Pillar of Cedar Valley: Abuse Response Failures - IA
The violation was classified as causing minimal harm or potential for actual harm to a few residents during the December 23 complaint inspection....
Latest reports, citations, and penalties from CMS data
The violation was classified as causing minimal harm or potential for actual harm to a few residents during the December 23 complaint inspection....
Three of the four residents had vaccine statuses marked as "pending consent" since November 2024, nearly ten months before inspectors arrived....
Federal inspectors discovered the staffing violations during a complaint investigation completed in November....
## Why Safe IV Administration Matters Intravenous fluid therapy is a routine but medically critical procedure in post-acute rehabilitation settings....
The deficiency falls under the broader category of Quality of Life and Care Deficiencies....
The violation was classified at **Scope/Severity Level E**, indicating a **pattern of non-compliance** rather than an isolated incident....
The resident's care plan specifically called for "bilateral off-loading foot booties as ordered" due to impaired skin integrity....
As of the most recent update, the facility has not submitted a plan of correction to address the findings....
The director of nursing described the system during an interview that evening....
Inspectors determined the facility failed to meet accepted professional standards for medical record keeping....
These requirements are not administrative formalities â they serve as legal safeguards designed to protect vulnerable individuals....
The resident, identified in inspection documents as Resident #3, has contractures that make dressing difficult....
That was the answer Good Samaritan Society De Smet put in writing in its own facility assessment, completed in August 2025....
The facility has not submitted a corrective action plan....
The facility has not submitted a plan of correction for the cited violations....
The drug was located at a local pharmacy and available for pickup the same day....
He had moments of being quiet and content....
The deficiency was cited under **federal regulatory tag F0812**, which governs nutrition and dietary practices in skilled nursing facilities....
The resident, who used a motorized wheelchair, had been going into the room regularly to heat up small pizzas and other personal food....
Federal inspectors found identical violations in both medication rooms they examined on August 27 and 28....