Windmill Manor
Windmill Manor in Coralville, IA — inspection on December 30, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the facility provided medication error report, completed by DON, dated 11/21/25, revealed that Resident #3 had an order for Tacrolimus 2mg every AM and 2.5mg every PM and described the error as medication not delivered by back up, missed 2 doses, and 11/14/25 PM dose was late.
The report noted that the pharmacy did not order medication pick up in their system.
The corrective action taken included education to nurses and measures taken to prevent in the future listed education and monitoring.Review of the facility in-service education for the nursing department related to medications, dated 11/21/25, instructed for nurses to follow: Unavailable Medications: When medication is unavailable, CMAs are to alert the nurse, never mark unavailable.
The nurse is to go to the Stat Safe and try to pull the medication. If the medication is not in the Stat Safe the nurse is to call the pharmacy.
The pharmacy can send it from a backup pharmacy. If the pharmacy sends it from back up and it does not come within 2 hours, call the pharmacy again.
Notify the provider of missed doses and the POA/residents. CMAs, if you give the last dose of a medication, let the nurse know so that the nurse can call the pharmacy and get it sent before the next dose is due.
Try to call after hours to see if they can still arrange for a back up pharmacy delivery.
Review of the facility policy titled, Medication Administration, revised February 2004, revealed the Objective Statement is to provide the resident with those medications deemed necessary by the physician to improve and/or stabilize specified diagnosis of the resident.
The Section: Procedures listed: #7. In the event that a medication cannot be given, the reason must be documented in the Nurses Medication Notes on the Medication Administration Record (MAR), and the time frame circled on the MAR.
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