Algona Manor Care Center

In the surveyor’s words

From the most serious findings on record at Algona Manor Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF607Jun 12, 2025

  Based on record review, staff interview and policy review the facility failed to complete a background check for 1 of 6 current employees reviewed (Staff A, Certified Nurse Aide) (CNA). The facility reported a census of 30 residents. Findings include: Review of Staff A, CNA 's employee file documented a hired date of 9/20/24. Further review of the employee file lacked documentation of a background check in the file. During an interview on 6/10/25 at 2:06 PM, the Administrator reported the background check for Staff A, CNA was not completed. She reported the office manager just started around time of hire for Staff A and missed it but it should have been done. […]

• No harm, potential for more than minimal, patternF812Aug 8, 2024

  Based on observations, staff interviews and policy review, the facility failed to store food items according to professional standards and ensure food items were labeled with dates after opening. The facility identified a census of 35 residents. Findings include: 1. An initial kitchen tour conducted on 8/5/24 at 10:05 AM, of the kitchen revealed the following items were stored/opened in the kitchen's refrigerator ready for service and not labeled with a date after opening: a. American cheese slices in zip lock bag b. Container of ham salad c. Slices of smoked ham in zip lock bag d. Individual packed slices of Swiss cheese e. 46 oz Tomato juice f. 16 oz butter blend spread block- not sealed appropriately g. Cookies Mild salsa h. 1 gallon worcestershire sauce i. Heinz tomato ketchup j. […]

• No harm, potential for more than minimal, patternF725Apr 9, 2024

  Based on observation, resident interview, staff interview, Resident Council Minutes and facility policy review the facility failed to answer resident call lights within the allotted professional standards of 15 minutes for 1 of 3 residents reviewed. (Resident #3) The facility identified a census of 32 residents. Findings include: During an interview on 4/5/24 at 1:30 p.m. Resident #3 verbalized a concern related to wait times for her call light. The resident used the clock on her wall and timed the call light on for 30 minutes and even longer at times which made her feel like no one was there for her. Additionally, when staff toileted her and left her in the bathroom for long periods of time it caused pain. During an interview on 4/9/24 at 11:41 a.m. […]

• No harm, potential for more than minimal, isolatedF725Jul 23, 2026

  Based on resident and family interviews, Resident Council minutes and a call light audit provided by the facility, the facility failed to timely answer the call lights for 1 of 2 residents reviewed (Resident #20). The call light audit dated 6/2/26 revealed that Resident #20 waited 35 minutes for a morning call light to be answered and 19 minutes for an afternoon call light to be answered. The facility reported a census of 40 Residents. Findings include: A Minimum Data Set assessment dated [DATE], documented Resident #20's diagnoses included multiple sclerosis and depression. A Brief Interview for Mental Status documented a score of 15 out of 15, which indicated intact cognition. It documented that Resident #20 was frequently incontinent and dependent for toilet hygiene and transfer. […]

• No harm, potential for more than minimal, isolatedF644Jun 12, 2025

  Based on clinical record review and staff interview, the facility failed to complete a new Preadmission Screening and Resident Review (PASRR) for Level I on 2/27/25 for Resident #27. The facility reported a census of 30 residents. Findings included: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #27 showed a Brief Interview for Mental Status (BIMS) score of 12 indicating moderate cognitive impairment. The MDS documented diagnosis of anxiety, psychotic disorder (other than schizophrenia), and malnutrition. Review of the PASRR Level 1 Screening Outcome dated 8/12/24 for Resident #27 revealed PASRR Level I Determination No Level II Required. Review of the clinical chart revealed this PASRR came with Resident #27 from the hospital when admitted to the facility. […]