Careage Hills Rehabilitation And Healthcare
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
been completed as the resident was rarely/never understood. The MDS revealed the resident's diagnoses included Alzheimer's disease and a seizure disorder and the resident was dependent on staff for all activities of daily living. The Care Plan initiated [DATE REDACTED] revealed Resident #2 had seizure-like activity and directed staff to assess the resident as soon as possible if seizure activity occurred. During an interview on [DATE REDACTED] at 11:36 AM, Staff B, RN reported on [DATE REDACTED] the CNA's had reported Resident #2 was having seizures. Staff B reported she had gone down to look at the resident and the resident looked like her normal baseline and her eyes were open. Staff B reported that based on her assessment she was going to administer intramuscular (IM) Ativan but it had expired so she did not administer it. Staff B reported she did not go back and assess the resident as she wasn't feeling well and could not walk. Review of Progress Notes for Resident #2 revealed on [DATE REDACTED] at 3:22 AM, Staff B, RN documented the CNA had reported the resident was having pre-seizure behavior. The Progress Notes lacked assessments related to the pre-seizure activity. Review of facility policy revised [DATE REDACTED] and titled, Resident Assessment and Associated Processes, revealed it is the policy of this facility that residents will be assessed and the findings documented in their clinical health record. Review of facility policy revised [DATE REDACTED] and titled, Physician Orders, revealed all physician orders will be followed through with upon the written order by personnel licensed to write orders and/or take verbal orders from the provider. During an interview on [DATE REDACTED] at 11:45 AM, the DON revealed she would expect an assessment to be completed when a resident had seizure-like activity and treatments to be completed as ordered.
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Careage Hills Rehabilitation and Healthcare 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 Careage Hills Rehabilitation and Healthcare or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.