Accura Healthcare of Sioux City, LLC

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 17, 2022

  Based on clinical record reviews and staff interviews, the facility failed to thoroughly assess a resident for fall risk and/or implement interventions to prevent falls for 2 of 3 residents reviewed (Resident #93 and #15). 1. Resident #93 admitted to the facility from another facility and within the first 48 hours she fell sustaining a head injury. Staff denied know that Resident #93 had a risk for falls, and the fall risk assessment did not get completed. The Care Plan from the previous facility indicated Resident #93 as a risk for falls with an intervention to assure appropriate footwear, shoes, or gripper socks. At the time of the fall, Resident #93 did not utilize appropriate footwear. 2. […]

• No harm, potential for more than minimal, patternF812Dec 4, 2025

  Based on observations, staff interviews, and facility policy review the facility failed to ensure proper sanitary conditions in the kitchen area, where staff prepared food. The facility identified a census of 41 residents.Findings included:During the initial kitchen walkthrough on 12/1/25 at 10:35 AM, the following observations were made:a. The double-door refrigerator contained various scattered food debris.b. A cart holding clean dishes also had scattered food debris present.c. The dishwasher showed white, flaky, crusted lime buildup along the top and sides. Additional lime buildup was observed on the coffee machine tray.d. […]

• No harm, potential for more than minimal, patternF580Jul 25, 2023

  Based on record review, staff interview, and document review the facility failed to notify the physician with a change in condition for 2 of 2 residents reviewed (Residents #7 and #22). Finding include: 1. Resident #7's Minimum Data Set (MDS) dated [DATE] for documented a Brief Interview of Mental Status (BIMS) of 15 indicating no cognitive impairment. The MDS included a diagnosis of edema. Resident #7 had a weight loss of 5% or more in the previous month or a loss of 10% or more in the previous six months while not on a physician-prescribed weight-loss regimen. […]

• No harm, potential for more than minimal, patternF802Jul 25, 2023

  Based on document review, observations, policy, and staff interview the facility failed to employ sufficient staff with the appropriate competencies and skills sets to effectively carry out the functions of the food and nutrition service department. The facility reported a census of 43. residents. Findings include: The Diet Spreadsheets labeled Week 3 Wednesday signed by the Dietitian on 4/13/23 provided by Staff J, Dietary Manager, listed the following information: a. Regular diet: 3 ounces (oz) smoked pork loin, one baked sweet potato, and 4 oz buttered peas. b. Pureed diet: #8 scoop pureed smoked pork loin, #8 scoop mashed sweet potatoes, and #12 scoop pureed buttered peas. c. […]

• No harm, potential for more than minimal, patternF803Jul 25, 2023

  Based on observation, document review and staff interview the facility failed to follow the menu and prepare food to meet the nutritional needs of the residents. The facility reported a census of 43 residents. Findings include: Review untitled document titled Week 3 menu for Wednesday provided by Staff J revealed a. regular diet: 3 oz smoked pork loin, 1 baked sweet potato, and 4 oz buttered peas b. pureed diet: #8 scoop pureed smoked pork loin, #8 scoop mashed sweet potatoes, and pureed buttered peas. c. […]