Southeast Iowa Regional Medical - Klein Center

In the surveyor’s words

From the most serious findings on record at Southeast Iowa Regional Medical - Klein Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Dec 17, 2025

  Based on clinical record review, review of facility menu, and staff interviews, the facility failed to assess and intervene after a resident coughed, and then vomited during evening meal. On 12/5/25 at 5:25 PM, Resident #1 coughed and then reportedly vomited during a meal, which consisted of barbeque pork on a bun, pasta salad, buttered corn, and white cake. Another resident sitting at the table with Resident #1 reported to nursing staff Resident #1 vomited. The nursing staff checked Resident #1 and noted labored respirations, and described her as choking. Staff assisted Resident #1 outside of the dining room area while continuing to instruct her to spit out sputum. […]

• Immediate jeopardy, isolatedF689Nov 13, 2024

  Based on observation, clinical record review, facility incident and investigation reports, and staff interviews, the facility failed to ensure a resident with a severe cognitive impairment did not exit the facility without staff knowledge. On 7/26/24, Resident #1 left a group while walking from an activity area to the memory care unit unbeknownst to the staff supervising. Resident #1 walked through the front lobby and exited out an unlocked, unalarmed door to an unsecured courtyard area. The resident walked on the sidewalk to the area between the B and C wings of the building, a location approximately 100 yards from a large pond. A staff member saw the resident from a window, and went outside to assist her back to the building. […]

• No harm, potential for more than minimal, patternF552Jun 18, 2026

  Based on clinical record, policy review, and staff interviews, the facility failed to obtain a consent and provide information about the risks and benefits of psychotropic medications (medications that affected the mind, altering a person's emotions, thoughts, perceptions, or behavior) for 5 of 6 residents reviewed for medications (Residents #5, #6, #13, #17, #109). The facility reported a census of 141 residents.Findings included: 1. The Minimum Data Set (MDS) assessment tool dated 4/29/26, list of diagnoses for Resident #5 included anxiety, depression, and delirium due to a known condition. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 6 out of 15, indicating severely impaired cognition. […]

• No harm, potential for more than minimal, patternF725Jun 18, 2026

  Based on clinical record review, review facility Call Logs resident and staff interview, the facility failed to ensure sufficient staff available to answer resident calls lights in a timely manner for 6 of 7 residents (Residents #160, #7, #142, #23, #122, and #8) in the sample. The facility reported a census of 141 residents.Findings included: 1. Review of the electronic health record (EHR) Face Sheet revealed Resident #160 admitted to the facility on [DATE], with a primary diagnosis of aftercare for healing traumatic fracture of the left hip. […]

• No harm, potential for more than minimal, patternF880Jun 18, 2026

  Based on observation, staff interview, and facility policy review the facility failed to follow infection control procedures to prevent potential cross contamination during a blood draw procedure performed on 1 of 6 residents (Resident #17) reviewed for infection control, when the specimen drawn was placed on a clean dining room table. The facility also failed to prevent potential cross contamination during the laundry process in 1 of 10 units observed, when clean personal linens were placed on potentially contaminated public seating surfaces. The facility reported a census of 141 residents. Findings include:1. […]