resident #19, #34, and #50) with medications as ordered. On 4/13/22 Resident #19 received another resident's medications. Resident #19 required an overnight hospitalization due to chest pain experienced after receiving the medication. In addition, the facility gave a medication not as ordered to Resident #34 on 1/26/22 during an observation. This resulted in an excess of an anticonvulsant medication given. The facility also failed to administer Resident #50 hypertensive extended release (ER) medication as directed by crushing the medication, thus changing the release time of the medication. […]