Accura Healthcare of Onawa

In the surveyor’s words

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

• Actual harm, isolatedF686Jan 12, 2024

  Based on clinical record review, staff interviews, and facility policy review, the facility failed to assess skin conditions after discovery to prevent a decline in the pressure wound for 1 of 3 residents reviewed (Resident #3). Resident #3 admitted to the facility with skin conditions of surgical incisions, some skin tears, and bruising on 11/29/23. During his time at the facility, he developed additional skin conditions that lead to a hospitalization due to an infection in his wounds. The hospital records revealed that Resident #3 had a pressure ulcer to his back, coccyx, and left heel. The record included those in addition to his fractures that happened prior to his admission to the nursing home of his left hip and shoulder. […]

• Actual harm, isolatedF686Aug 31, 2022

  Based on observations, interviews and record review the facility failed to monitor and treat pressure wounds to prevent worsening for 2 of 3 residents reviewed (Resident #5 and #6). 1. Resident #5 had sores on her feet, legs, and heels. An observation determined that Resident #5's did not have protective boots on her heels, instead they rested on her bed. Resident #5 had an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to implement the order for approximately one month. 2. Resident #6 admitted to the facility without skin issues and developed a sore on her bottom. The Care Plan lacked information related to pressure ulcers and/or interventions to prevent them. The facility reported a census of 40 residents. […]

• No harm, potential for more than minimal, widespreadF727May 8, 2025

  Based on schedule review, staff interviews and document review the facility failed to ensure that a Registered Nurse (RN) was at the facility for 8 consecutive hours every day. In a review of the 30-day nursing schedule, on 2 days the facility failed to have RN coverage. The facility reported a census of 32 residents. Findings include: In a review of the April, 2025 Nursing Schedule it was discovered that on the 13th and the 17th, the schedule lacked a Registered Nurse. On 5/07/25 at 10:04 AM, the Director of Nursing (DON) acknowledged that on the 13th (a Sunday) and the 17th (a Thursday) of April there was no RN coverage. […]

• No harm, potential for more than minimal, patternF575Jul 9, 2026

  Based on observations, resident, and staff interviews, the facility failed to display contact information for state and federal agencies in an accessible and prominent location in the facility for 4 out of 4 residents interviewed (Residents #14, #19, #29, #31, and #33). The facility reported a census of 40 residents.Findings include: Observation on 7/8/26 at 2:37 PM revealed a failure to post required contact information in a prominent and accessible location. The facility lacked an accessible displayed directory of pertinent state agencies and advocacy groups, including the state survey agency, licensure office, adult protective services, the State Long Term Care Ombudsman (SLTCO), and the Medicaid Fraud Control Unit, in a format understandable to residents and their… […]

• No harm, potential for more than minimal, patternF585Jul 9, 2026

  Based on observation, review of facility records, resident and staff interviews, and facility policy, the facility failed to ensure that residents and staff were adequately educated regarding the definition of a grievance, the grievance process, and the specific procedures for obtaining forms and filing grievances anonymously for 5 out of 5 residents interviewed (Residents #14, #19, #29, #31, and #33). The facility reported a census of 40 residents.Finding include:Observation on 7/8/26 at 2:37 PM, revealed that the facility failed to provide readily accessible grievance forms in a public area for residents.During an interview on 7/8/26 at 3:10 PM, Resident #14 reported an understanding of the definition of a grievance. […]