Indianola Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Indianola Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 14, 2026

  Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to provide adequate supervision to prevent a resident who was identified as having exit-seeking behaviors from leaving the facility unnoticed and unsupervised for one (1) of three (3) residents reviewed for wandering/elopement risk (Resident #1).On 12/30/25 around 7:30 PM Resident #1 was able to gain access to an unlocked door and exited the building and was in the courtyard area, unattended and unsupervised for an undetermined amount of time. […]

• Actual harm, isolatedF600Jul 31, 2024

  Based on observations, interviews, record review and facility policy and procedure review, the facility neglected to provide an environment free from abuse/neglect for Resident #1. Certified Nursing Assistant (CNA) #1 did not report to anyone that Resident #1 hit his head during resident care. This resulted in a serious right eye injury with fractures to his orbital bones which remained untreated and unassessed by the facility staff for several hours after the injuries to Resident #1 were discovered for one (1) of 27 residents reviewed for abuse and neglect. Resident #1 Findings include: Record review of the facility policy and procedure titled Abuse Prohibition Policy, reviewed 5/17/24 revealed . […]

• Actual harm, isolatedF656Jul 31, 2024

  Based on interview, record review and facility policy and procedure review the facility failed to implement the Activities of Daily Living (ADL) care plan when Certified Nursing Assistant (CNA) #1 did not notify the charge nurse supervisor when a resident was resisting care. This failure resulted in Resident #1 receiving fractures to his orbital bones during an altercation with CNA #1 during care for one (1) of 27 residents reviewed. Resident #1. Findings include: Record review of the facility policy titled, Care Plans, Comprehensive-Centered with a reviewed date of January 2023 revealed Policy Statement: A comprehensive, person-centered care plan .is developed and implemented for each resident. Policy Interpretation and Implementation .8. […]

• No harm, potential for more than minimal, patternF565Apr 24, 2025

  Based on resident and staff interviews, record review, and facility policy review, the facility failed to promptly resolve resident grievances related to food quality and temperature for five (5) of nine (9) residents attending the Resident Council meeting. Residents #11, #14, #21, #25, and #46 Findings Include: Review of the facility policy titled Filing Grievances/Complaints, revised 6/2024 revealed under, Policy Statement: Our facility will assist residents, their representatives (sponsors), other interested family members, or advocates in filing grievances or complaints when such request are made . […]

• No harm, potential for more than minimal, patternF761Apr 24, 2025

  Based on observation, staff interview, and facility policy review, the facility failed to ensure a medication cart was kept locked and attended for one (1) of three (3) survey days. Findings Include: Review of the facility policy titled Storage of Medications unrevised, revealed under, Policy Statement: The facility stores all drugs and biologics in a safe, secure, and orderly manner. Additionally revealed, 9. Unlocked medications carts are not left unattended. On 4/22/25 at 10:11 AM and again at 1:20 PM, an unlocked medication cart was observed parked in front of the A Hall nurses' station with no staff nearby or in sight. An interview with Registered Nurse (RN) #1 on 4/22/25 at 1:28 PM, confirmed she left the medication cart unlocked and unattended. […]