Accura Healthcare of Aurelia, LLC

In the surveyor’s words

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

• Actual harm, isolatedF686Mar 6, 2025

  Based on observation, interviews and record review the facility failed to monitor and treat skin breakdown to prevent worsening of ulcers for 2 of 3 resident reviewed, (Resident #3 and #21). Resident #3 had an ulcer on his toe, staff failed to contact the doctor when treatment was ineffective. The toe was eventually amputated. Resident #21 had chronic pressure areas on her bottom and found to not have treatment in place. The facility reported a census of 32 residents. Findings include: The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. […]

• Actual harm, isolatedF689Oct 25, 2022

  Based on record review, interviews and observation the facility failed to use safe transfer techniques for 2 out of 4 residents reviewed (Resident #9 and #21). The facility also failed to ensure the care plan fall intervention of a personal alarm was in place for 1 resident out of 4 residents reviewed for accidents/nursing supervision (Resident #11). The facility reported a census of 28. Findings Include: 1. The Minimum Data Set (MDS) assessment for Resident #9 dated 6/20/22 showed a Brief Interview of Mental Status score (BIMS) of 12 which indicated intact cognition. The MDS indicated Resident #9 required an extensive assistance of 1 person for transfers. […]

• No harm, potential for more than minimal, patternF812Feb 8, 2024

  Based on observations, facility policy, 2022 Food Code, and staff interview, the facility failed to store kitchenware and utensils in a manner to prevent contamination; failed to store a measuring scoop in a clean manner; bulk foods did not have an open date labeled; provide covered trash cans; cover food stored in a freezer. The facility reported a census of 36 residents. Findings include: Observation on 2/05/24 at 9:13 AM of dry storage room revealed: 1. Two muffin baking pans turned right side up. 2. A powdered drink mix canister with scoop inside. Observation on 2/05/24 at 9:13 AM of main area of kitchen revealed: 1. Two boxes of disposable silverware not closed. 2. Two containers of silverware without eating end of the utensil covered. 3. […]

• No harm, potential for more than minimal, isolatedF580Jan 29, 2026

  Based on a review of the clinical record, facility policy, and staff interviews, the facility failed to notify the physician when a resident with a history of cardiac and pulmonary conditions and oxygen dependence stopped using a Bilevel Positive Airway Pressure (BiPAP) machine at night for 1 of 12 residents reviewed. The facility reported a census of 35 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #2 documented diagnoses of congestive heart failure (CHF), Chronic Obstructive Pulmonary Disease (COPD) and centrilobular emphysema. The MDS showed the Brief Interview for Mental Status (BIMS) score of 15, which indicated no cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF644Jan 29, 2026

  Based on clinical record review and staff interview, the facility failed to refer 1 resident with a negative Level I result for the Preadmission Screening and Resident Review (PASRR), who was later identified with newly evident or possible serious mental disorder, intellectual disability, or other related condition, to the appropriate state-designated authority for Level II PASRR evaluation and determination for 1 out of 2 residents (Resident #27) reviewed for PASRR requirements. The facility reported a census of 35 residents.Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #27 documented diagnoses of dementia, Anxiety Disorder, adjustment disorder with depressed mood, depression and suicidal ideations. […]