Elm Crest Retirement Community
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
1:15PM Staff D, CNA, said that on 9/14/25, a staff member from PT helped her get Resident #4 to the toilet off the shower room. They transferred him to the toilet and left him alone for a little while. Staff D then went back in by herself to get him off the toilet and into the wheel chair. She said that she used a gait belt and pivoted him to the wheel chair, but he wasn't back far enough on the seat and he slid down onto the floor.
Staff D said that she wasn't sure if he was a 1 or 2 assist at the time, things change so often.On 11/13/25 at 11:45 AM, a family member for Resident #4 said that she visits the resident every day. She said that the resident was able to stand with the walker and turn to the bed or toilet and there would be 1 or 2 staff assisting him, it just depended on who was working. On 11/13/25 at 12:20 PM, Staff C, CNA, said that Resident #4 required 1 assistance for transfers, but can be two sometimes. On 11/13/25 at 12:00 PM, the Director of Nursing (DON) said that she was not working at the facility when Resident #4 had the fall in September. She acknowledged that according to the recommendations from therapy, they should be using 2 staff to transfer the resident. According to the undated facility policy titled: Fall Prevention Program, each resident would be assessed for fall risk and would receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls. Each resident risk factor and environmental hazards would be evaluated when developing the resident comprehensive plan of care. Interventions would be monitored for effectiveness the plan of care would be revised as needed.
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Elm Crest Retirement Community in Harlan, 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 Harlan, 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 Elm Crest Retirement Community or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.