Iva Post-Acute

In the surveyor’s words

From the most serious findings on record at Iva Post-Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Apr 13, 2022

  Based on observations, interview, record review, and facility policy review, the facility failed to ensure infection control procedures were followed for two residents (R)29 and R41 of six residents observed during medication administration and for one resident (R48) of seven residents observed for the provision of wound care. Findings include: The facility's policy related to infection control specific to medication administration were requested but no specific policy was able to be located by the facility prior to survey exit on 04/13/22. 1. […]

• No harm, potential for more than minimal, isolatedF695Sep 16, 2025

  Based on observation, record review, and interviews, the facility failed to ensure one of one resident (Resident (R)1) reviewed for oxygen administration received oxygen per nasal cannula and the oxygen tubing was changed according to the physician's order. This failure had the potential for the resident to receive increased oxygen causing hyperoxia (cells, tissues and organs are exposed to an excess supply of oxygen.)Findings include:Review of R1's admission Record in the electronic medical record (EMR) under the Profile tab revealed R2 was admitted to the facility on [DATE] with diagnoses that included acute respiratory failure with hypoxia.Review of R1's annual Minimum Data Set (MDS) under the MDS tab of the EMR with an Assessment Reference Date (ARD) of 09/17/25 and a Brief Interview… […]

• No harm, potential for more than minimal, isolatedF698Sep 16, 2025

  Based on record review, interview, and facility policy review, the facility failed to ensure a resident received their scheduled morning medications before or after a resident returned from dialysis for one of one resident (R)64) reviewed for dialysis out of sample of 22 residents. This had the potential to affect all residents who went out for dialysis treatment.Findings include:Review of the undated facility's policy titled, Care of a Resident with End-Stage Renal Disease revealed, Residents with end-stage renal disease will be cared for according to currently recognized standards of care. Staff caring for residents with ESRD, including residents receiving dialysis care outside the facility, shall be trained in the care and special needs of these residents. […]

• No harm, potential for more than minimal, isolatedF880Sep 16, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to follow infection control and prevention guidelines regarding Enhanced Barrier Precautions (EBP) while performing indwelling urinary catheter care for two of two residents (Resident (R)1 and R12) reviewed for indwelling urinary catheters of 22 sampled residents. This failure had the potential to spread multidrug resistant organisms (MDROs) to the residents.Findings include:Review of the facility's undated policy titled EBP revealed, Which patients need EBP? Patients with indwelling devices, such as: Urinary Catheters. EBP for all of the following activities: device care or use: urinary catheter. […]

• No harm, potential for more than minimal, isolatedF582Jul 11, 2024

  Based on record review and interviews, the facility failed to ensure the correct form was issued for Resident (R)28 and R35, when Medicare Part A services were ending. Specifically R28 and R35 received the form CMS-R-131 for Part B services and not the correct CMS-10055 for Part A services for 2 of 3 residents reviewed for advanced beneficiary notices. Findings include: Review of a facility document titled, Form Instructions Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNFABN) states, Medicare require's SNFs to issue the SNFABN to Original Medicare, also called fee-for-service (FFS), beneficiaries prior to providing care that Medicare usually covers, but may not pay for in this instance because the care is: Not medically reasonable and necessary; or Considered… […]