Mason City Area Nursing Home

In the surveyor’s words

From the most serious findings on record at Mason City Area Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Mar 11, 2025

  Based on observation, interview, and record review the facility failed to implement individualized care planned interventions to prevent a resident (R1) from sustaining multiple burns, failed to identify a hot water/coffee dispenser used in the main room as a potential burn hazard, and failed to establish protocols and provide adequate monitoring to ensure hot water within a water/coffee dispenser located in the main dining room were kept below temperature levels to prevent burns. […]

• Immediate jeopardy, isolatedF604Feb 25, 2025

  Based on interview, record review and observation, the facility failed to ensure residents were free from unnecessary physical restraints(s), failed to identify the specific medical symptoms warranting the use of physical restraints, failed to obtain physician orders with medical justification for the placement of a physical restraint(s), and failed to obtain resident or responsible party consent for the use of a physical restraint for two (R1, R2) of 12 residents reviewed for restraint usage in the sample of 12. […]

• Actual harm, isolatedF550Jul 20, 2026

  Based on observation, interview and record review the Facility failed to maintain Resident dignity and follow a personalized toileting plan of care to maintain urinary continence for a staff dependent mechanical lift for one of three Residents (R1) reviewed for toileting assistance in a sample of six. This failure resulted in R1 suffering severe mental anguish and emotional distress from being placed in incontinence briefs and not being offered toileting privileges.Findings include:The Facility Assessment, dated 4/7/26, documents the facility will provide bowel/bladder general care for bowel/bladder toileting programs, incontinence prevention and care, responding to requests for assistance to the bathroom/toilet promptly in order to maintain continence and promote resident dignity.The… […]

• Actual harm, isolatedF684Jul 20, 2026

  Based on observation, interview and record review the Facility failed to maintain skin integrity after placing a continent Resident in incontinence briefs due to transfer status and not offering toileting services, leading to skin irritation, pain, redness and an open area on a peri area labia fold for one of three continent Residents (R1) reviewed for toileting assistance in a sample of six. Findings include:The Facility Assessment, dated 4/7/26, documents the facility will provide bowel/bladder general care for bowel/bladder toileting programs, incontinence prevention and care, responding to requests for assistance to the bathroom/toilet promptly in order to maintain continence and promote resident dignity. […]

• Actual harm, isolatedF686Nov 3, 2022

  Based on observation, interview and record review the facility failed to provide necessary equipment or devices for pressure relief for residents at risk for developing pressure ulcers or who required extensive or total assistance from staff for positioning, placing those residents at increased risk for the development of pressure ulcers or the worsening of existing wounds which affected two of two residents (R37, R49) reviewed for pressure ulcers in a sample of 20. This failure resulted in R37 developing multiple pressure ulcers including a right buttocks stage two pressure ulcer which deteriorated to a stage 4 pressure ulcer; and R49 developing an abrasion to the right iliac crest which deteriorated to a stage 3 pressure ulcer. […]