The Bridges at Ankeny

In the surveyor’s words

From the most serious findings on record at The Bridges at Ankeny, in the surveyor’s own words.

• Actual harm, isolatedF760Mar 17, 2026

  Based on record review, policy review and staff interviews, the facility failed to ensure all residents received medication as ordered by a physician and failed to prevent potentially serious medication errors when staff administered the wrong medications or dosage for 3 of 3 residents reviewed (Residents #103, #105 and #102). Resident #103 received the wrong medications, transferred to the hospital where he was admitted to the hospital and had bradycardic episodes (temporary or sustained drop in heart rate below 60 beats per minute). […]

• Actual harm, isolatedF689Sep 19, 2024

  Based on clinical record review, observation, resident and staff interview, and policy review the facility failed to ensure staff utilized a gait belt and safely transferred a resident on a weight chair, and failed to appropriately transfer residents using a mechanical lift for 3 of 5 residents reviewed for transfers (Resident #8, #10, and #4). The facility reported a census of 87 residents. 1. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #8 had diagnosis of diabetes, congestive heart failure, and anemia. The MDS revealed the resident had a Brief Interview for Mental Status (BIMS) of 7, which indicated severely impaired cognition. The MDS documented the resident required substantial to maximum assistance for transfers and toileting. […]

• No harm, potential for more than minimal, patternF812Mar 17, 2026

  Based on observation, interview, and facility policy review, the facility failed toEnsure sanitary and safe conditions in the three kitchenettes and six service areas in the facility maintained for food services. These failures posed the risk of food borne illness to the residents receiving food from the kitchenettes and service areas.Maintain best practices in accordance with professional standards of food service safety. The deficient practice has the potential to result in food borne illness among the residents that consumed food from the kitchen. The facility reported a resident census of 90. Findings include: Observation on 3/10/2026 at 12:35 p.m. […]

• No harm, potential for more than minimal, patternF880Mar 17, 2026

  Based on clinical record review, observation, staff interviews and policy review, the facility failed to implement Transmission Based Precautions (TBP) for 1 of 2 residents reviewed for TBP (Resident #5). The facility also failed to demonstrate proper mechanical lift sanitation practices and Personal Protective Equipment (PPE) use to prevent cross contamination for 3 of 6 units reviewed for infection control (Units #100, #500 and #600). The facility failed to provide filter changes/cleaning to a non-invasive device (BiPAP) machine for 1 of 1 residents reviewed for BiPAP use (Resident#1). The facility reported a census of 90.Findings include:1.The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had diagnoses of pneumonia, sepsis and obstructive sleep apnea. […]

• No harm, potential for more than minimal, patternF658May 15, 2025

  Based on observation, record review and staff interview, the facility failed to administer medications according to the Physician's order and in a timely manner for 4 of 4 residents reviewed. (Res #1, #2, #4 and #8 ) The facility identified a census of 84 residents. Findings include: 1. Review of the facilities Medication Administration Audit Report form dated 5.9.25 at 10:19 a.m. revealed the facility staff failed to administer the following resident medications according to their Physician's orders: Resident #1 - a. Morphine Sulfate (for pain) 20 milligrams (mgs) per milliliter (ml) 0.5 ml by mouth (po) every four (4) hours for pain, air hunger and/or shortness of breath (sob). On 4.15.25 the physician ordered time of admission had been 12 p.m. and 8 p.m. […]