Village of Ackley: Staff Fled After Resident Fall - IA
The August incident remained unreported for hours until evening staff discovered what had happened, according to a state inspection completed in November....
Latest reports, citations, and penalties from CMS data
The August incident remained unreported for hours until evening staff discovered what had happened, according to a state inspection completed in November....
The discovery at Winfield Rehab & Nursing prompted federal inspectors to interview seven staff members over two days in October....
Staff must also use gowns and gloves during high-contact care activities like changing briefs, assisting with toileting, and wound care....
Despite facility policies requiring two-person assistance for high-risk residents, the assistant worked alone....
The resident told federal inspectors in September that he didn't receive his lidocaine patch roughly one day out of every five....
Country Care Manor blocked the resident's return after a hospitalization that began October 17, 2025, according to a federal inspection completed November 21....
The medication violation at Cross Timbers Rehabilitation and Healthcare Center exposed confusion among nursing staff about basic medication safety protocols....
The same stale information remained posted when they checked again an hour later....
The patient required substantial help with transfers due to complications from an ischemic stroke and arteriovenous malformation in her brain....
Resident #1 fractured his right femur sometime around September 29th....
The problems centered on how nursing staff handled incidents involving two residents in September and October....
The resident scores 9 on cognitive assessments, indicating moderate impairment, and requires total assistance with bowel and bladder incontinence....
Federal inspectors found the facility failed to ensure proper immunizations for two residents during a complaint investigation in November....
Resident 75 at Elan Skilled Nursing and Rehab developed a rash in August that doctors ordered tested with a skin scraping or biopsy on August 19....
Federal inspectors found nebulizer masks and tubing left exposed throughout Bel Air at Teravista during a November complaint investigation....
As the aide walked out of the room, the resident was heard saying "What?" but received no response or explanation for her sudden exit....
She told inspectors on November 20 that she frequently sees gnats and roaches throughout the facility despite monthly pest control services....
LVN A admitted Resident #101 on September 12, 2025, but never initiated the required baseline care plan....
The most recent assessment should have been conducted in September 2025, according to the Director of Nursing....
The immediate jeopardy citation focused on elopement prevention failures that put residents at risk of leaving the facility unsupervised....