Accura Healthcare of Marshalltown

In the surveyor’s words

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

• Actual harm, isolatedF600Oct 9, 2025

  Based on clinical record review, facility policy review, and staff interview, the facility failed to protect the resident's right to be free from physical abuse for 1 of 1 resident reviewed for abuse (Resident #1). As a Certified Nurse Aide (CNA) finished giving Resident #1 his bath, the CNA turned the water to cold and purposely sprayed him. Resident #1 became angry, grabbed the shower head and slapped it against the wall. The facility reported a census of 46 residents.Findings included:Resident #1's Minimum Data Set (MDS) assessment dated [DATE], identified a Brief Interview for Mental Status (BIMS) score of 4, indicating severely impaired cognition. Resident #1 required substantial/maximal assistance with showering. […]

• Actual harm, isolatedF760Nov 2, 2023

  Based on clinical record review, primary physician and staff interviews, the facility failed to ensure residents were given medications as prescribed by the physician, when a nurse administered the wrong medications to the wrong resident for 1 of 1 residents reviewed (Resident #52). The facility reported a census of 52 residents. Findings Include: The Admission Minimum Data Set (MDS) for Resident #52 dated 10/18/23 documented a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating intact cognition for decision making. The MDS revealed he had diagnoses of atrial fibrillation, gastroesophageal reflux disease (GERD), arthritis, compression fracture, and neoplasm of the prostate. […]

• Actual harm, isolatedF689Jul 25, 2023

  Based on clinical record review, observations, staff interviews and facility policy review, the facility failed to accurately reflect the needs for 1 out of 3 residents reviewed in regards to supervision and care (Resident #1). Resident #1 was found outside lying on the ground unsupervised in hot weather wearing sweaters. Resident #1 required hospitalization related to heat exhaustion and dehydration. The resident's cognition had declined and the Care Plan was not updated to direct staff on how to keep Resident #1 safe. The facility reported a census of 51 residents. Findings Include: A Minimum Data Set (MDS), dated [DATE], documented diagnoses for Resident #1 that included early onset Alzheimer's disease, abnormalities of gait and mobility, and heart failure. […]

• No harm, potential for more than minimal, widespreadF727Mar 12, 2026

  Based on review of the nursing schedule, staff interviews, Payroll Based Journal Data Report, and facility policy review, the facility failed to provide a Registered Nurse (RN) in the facility for eight (8) consecutive hours per day for 19 days between December 1, 2025 - March 8, 2026. The facility reported a census of 59 residents. Findings include: Review of the facility's nursing schedules for December 2025 lacked RN coverage for the following dates: 6th, 7th, 20th, 21st, 25th, and 31st.Review of the facility's nursing schedules for January 2026 lacked RN coverage for the following dates: 1st, 3rd, 4th, 17th, 18th and 31st. Review of the facility's nursing schedules for February 2026 lacked RN coverage for the following dates: 1st, 12th, 14th, 15th, 24th, and 28th. […]

• No harm, potential for more than minimal, widespreadF865Apr 24, 2025

  Based on review of the facility's Quality Assurance Performance Improvement (QAPI) plan, the facilities past surveys, and staff interview, the facility failed to correct their own deficiencies for 3 of 15 areas of concern. The facility reported a census of 56 residents. Findings include: The facility QAPI Plan dated 5/23/23 documented the purpose as to identify and correct quality deficiencies as well as opportunities for improvement in the lives of nursing home residents with a systematic approach. To do this, all employees will participate in ongoing QAPI efforts which support our mission. Principals of the QAPI system included, in summary: a. The outcome of QAPI is for resident quality of care and quality of life. b. […]