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Complaint Investigation

Denison Care Center

October 23, 2025 · Denison, IA · 1202 Ridge Road
Citations 2
CMS Rating 4/5
Beds 46
Provider ID 165238
Healthcare Facility
Denison Care Center
Denison, IA  ·  View full profile →
Inspection Summary

Denison Care Center in Denison, IA — inspection on October 23, 2025.

Found 2 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of policy dated 2021 and revised 3/18 titled, Assessing Falls and Their Causes directed if a resident had just fallen, or is found on the floor without a witness to the event, evaluate for possible injuries to the head, neck, spine and extremities.

Obtain and record vital signs as soon as it is safe to do so. If there was evidence of injury, provide appropriate first aid and/or obtain medical treatment immediately.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Denison Care Center

1202 Ridge Road Denison, IA 51442

SUMMARY STATEMENT OF DEFICIENCIES

Review of the Care Plan, dated 6/9/24, revealed a Focus area to address [Name redacted] has impaired cognitive function r/t Dementia.

Interventions included, in part: Provide one-to-one or line-of-sight supervision as clinically indicated to ensure resident safety.

Date Initiated: 10/15/25. On 10/23/25 at 12:07 PM, the Administrator stated any staff that observed Resident #1 to be agitated or self-transferring should have stayed with the resident for her safety.

Review of policy dated 2001 revised 3/22 titled, Care Plans, Comprehensive Person-Centered documented the care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment.

Care plan interventions are chosen only after data gathering, proper sequencing of events, careful consideration of the relationship between the resident's problem areas and their cause, and relevant clinical decision making.

When possible, interventions address the underlying source(s) of the problem area(s), not just symptoms or triggers.

Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change.

Review of policy dated 2021 and revised 3/18 titled, Assessing Falls and Their Causes documented when a resident falls, the following information should be recorded in the resident's medical record: completion of a falls risk assessment and appropriate interventions taken to prevent future falls.

Facility ID:

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 Denison, 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 Denison Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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