Accura Healthcare Of Cresco
Accura Healthcare of Cresco in Cresco, IA — inspection on October 9, 2025.
Found 4 citations. 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
Administrator acknowledged withdrawals form Resident #2's Resident Trust Account shouldn't have occurred after he had been discharged The facility Residents' [NAME] of Rights dated [DATE] documented:(10) The resident has a right to manage his or her financial affairs.
This includes the right to know, in advance, what charges a facility may impose against a resident's personal funds.(i) The facility must not require residents to deposit their personal funds with the facility. If a resident chooses to deposit personal funds with the facility, upon written authorization of a resident, the facility must act as a fiduciary of the resident's funds and hold, safeguard, manage, and account for the personal funds of the resident deposited with the facility, asspecified in this section.(v) Conveyance upon discharge, eviction, or death.
Upon the discharge, eviction, or death of a resident with a personal fund deposited with the facility, the facility must convey within 30 days the resident's funds, and a final accounting of those funds, to the resident, or in the case of death, the individual or probate jurisdiction administering the resident's estate, in accordance with State law.The facility Resident Trust Fund Policy and Procedure updated on [DATE] documented the Business Office Manager and the Administrator are responsible for ensuring the Resident Trust Funds are always in perpetual balance and recorded.
Further direction included:1. No funds are to be deposited for discharge/deceased residents unless for account corrections.2.
All disbursements from a resident's trust account must have the appropriate signature on the transaction receipt authorizing the disbursement.
This can be signed by the resident, spouse, power of attorney (POA), guardian, conservator or representative payee (an appointed person or organization that receives and manages Social Security or Supplemental Security Income (SSI) benefits on behalf of someone who cannot manage their own funds).
All transaction receipts signed with an X or signatures that are illegible, must have (2) witnesses.3.
Closing a Resident's Trust Accounta.
Verify upon discharge all transactions are valid and postedb.
Account must be closed within 24 hours of discharge and refunded within (30) days of discharge. c.
Accounts not refunded within (30) days must be clearly documented in the resident's general note section of [EHR Name Redacted].
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/09/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Accura Healthcare of Cresco
701 Vernon Road SW Cresco, IA 52136
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/8/25 at 1:46 PM with the DON, revealed all restorative programs were resolved/discontinued in September 2025 because the facility no longer had a Restorative Aide working at the facility.
They kept the programs they could, and resolved/discontinued the rest for staff convenience. In an email correspondence with the DON on 10/8/25 at 2:49 PM queried regarding restorative policy, and explained the facility followed regulations with their restorative programs.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/09/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Accura Healthcare of Cresco
701 Vernon Road SW Cresco, IA 52136
SUMMARY STATEMENT OF DEFICIENCIES
of infection is observed.
The policy also had un dated hand written instructions: Agency nurses are trained how to do risk management in [Electronic Health Record].
The Skin Sheets are at nurses station to be filled out and turned into the DON's box if not there.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/09/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Accura Healthcare of Cresco
701 Vernon Road SW Cresco, IA 52136
SUMMARY STATEMENT OF DEFICIENCIES
Review of Progress Notes on Resident #3 from 9/10/25 through 9/24/25 lacked documentation of physician notification that the supply of artificial tears was not available and the resident was not receiving artificial tears as ordered.
During an email correspondence with the Director of Nursing (DON) on 10/7/25 at 3:58 PM, the DON responded there was no documentation on Resident #3 artificial tears as they didn't do progress notes on phone calls to the pharmacy. An interview on 10/8/25 at 1:19 PM with the Minimum Data Set (MDS) Coordinator, explained she worked on 9/30/25, did not have stock supply for Resident #3 eye drops, and his artificial tears were on back order with the facility stock supply distributor.
The MDS Coordinator further explained should have been ordered through the pharmacy.
Interview on 10/8/25 at 1:46 PM with the DON revealed she would have expected the doctor to be notified of medications not received. An email correspondence with Staff B, Executive Director of the Facility's local Pharmacy on 10/9/25 at 8:06 AM.
Staff B reviewed phone calls for Resident #3. A nurse called at both 9:18 AM and 9:58 AM on 9/24/25, requested artificial tears eye drops, and mentioned that the facility was no longer able to get house stock supply.
These eye drops were sent out on the same day and received at 9:10 PM by Staff C, Licensed Practical Nurse (LPN).The facility's Medication Management-Medication Administration policy last updated on 10/19/22 instructed the following:3) The nurse is notified if supplies are inadequate or equipment fails to work properly.
The nurse reports equipment and supply deficiencies (a lack, shortage, or inadequacy of something that is needed) to the director of nursing.The policy lacked instructions on what to do when a resident's medication(s) are not available for administration, to contact the prescriber, or contact the pharmacist.
Facility ID: