Accura Healthcare Of Cresco
Inspection Findings
F-Tag F0628
F 0628
had no discharge records and the resident did not have them with her. She reported that she had to reach out to the prior facility several times to get the information needed to care for Resident #1.
Level of Harm - Minimal harm or potential for actual harm 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
11/17/2025
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-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff interview, and policy review the facility failed to develop a Care Plan that addressed risk factors and interventions related to having a Peripherally Inserted Central Catheter (PICC) for 2 of 2 residents reviewed (Resident #4 and #5). The facility reported a census of 29 residents. Findings Include: 1. Resident #4's Minimum Data Set (MDS) assessment dated [DATE REDACTED] documented a Brief Interview of Mental Status (BIMS) score of 0 out of 15 indicating severely impaired cognition. The MDS included diagnoses of heart failure, anemia and hypertension (high blood pressure). The MDS documented Resident #4 had a central line (PICC) and received IV (intravenous) medications through the PICC while in the facility. Resident #4's Care Plan lacked documentation of having a PICC line, the risk factors and things to monitor for. On 11/17/25 at 12:20 PM the Director of Nursing acknowledged the Care Plans lacked addressing the PICC line and reported it should be on the Care Plan. The Comprehensive Care Plans Policy updated April 2025 documened the facility will develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and ALL services that are identified in the resident's comprehensive assessment and meet professional standards of quality. 2. Resident #5's MDS assessment dated [DATE REDACTED] documented a BIMS score of 14 out of 15, indicating intact cognition. The MDS included diagnoses of osteomyelitis , pneumonia and hypertension. The MDS documented Resident #4 had a peripheral line and received IV medications while
in the facility. Per the MDS, Resident #5 entered the facility on 10/27/25 from the hospital.Review of the resident's After Visit Summary from the hospital dated 10/2/25 to 10/27/25 revealed [Resident #5] was being discharged with a PICC Line. Resident #5's Care Plan lacked documentation of having a PICC line,
the risk factors and things to monitor for.
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
11/17/2025
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-Tag F0694
F 0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review, staff interview and policy review, the facility failed to follow professional standards for assessing residents with Peripherally Inserted Central Catheter (PICC) for 2 of 2 residents (Resident #4 and #5) reviewed for PICC. The facility reported a census of 29 residents. Findings include: 1. Resident #4's Minimum Data Set (MDS) assessment dated [DATE REDACTED] documented a Brief Interview of Mental Status (BIMS) score of 0 out of 15 indicating severely impaired cognition. The MDS included diagnoses of heart failure, anemia and hypertension (high blood pressure). The MDS documented Resident #4 had a central line (PICC) and received IV (intravenous) medications through the PICC while in the facility. Resident #4's After Visit Summary admission orders from the hospital dated 7/11/25 documented the resident had a PICC line
on admission. Resident #4 Electronic Health Record (EHR) lacked documentation of assessing the PICC site, location and length at any point while having the PICC line in the facility. Resident #4's admission Assessment lacked documentation the resident had a PICC line. Review of Resident #4's Discharge Summary from transfer to hospital on 7/27/25, date of service 7/28/25, revealed the central line was removed due to it being occluded.On 12/20/25 at 12:20 PM the Director of Nursing reported the nurses were to assess the site when administering the medication. She reported the nurses did not measure the catheter for the PICC to ensure it had not moved out of place. She reported there was no documentation to prove the PICC site was assessed. The Facility Policy for IV peripheral and PICC lines updated 7/31/23 directed nurses to monitor dressing, line, and resident every shift for signs of infection, malposition and/or occlusion, notify physicians as appropriate and document in the medical record. 2. Resident #5's MDS assessment dated [DATE REDACTED] documented a BIMS score of 14 out of 15 indicating intact cognition. The MDS included diagnoses of osteomyelitis , pneumonia and hypertension. The MDS documented Resident #4 had
a peripheral line and received IV medications while in the facility. Resident #5's After Visit Summary admission orders from the hospital dated 10/27/25 documented the resident had a PICC line on admission.
Resident #5 EHR lacked documentation of assessing the PICC site, location and length at any point while having the PICC line in the facility. Resident #5's Assessment Assessment lacked documentation of the resident having a PICC line.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Accura Healthcare of Cresco in Cresco, 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 Cresco, 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 Cresco or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.