Rotary Senior Living
Rotary Senior Living in Eagle Grove, IA — inspection on February 19, 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
F-F550 for additional information regarding Resident #2.
The facility reported a census of 31 residents.
Findings include:
Resident #2's Minimum Data Set (MDS) assessment dated [DATE], identified a Brief Interview for Mental Status (BIMS) score of 1, indicating severe memory impairments. Resident #2 displayed physical behaviors (hitting, kicking, scratching and grabbing) towards others. Resident #2 required substantial to maximal assistance with all activities of daily living (ADL) including ambulation.
The MDS included diagnoses of Alzheimer's disease and non Alzheimer's dementia.
The Care Plan Focus initiated 1/9/25 indicated Resident #2 had a potential to be physically aggressive.
The Interventions directed the following:
a.
Give Resident #2 as many choices as possible about care and activities.
b.
When he becomes agitated: Intervene before agitation escalates; guide away from the source of distress; engage calmly in conversation; if response is aggressive, staff to walk calmly away, and approach later.
An undated, untitled, and unsigned form provided by the facility reflected Staff A, Certified Nurse Aide (CNA), reported on 1/22/25 they assisted Staff B, CNA, provide evening care to Resident #2.
Upon entering the room, the staff found Resident #2 with his eye closed resting in his recliner.
Staff B told Staff A to Resident #2's hands as she had the other hands, then she yanked him and acted very rough during the process of undressing and completing peri-cares. As Resident #2 received help, he became physically aggressive towards the staff.
Staff A explained he attempted to comfort Resident #2 during his care by placing his hand lightly and gently on Resident #2's shoulder. Resident #2 continued to have physical aggression, as common behavior with dementia.
The facility corrected the action by suspending Staff B pending the internal investigation.
The facility initiated the investigation while including resident and staff interviews.
The facility educated staff on timely reporting.
The Summary of Findings dated 1/23/25 by the Director of Nursing (DON), documented on 1/22/25, Staff A, CNA, reported a concern regarding the cares provided by Staff B, CNA, during the evening of 1/16/25.
Subsequent interviews with residents indicated that they feel safe and treated with respect and dignity, with no concerns about their care.
Staff members who work closely with Staff B described as helpful and attentive, with no concerns about the quality of care provided. Resident #2 has a history of physical and aggressive behaviors and mood related to his dementia. He is care planned to have staff assist times two with all cares to protect him and staff.
Resident #2's Clinical Record lacked documentation of the 1/16/25 incident.
165500
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 165500 B.
Wing 02/19/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Rotary Senior Living 500 South Blaine Avenue Eagle Grove, IA 50533