Community Memorial Health Center
Inspection Findings
F-Tag F0561
F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
assistance with toileting hygiene, and upper/lower body dressing. The resident's diagnoses included Alzheimer's disease.The Care Plan dated 7/9/25 identified Resident #3 had an ADL self-care deficit related to cognitive loss and poor initiation of tasks. The resident required assist of 1 with toileting, toileting hygiene, and brief changes.On 11/25/25 at 5:05 a.m. Resident #3 laid back in a recliner covered with blanket, in the common area of the Special Care Unit (SCU). Staff C CNA said Resident #3 slept in the recliner and she had already gotten her up to toilet, got her dressed, then brought her back to the recliner.
She said they were expected to get 6 people up before the day shift CNA's got there at 6 a.m. 4) According to the MDS assessment dated [DATE REDACTED] Resident #4 scored 0 on the BIMS indicating severe cognitive impairment. The resident required substantial/maximal assist with toileting hygiene and lower body dressing, and partial/moderate assist with upper body dressing. The resident's diagnoses included Alzheimer's disease.The Care Plan dated revised 11/17/25 identified Resident #4 at risk for falls related to incontinence. Interventions included offering toileting 2 times nightly, approximately 1 and 4 a.m.On 11/25/25 at 5:07 a.m. Resident #4 laid back in a recliner in the common area of the SCU, covered with a blanket. Staff C CNA stated the resident slept in the recliner and she already got her up and dressed and brought her back to the common area. She said she had also already assisted another resident up and dressed, and he went back to bed. 5) According to the MDS assessment dated [DATE REDACTED] Resident #5 scored 0 on the BIMS indicating severe cognitive impairment. The resident depended on staff for toileting hygiene and lower body dressing, and required substantial/maximal assist with upper body dressing. The resident's diagnoses included non-Alzheimer's dementia and insomnia.The Care Plan revised 11/24/25 identified Resident #5 had a diagnosis of insomnia for which he took Melatonin to sleep. Interventions included staff encouraged him to keep a consistent routine at night.On 11/25/25 5:20 a.m. Staff C and Staff B went to get Resident #5 up. He slept in his bed. Staff told him they were getting him up. Staff assisted the resident in sitting up and walking to the bathroom with some difficulty, the resident taking short choppy steps. Staff dressed the resident while on the toilet, provided incontinent care, then walked the resident to the common area and sat the resident in a recliner, reclined with his feet elevated. At 5:30 a.m. Resident #5 asleep in the recliner. Staff C stated if she did not get at least 6 people up before the day shift got there she would hear about it.During a meeting with the Administrator and the Director of Nursing (DON) on 11/25/25 at 10:50 a.m. the Administrator stated he didn't know they were getting residents up early. The DON stated they should start getting residents up at 6 a.m. unless residents were okay with getting up earlier or requested it.The facility [NAME] of Rights documented in the case of a resident who has not been adjudged incompetent by the state court, the resident has the right to designate a representative, in accordance with State law and any legal surrogate so designated may exercise the resident's rights to the extent provided by state law. The resident representative has the right to exercise the resident's rights to the extent those rights are delegated to the resident representative. The document included the resident had the right to and the facility must promote and facilitate resident self- determination through support of resident choice, including but not limited to right to choose schedules (including sleeping and waking times).
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If continuation sheet
Community Memorial Health Center in Hartley, 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 Hartley, 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 Community Memorial Health Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.