Casa De Paz Health Care: Dignity Violations - IA
The resident, identified as Resident #9 in inspection documents, was sitting in her wheelchair watching a video in her room when inspectors interviewed her on August 20. She described an earlier interaction that day with Staff A, a certified nurse aide, saying she felt the worker was talking down to her and didn't treat her respectfully.
The Director of Nursing confirmed that Resident #9 had reported the incident to her. According to the DON, Staff A had gotten frustrated during the interaction, though the aide didn't believe her tone was rude to the resident. The nursing director said Staff A received coaching following the complaint.
A corrective action note dated August 20 instructed Staff A to step away from residents when frustrated and to be mindful of her tone of voice when speaking to residents.
The dignity violation extended beyond verbal interactions. Staff B, a certified medication aide, told inspectors on August 21 that all catheters should have privacy bags even when residents are in their rooms. The comment suggested that catheter bags were being left uncovered, exposing residents' bodily functions.
Resident #9 had specific medical needs that made respectful care particularly important. According to her care plan, she required skilled nursing services and physical therapy. She had the potential for impaired skin integrity and was at risk for edema, swelling and pain. Staff were ordered to administer treatments as needed.
The facility's own policy, titled "Dignity" and revised in February 2021, specifically prohibited the practices inspectors documented. The policy required staff to promote, maintain and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures.
Demeaning practices and standards of care that compromise dignity were explicitly prohibited under the facility's written guidelines. Staff were expected to promote dignity and respect and help residents keep urinary catheter bags covered.
The violations represented failures at multiple levels of care. The verbal disrespect occurred between a certified nursing aide and a vulnerable resident who relied on staff for daily assistance with medical needs. The privacy violations involved basic dignity protections that the facility had committed to in writing.
Federal inspectors classified the violations as causing minimal harm or potential for actual harm, affecting some residents at the 2121 West 19th Street facility. The complaint investigation took place on August 21, following reports of the dignity violations.
The timing of the corrective action note, dated the same day as the reported incident, suggested the facility moved quickly to address Staff A's behavior once the nursing director learned of the complaint. However, the broader privacy issues around catheter care indicated systemic problems with dignity protections.
Casa De Paz Health Care Center operates in a state where nursing home oversight has faced scrutiny over staffing and care quality issues. The facility serves residents who require skilled nursing services, physical therapy, and assistance with activities of daily living.
The inspection findings highlighted how dignity violations can occur in everyday interactions between staff and residents. A frustrated aide's tone of voice, left unchecked, created an environment where a resident felt disrespected and talked down to in her own room.
The uncovered catheter bags represented a different type of dignity violation, one involving basic privacy protections during medical care. Federal regulations require facilities to maintain resident dignity during all aspects of care, including assistance with bodily functions.
Resident #9's experience illustrated how vulnerable nursing home residents can be to staff behavior, particularly when they require extensive daily assistance for medical conditions. Her willingness to report the disrespectful treatment to both inspectors and the nursing director provided the documentation that led to the facility's citation.
The corrective actions focused on individual staff behavior rather than systemic changes to prevent similar incidents. Staff A received coaching about stepping away when frustrated and monitoring tone of voice. The broader privacy issues around catheter care remained unaddressed in the documented corrective measures.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Casa De Paz Health Care Center from 2025-08-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Casa De Paz Health Care Center in Sioux City, IA was cited for violations during a health inspection on August 21, 2025.
The Director of Nursing confirmed that Resident #9 had reported the incident to her.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.