Complaint Investigation

Accura Healthcare Of South Des Moines

September 18, 2025 · Des Moines, IA · 4911 Sw 19th Street

Citations 1

CMS Rating 1/5

Beds 89

Provider ID 165273

Healthcare Facility

Accura Healthcare Of South Des Moines

Des Moines, IA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

Accura Healthcare of South Des Moines in Des Moines, IA — inspection on September 18, 2025.

Found 1 citation. 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

FF0842

Resident Assessment and Care Planning Deficiencies

Potential for More Than Minimal Harm

Review of an Emergency Department After Visit Summary dated 8/27/25 revealed Resident #1 was seen for a fall that resulted in a nasal fracture.

Discharge instructions stated Resident #1 to be re-evaluated in the next week by ENT for nasal fracture.

Review of Resident #1's Electronic Health Records failed to provide documentation of communication or referral to ENT. In an interview on 9/17/25 at 12:10 PM, Director of Nursing (DON), stated she was not able to recall the exact date, but thought the first week of September was the first call she had made to the ENT clinic about Resident #1's referral for nasal fracture.

The DON informed ENT staff, Resident #1 was seen in the ER and a nasal fracture was noted and Resident #1 was to have a follow up with ENT. DON informed ENT staff that it is difficult for Resident #1 to be seen outside of the facility due to diagnoses and behaviors, requested the Doctor review Resident #1's x-rays. DON stated she called the ENT clinic again on 9/10/25 due to not hearing back and was notified Resident #1 only needed to be seen if there were issues related to the fracture. If repair is wanted or needed, Resident #1 would need to consult with plastic surgery. DON acknowledged at time of interview no documentation for ENT referral had been entered into Resident #1's EHR.

Review of Resident #1's EHR, a Late Entry Progress Note was created by the DON on 9/17/25 at 12:13PM, with an effective date of 9/10/25 at 11:30 AM stated, received communication back from the ENT office. No follow up needed at this time, follow up if breathing issues develop.

Resident's daughters were notified via email. In agreement with plan at this time.In an interview of 9/18/25 at 4:10 PM with the Facility Administrator and DON, DON acknowledged the failure to document the communication the ENT Clinic and Resident #1's family in Resident #1's chart and verbalized need for improvement with documenting these communications.

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

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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 Des Moines, 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 South Des Moines or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.