Accura Healthcare Of Cherokee, Llc
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and staff to resident interactions about how they talk to one another. Interview on 10/28/25 at 2:20 PM with
the Director of Nursing (DON) revealed that staff and a family member stated that a CNA had taken the call lights from a resident. The DON stated she went and talked with the family member and the staff. The DON further revealed that she did a follow up visit with the family member. The DON revealed it is a concern if staff were telling residents to urinate themselves, and this would be a dignity issue. The DON then revealed that she does get complaints about the gruffness of Staff B.Interview on 10/28/25 at 3:05 PM with Staff B revealed that she had never heard of any staff withholding call lights from residents. Staff B stated she had heard through a day shift staff member that Staff C had told a resident to go ahead and urinate on themselves and that they would clean that resident up afterward. Staff B heard that it happened on a shift
they were working, but did not witness or hear Staff C say this. Interview on 10/29/25 at 1:39 PM with Staff E CNA stated during an all staff meeting on 8/27/25 that it was brought up that Staff B and Staff C made Resident #1 urinate in her bed. Staff E further revealed that Staff B and Staff C had moved the call light out of Resident #1's reach. Follow up interview on 10/29/25 at 1:50 PM with the DON revealed that she conducted the meeting on 8/27/25. The DON stated that there were issues with the night shift not getting residents up as often as they should. The DON then revealed that there was an incident where she was told that one of the CNAs took a resident's call light away. The DON stated she was never told which CNA it was as the complaint came from a resident's daughter. The DON confirmed this was for Resident #1. The DON revealed the resident's daughter had reported the complaint to her on the 23rd or 24th of October. The DON revealed that this was not filled out in a grievance form, and that the daughter was upset about the situation. The DON reported that she offered to come in and talk to the daughter, and the daughter did not want to talk at that time. The DON further reported she came in the next nightshift, and no staff could give her an answer as to what happened. The DON stated that none of the nightshift staff would admit it was them. The DON then reported that most of the complaints on Staff B are related to poor bedside manners.
The DON stated she had reports that Staff B is rough around the edges. The DON further revealed that she has talked with Staff B multiple times about how Staff B is very dry, and direct when talking to the residents.
Interview on 10/29/25 at 2:18 PM with the Administrator revealed that she was present for the meeting on 8/27/25. The Administrator then reported that the call light issue in the meeting was that a staff member did not give the call light to a resident for them to use, and the Administrator thought this was related to Resident #1. The Administrator then revealed this call light issue was related to the evening/overnight shift.
The Administrator stated it was reported to her by the DON that staff had encouraged a resident to be incontinent, and that staff would come back and clean them up. The Administrator further revealed there were no particular staff brought up with the concern. The Administrator stated that her understanding was that when the DON investigated the issue with the call light and wetting the bed they were unable to determine which staff member it was that was being accused. Interview on 10/29/25 at 4:10 PM with the DON, and the Administrator revealed that their expectation would be for residents to be treated with dignity and respect at all times. Interview on 10/30/25 at 8:58 AM with Resident #1's family member revealed that Resident #1 told them about being told to urinate in the bed, and taking the call lights away from her. The family member then revealed it was taken care of, and it had never happened again. The family member revealed that the facility addressed it with the staff, and it was taken care of. Review of a facility provided policy titled, Promoting/Maintaining Resident Dignity dated 1/30/24 revealed: 1. All staff members are involved in providing care to residents to promote and maintain resident dignity and respect resident rights.
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Accura Healthcare of Cherokee, LLC in Cherokee, IA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Cherokee, IA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Accura Healthcare of Cherokee, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.