Accura Healthcare of Le Mars

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 14, 2022

  Based on observations, clinical record review, facility policy review, and staff interview the facility failed to provide adequate supervision for resident's at risk for elopement for 1 of 3 (Resident #1) residents reviewed. On 7/20/22, Resident #1 admitted to the facility & identified at a high risk of elopement and a history of wandering. On 8/25/22, the facility staff opened an alarmed exit door leading out to the backyard of the facility, and left the door opened & unattended. Resident #1 exited the facility through the opened door and had been gone approximately 10 minutes without staff aware until a fell ow resident observed the resident outside the facility in the unsecured backyard. This resulted in immediate jeopardy to resident health and safety. […]

• Actual harm, isolatedF689May 30, 2024

  Based on clinical record review, observation, resident interview, staff interviews, and facility record review, the facility failed to provide adequate nursing supervision to prevent a fall that caused a distal femur fracture, need for hospitalization , pain control and decline in the resident ' s physical ability for 1 of 14 residents reviewed (Resident #29). The facility reported a total census of 41 residents. Past Noncompliance determined during the annual recertification survey of a facility incident that occurred on 1/22/24 regarding deficiency F689 with a scope and severity of a Level G. The facility provided evidence of education to the staff member directly involved in the facility incident that occurred on 1/23/24. […]

• Actual harm, isolatedF909May 30, 2024

  Based on clinical record review and staff interview the facility failed to appropriately inspect bed rails in the facility for 1 of 1 resident reviewed (Resident #8). The facility reported a census of 41 residents. Past Noncompliance determined during the annual recertification survey of a facility incident that occurred on 12/25/23 regarding deficiency F909 with a scope and severity of a Level G. The facility provided evidence of the bed being changed out with safe bed rails. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #8 documented diagnoses of diabetes mellitus, neurogenic bladder and hypertension. […]

• Actual harm, isolatedF689Dec 16, 2021

  Based on record review, interviews and observation the facility failed to provide adequate nursing supervision resulting in a [CONDITION(S)] due to a fall for 1 out of 3 residents reviewed, (Resident #125). The facility reported a census of 25 residents. Findings Include: The Minimum Data (MDS) with an Assessment Reference Date of (ARD) of 11/11/20 for Resident #125 showed a Brief Interview of Mental Status Score (BIMS) of 08 which indicated moderately impaired cognitive skills. The MDS showed the resident had diagnoses of dementia, disorientation, weakness, [CONDITION(S)], and anxiety. The resident required limited assistance with one staff for transfers, dressing and ambulation. […]

• No harm, potential for more than minimal, patternF812Jul 16, 2026

  Based on observations, interviews, and policies reviewed the facility failed to prepare, serve and distribute food in accordance with food service safety for general practices of mealtime service. The facility reported a census of 40 residents.Findings include: Observed on 7/13/26 at 10:05 during the initial kitchen walk through Staff B, Cook, and Staff C, Cook, with visible facial hair without beard nets, and the vent above the preparation table with dust fluff hanging from it. Continuous observation on 7/14/26 at 11:30 AM revealed the following:A. Staff B, Staff C, and Staff D, Cook, with visible facial hair without beard nets.B. Staff E, Cook, donned gloves without hand hygiene, opened a bag of lettuces, used the gloved right hand to reach in and put the lettuce on the plate. […]