Ramsey Village: Infection Control Breach Flagged - IA
The incident was recorded on facility surveillance. At 7:36 in the morning on October 23, 2025, a worker identified in the inspection report as Staff H exited a room where two residents were on Enhanced Barrier Precautions, a level of infection control reserved for patients at elevated risk. He was still wearing the protective gown when he left. Four minutes later, at 7:40, he told inspectors why he had gone: he needed a mechanical lift, and he went to another unit to get one.
Both residents in that room had invasive devices. That detail matters. Enhanced Barrier Precautions exist precisely because invasive devices create a direct pathway for infection into the body. The gown Staff H wore was meant to stay in the room and go into a designated waste container before he crossed the threshold.
He acknowledged he should have known better. When inspectors confronted him, he said he didn't realize he wasn't supposed to leave wearing the gown if he hadn't touched anything. Then he added that he should've known better anyway. It was the second half of that statement that told the story.
The facility's own written policy was unambiguous. A document on Personal Protective Equipment use directed staff that gowns must be discarded in the appropriate container located in the room. Not in the hallway. Not at the nurses' station. In the room, before leaving.
The Director of Nursing confirmed it plainly that afternoon. At 2:46 PM on the day of the inspection, she told surveyors that staff should have removed the PPE before exiting the residents' room.
Inspectors cited the violation under F0880, the federal tag covering infection prevention and control. The level of harm was classified as minimal harm or potential for actual harm, and the finding was noted to affect a few residents. In the language of federal nursing home oversight, that places it at the lower end of the severity scale. It does not place it outside the range of things that have preceded serious infections in long-term care settings.
What the inspection report captures is a narrow window, four minutes between when Staff H left the room and when inspectors spoke with him. What it doesn't capture is how often something similar may have happened before a surveyor happened to be watching.
The residents themselves are not named in the report. Their conditions are described only by the precautions assigned to them and the devices they carried. They were, by definition, among the more medically fragile people in the building that morning.
Staff H, for his part, did not argue. He knew the rule. He said so himself.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ramsey Village from 2025-10-23 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 7, 2026 · Our methodology
Ramsey Village in Des Moines, IA was cited for violations during a health inspection on October 23, 2025.
The incident was recorded on facility surveillance.
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.