Accura Healthcare Of Cresco
Inspection Findings
F-Tag F0686
F 0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, record review and staff interviews the facility failed to provide treatment as ordered to promote the healing and prevent infection of existing pressure ulcers for 1 of 3 residents reviewed (Resident #13).The facility reported a census of 26 residents. Findings include:Resident #13's MDS assessment dated [DATE REDACTED] identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. The MDS included diagnoses of paraplegia and stage 4 pressure ulcer (full thickness skin and tissue loss) of the sacral region. Resident #13's orders from the wound clinic dated 12/18/25 documents the sacral pressure ulcer orders to Apply Acetic Acid dampened gauze to the wound base and the skin around and allow to stay in place for 10-15 minutes then remove, apply Calmoseptine around the left buttock wound, apply Melgisorb Ag (Calcium Alginate) to the wound base and pat dry and allow for air time for 30 minutes, then return and place ABD and secure with Medipore tape. On 1/28/26 at 2:25 PM Staff G, Registered Nurse (RN) went to complete the wound treatment to the sacral area. Staff G looked at the order on the computer and then did hand hygiene. She applied gloves and opened a gauze package.
Placing half the gauze on the supplies without a barrier under, she went to the computer to read the order again touching the computer with her gloved hand then took the acetic acid and dampened some gauze with it. Staff G cleansed the wound with the dampened gauze. Staff G did not leave it on the wound for 10-15 minutes as the order states. Staff G then rolled Resident #13 onto her back with no barrier under her, placing the resident down on the bed after cleansing the area and not covering it, to apply pain cream to
the shoulder on the right side. At 2:35 PM Staff G did hand hygiene and assisted the resident to her right side. Staff G looked at the computer to read the order for the sacral area and applied gloves not doing hand hygiene after touching the computer. Staff G took the tube of calmoseptine and used her gloved finger to get some cream from the tube. She applied it with the gloved finger to the first wound in the sacral area.
Then with the same gloved finger, took more out of the tube and applied it to the second wound. Staff G with the same gloved hand she used for the calmoseptine, took melgisorb ag (calcium alginate), cut it to size and placed it on the wound base. She then removed her gloves and applied new gloves. No hand hygiene done between. Staff G took an ABD and placed over the wounds and secured it with tape. She rolled the resident onto her back. She then removed her gloves and went to the computer and signed off on
the treatments completed. On 1/29/26 at 10:05 AM, the Director of Nursing (DON) explained they expected
the nurses to follow the order correctly for wound cares. The DON acknowledged the treatment was not completed per orders.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
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
01/29/2026
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 F0727
F 0727 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on
a full time basis. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on schedule review, the Facility Assessment, and staff interviews, the facility failed to provide a Registered Nurse (RN) in the facility for eight (8) consecutive hours per day for 26 days between November 1, 2025 through January 25, 2026. The facility reported a census of 26 residents. Findings include: Review of the facility's nursing schedules for November 2025 lacked RN coverage for the following dates: 8th,9th ,15th,16th, 22nd, 23rd, 27th, 29th,and 30th. Review of the facility's nursing schedules for December 2025 lacked RN coverage for the following dates: 6th,7th,13th,14th, 20th, 21st, 25th, 27th, and 28th. Review of
the facility's nursing schedules for January 2026 from the 1st through the 25th lacked RN coverage for the following dates: 1st, 3rd, 4th,11th,17th,18th, 24th, and 25th.On 1/28/26 at 10:10 AM the Administrator reported RN coverage is an ongoing issue that the facility is trying to fix. On 1/28/26 at 11:33 AM the Administrator verified the facility did not have RN coverage on the dates listed above. Review of the Facility assessment dated [DATE REDACTED] documented the facility will continue working towards a staffing level that meets
the minimum staffing final rule.
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.