Accura Healthcare Of Cresco

F 0569 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

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 REDACTED] 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 REDACTED] 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].

Event ID:

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If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/09/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Accura Healthcare of Cresco

701 Vernon Road SW Cresco, IA 52136

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0676 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

so all restorative programs were resolved/discontinued until they could hire someone for that position. She then explained residents are not refusing the facility, the facility just does not have the staff at this time. She also revealed no residents have had a decline in their ability, but there probably could be a decline in resident functional ability eventually. 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.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/09/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Accura Healthcare of Cresco

701 Vernon Road SW Cresco, IA 52136

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0684 Level of Harm - Minimal harm or potential for actual harm

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.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/09/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Accura Healthcare of Cresco

701 Vernon Road SW Cresco, IA 52136

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

record review, staff interviews, and policy review the facility failed to administer routine medications as ordered for 1 of 3 residents reviewed (Resident #3). The facility reported a census of 24. Findings include:

The Minimum Data Set (MDS) dated [DATE REDACTED] for Resident #3 documented a Brief Interview for Mental Status (BIMS) of 8 out of 15, which indicated moderately impaired cognition. The MDS also revealed the Resident had a diagnoses of diabetes, dementia, and hemiplegia (a medical condition that causes paralysis or weakness on one side of the body).Review of Resident #3's September 2025 Medication Administration Record (MAR) revealed from 9/10/25 through 9/24/25 the resident did not receive his order for artificial tears solution 0.1-0.3% instill (administer) 1 drop in both eyes four times a day for dry eyes, which resulted in not receiving this order for 14 days and 55 doses. 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.

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If continuation sheet