Anamosa Care Center

In the surveyor’s words

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

• Actual harm, isolatedF684Jul 25, 2024

  Based on clinical record review, facility incident investigation review, policy review, and staff interviews, the facility failed to assess a resident after spilling hot thickened coffee during meal service which resulted in a second degree burn (tissue damage to the top and middle layers of skin in which blisters can develop). She required antibiotics and treatments at the wound care clinic for injury 1 of 1 residents reviewed (Resident #14). The facility reported a census of 60 residents. Findings include: The Minimum Data Set (MDS) for Resident #14 dated 4/24/24 documented a Brief Interview for Mental Status (BIMS) score of 4 indicating severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF628Jul 30, 2026

  Based on clinical record review, Notice of Transfer forms, and interviews the facility failed to submit hospitalizations to the Office of the Long Term Care Ombudsman (OLTCO) for Resident #6. The facility further failed to submit any hospitalizations to the OLTCO in April, May, or June 2026. The facility reported a census of 54 residents. Findings include:The Minimum Data Set (MDS) for Resident #6 dated 5/24/26 documented diagnoses of deep venous thrombosis (blood clot in a deep vein), retention of urine, and hypertension (high bood pressure). A document titled eINTERACT Transfer Form effective 6/02/26 at 9:16 AM indicated the resident transferred unplanned to the local hospital for edema. […]

• No harm, potential for more than minimal, patternF730Jul 25, 2024

  Based on personnel record review and staff interviews, the facility failed to do an annual performance evaluation for 5 of 5 employees reviewed (Staff B, Staff C, Staff D, Staff E, and Staff F). The facility identified a census of 60 residents. Findings include: 1. Personnel record review documented Staff B, Certified Nurses Aide (CNA) had a hire date of 10/22/19. A performance review dated 10/27/2020 signed and dated by Staff B, CNA. Further review lacked any annual performance reviews completed in 2021, 2022, and 2023. 2. Personnel record review documented Staff C, CNA had a hire date of 12/04/22. Further review lacked documentation of an annual performance review completed for Staff C since hire. 3. Personnel record review documented Staff D, CNA had a hire date of 9/11/22. […]

• No harm, potential for more than minimal, patternF925Jul 25, 2024

  Based on observations, pest control receipt review, resident interview, staff interviews, and policy review the facility failed to maintain an effective pest control program in the facility. The facility reported a census of 60 residents. Findings include: During an observation on 07/22/24 at 08:29 AM two flies were flying in circles in the kitchen. During food service one fly landed on the brown sugar topping a bowl of crispy rice cereal. It crawled from the sugar to the cereal, sat for about 10 seconds, and flew away. At 08:33 AM a fly landed on bowl of cheerios with brown sugar on it, crawled over the top of the sugar and into the hole of one of the cheerios, then crawled back on top of the sugar. The fly remained in the bowl 07/22/24 08:36 AM. […]

• No harm, potential for more than minimal, patternF678Jan 6, 2022

  Based on record review, staff interview and facility policy review the facility failed to ensure a staff member certified in Cardiopulmonary Resuscitation (CPR) present at the facility for the complete evening/overnight shift on [DATE]. The facility reported a census of 55 residents. Findings Include: The Nursing Schedule for [DATE] revealed Staff A, Registered Nurse (RN) worked the P shift on [DATE]. Review of the CPR certification information for Staff A provided by the facility revealed Staff A certified on [DATE] and recommended renewal date was ,d+[DATE]. The Nursing Schedule revealed Staff B, RN worked 6:00 PM through 10:00 PM on [DATE]. The list of current CPR certified staff provided by the facility included Staff B. […]