Nodaway Healthcare

In the surveyor’s words

From the most serious findings on record at Nodaway Healthcare, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Aug 7, 2025

  Based on interview and record review, the facility failed to provide a Registered Nurse (RN) for eight consecutive hours per day seven days a week. This had the potential to affect all residents. The facility census was 30. The facility did not provide a policy for RN coverage. Review of the facility's Payroll Based Journal data (PBJ - a report that provides staffing data set information submitted by nursing homes on a quarterly basis) for Quarter 2 2025 (January 1 - March 31) showed no RN coverage hours on 2/23, 3/2, 3/16, 3/29 and 3/ 30. Review of staffing schedule for February 2025 showed no RN on the day: 2/23. […]

• No harm, potential for more than minimal, widespreadF880Aug 7, 2025

  Based on observation, interview and record review the facility failed to complete Tuberculosis (TB) skin testing for three out of ten employees. The facility additionally failed to establish and maintain an effective water management program to aide in identifying and reducing the risk of Legionella and other waterborne pathogens that can grow and spread and lead to Legionnaires' disease (a type of serious pneumonia caused by a type of bacteria called Legionella.) The facility census was 30. Review of the facility's Employee TB Screening and interpretation of Results Policy, Revised July 2010 showed: All employees shall be screened for tuberculosis (TB) infection and disease, using a two-step tuberculin skin test (TST) prior to beginning employment. […]

• No harm, potential for more than minimal, widespreadF727Mar 21, 2022

  Based on record review and interviews, the facility failed to ensure they used the services of a registered nurse (RN) for at least eight consecutive hours a day on the day shift, seven days a week. This had the potential to affect all residents who resided in the facility. The facility's census was 30. Review of the facility's undated policy regarding RN coverage showed the requirements for long term care facilities require that a skilled nursing facility provide 24-hour nursing services, an RN for eight consecutive hours a day, seven days a week (more than 40 hours a week), and that there be an RN designated as Director of Nursing (DON) on a full time basis. […]

• No harm, potential for more than minimal, widespreadF800Mar 21, 2022

  Based on observation, record review and interviews, the facility failed to ensure they provided each resident with a nourishing, palatable, well-balanced diet to meet their daily nutritional and special dietary needs when staff failed to ensure they covered foods when transporting them from the kitchen to resident rooms and prepared the meals too far in advance. This affected all residents who received their meals from the facility's kitchen. The facility census was 30. The facility did not provide any dietary policies regarding covering foods during transport of when to prepare the meals. 1. Observation and interview on 3/16/22 at 10:26 A.M., the dietary manager (DM) said she already had to noon meal prepared and on the steam table. […]

• No harm, potential for more than minimal, widespreadF812Mar 21, 2022

  Based on observation, record review and interviews, the facility failed to ensure they stored, prepared, and distributed foods in accordance with professional standards of food service safety when staff did not date foods when opened, did not change gloves and wash their hands when moving from one task to another, and failed to keep all surfaces clean, all of which affected all residents who received food from the facility's kitchen. The census was 30. The facility did not provide any cleaning schedules. The facility did not provide a policy on hand washing and glove changes in the kitchen. The facility did not provide a policy to address dating foods when opened. 1. […]