Accura Healthcare of Ottumwa

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 25, 2024

  Based on clinical record review, policy review, and staff interviews, the facility failed to ensure staff transferred a resident in a safe manner for 1 of 4 residents reviewed for transfer technique (Resident #14). When a staff member assisted Resident #14 to stand from a seated position, she didn't use a gait belt. Resident #14 fell and sustained a wrist fracture and femur (leg bone) fracture. The facility reported a census of 57 residents. Findings include: Resident #14's Minimum Data Set (MDS) assessment dated [DATE], reflected she had a short and long-term memory problem. The cognitive skills for daily decision making indicated Resident #14 had severely impaired decision-making ability. […]

• No harm, potential for more than minimal, widespreadF812Nov 16, 2022

  Based on observations, interviews, and policy review, the facility failed to provide food storage and maintain proper food temperatures in a safe and consistent manner. This practice had the potential to affect 56 out of 56 residents who consumed food from the kitchen. Findings include: Review of the facility's undated policy titled, Storage, indicated, food will be stored at the proper temperature and for the appropriate length of time to protect the quality of food, all refrigerated foods and freezer foods will be labeled (if unidentifiable) and dated at time of delivery. […]

• No harm, potential for more than minimal, patternF804Apr 29, 2021

  Based on observation, policy review, staff and resident council interviews, the facility failed to maintain hot foods at a safe temperatures. The facility reported a census of 37. Findings include: During the Resident Council meeting on 4/27/21 at 1:40 p.m., 3 of 3 residents stated the food was not hot when they received their room trays. One resident described the food on the room trays as ice cold. The residents reported they observed the room tray cart in the hallway with full food trays for long periods of time while residents were assisted with cares. On 4/28/21 at 8:30 a.m., the last test tray was filled with eggs frittata and two sausage links, covered, and placed on the metal serving rack with the resident trays. […]

• No harm, potential for more than minimal, isolatedF550Sep 25, 2025

  Based on clinical record review, observation, facility policy review and staff interview, the facility failed to ensure staff respected the dignity of residents while transporting residents to and from the shower room for 3 of 4 observations of residents (Residents #5, #53 and #54) transported to the shower room by staff. The facility reported a census of 53. Findings include:1. The Minimum Data Set (MDS) assessment for Resident #53, dated 7/9/25, indicated the resident had a Brief Interview for Mental Status (BIMS) score of 5 out of 15, which indicated a severe cognitive impairment. The resident assessed dependent on staff for bathing, and required maximum/substantial assistance for transferring. […]

• No harm, potential for more than minimal, isolatedF684Sep 12, 2024

  Based on clinical record review, observations, staff interviews, and policy review, the facility failed to process physician orders, and failed to provide and document physician ordered treatments such as wound care and dressing changes for 1 of 5 residents reviewed for skin conditions. The facility also failed to document a change in skin condition and the treatment interventions initiated for 1 of 5 residents reviewed for skin conditions (Resident # 32). The facility reported a census of 58 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #32 had diagnoses of heart failure, anemia, and Alzheimer's disease. The MDS indicated the resident had no skin issues. […]