Accura Healthcare of Muscatine

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF921Aug 2, 2021

  Based on observations, record review and interviews the facility failed to maintain the air exchange vents in a clean manner for 16 of 27 ceiling vents observed. The facility reported a census of 60 residents. Findings include: Observation with the Administrator on 7/14/21 at 9:10 a.m. revealed a black built up substance on the first ceiling vent on the 600 Hall. The administrator retrieved a ladder and sanitizer wipes, the administrator easily removed the black substance with the wipes and stated she would call the HVAC company to come today and evaluate the black substance to see if it is dirt or mold. Observation through the entire building revealed: a. On the 600 Hall, 5 of 6 ceiling air vents had black substance on the vent and blackened areas noted on the surround ceiling. b. […]

• No harm, potential for more than minimal, patternF640May 8, 2025

  Based on clinical record review and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were submitted timely for four of four residents reviewed for MDS submission (Resident #13, Resident #27, Resident #35, Resident #49). The facility reported a census of 53 residents. Findings include: Review of Resident #13's Significant Change MDS assessment with Assessment Reference Date (ARD) 4/1/25 revealed the following: MDS assessment completed on 4/15/25 and submitted on 5/4/25. Review of Resident #27's Quarterly MDS assessment with ARD 4/2/25 revealed the following: MDS assessment completed on 4/16/25 and submitted on 5/4/25. […]

• No harm, potential for more than minimal, patternF881May 8, 2025

  Based on infection control data review, staff interview, and facility policy review the facility failed to ensure residents met the criteria for an infection per McGeer's criteria prior to antibiotic use for seven of twelve infections which developed in the facility per March 2025 infection control data review. The facility reported a census of 53 residents. Findings include: Review of the Infection Control Summary dated March 2025 revealed twelve infections developed in the facility. Review of the Infection Control Data Log dated March 2025 revealed out of the twelve infections, seven did not meet McGeer's criteria, and the residents received antibiotics. […]

• No harm, potential for more than minimal, patternF812Aug 1, 2024

  Based on observation, staff interview, and facility policy review, the facility failed to maintain sanitary practices by improperly storing and serving food. The facility reported a census of 60 residents. Findings include: On 7/28/24 at 5:20 pm, an initial kitchen observation revealed: 1) An opened box of various yellow, green, and orange items in an opened blue plastic bag in the R-Plus freezer. 2) A shelf of opened, undated seasoning containers. 3) Two (2) pot roasts thawing out on a baking sheet on a tray cart beside the oven. During an interview on 7/28/24 at 5:30 pm, Staff C, Cook, stated the pot roasts were thawing out to use for dinner the following night. […]

• No harm, potential for more than minimal, patternF658Oct 26, 2023

  Based on clinical record review, observations, staff interviews, and facility policy review, the facility failed to follow Physician Orders for diuretic medication administration, failed to appropriately dispose of medications, and failed to prepare medications according to accepted standard of practice for four of fourteen residents reviewed for medication administration (Residents #13, #21, #26 and #49). The facility reported a census of 53 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment for Resident #49 dated 8/9/23 revealed the resident scored 9 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated moderate cognitive impairment. Per this assessment, the resident received diuretic medication for 7 of the last seven days. […]