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Complaint Investigation

Rehabilitation Centers Of Independence West Campus

August 12, 2025 · Independence, IA · 1610 Third Street Ne
Citations 3
CMS Rating 3/5
Beds 70
Provider ID 165303
Healthcare Facility
Rehabilitation Centers Of Independence West Campus
Independence, 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

Rehabilitation Centers of Independence West Campus in Independence, IA — inspection on August 12, 2025.

Found 3 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.

Inspection Findings

FF0584
Resident Rights Deficiencies

carpet had been dirty since she transferred from the sister facility down the street.

165303 08/12/2025

Rehabilitation Centers of Independence West Campus 1610 Third Street NE Independence, IA 50644

Findings include:Resident #2's MDS (Minimum Data Set) dated 7/18/2025 revealed he had no

insufficiency, hypertension and had diabetic foot ulcers.

The Care Plan identified the resident had a risk for alteration in skin integrity related to type two diabetes and other circulatory complications. It directed staff to administer treatments per physician orders, encourage good nutrition and hydration in order to promote healthier skin, and observe skin with ADL's (activities of daily living). A Wound Clinic Note dated 7/31/2025 included an order to provide one serving of Prostat AWC (advanced wound care), a protein supplement, one serving daily.

Protein to assist with wound healing.On 8/12/2025 at 12:50 Staff B, DON (Director of Nursing) reported a staff nurse missed the wound clinic order for Prostat. It was hidden in the note dated 7/31/2025.On 8/12/2025 at 1:10 P.M., Staff G, LPN (Licensed Practical Nurse) reported she worked at the facility for 8 years. Resident #2 had a wound clinic order dated 7/31/2025.

Staff G revealed she missed the Prostat order from the wound clinic, it was considered an order, and did not know how she missed it.

Staff B put the order in the resident's record and notified the physician today.

The facility policy titled Physician Orders/Transcription of Orders revised 7/2023 included the following: PURPOSE: To correctly and safely receive/transcribe physician's orders so correct order can be followed/administered. To ensure that patient medications, treatments, and plan of care are in accordance with the licensed providers orders.

165303 08/12/2025

Rehabilitation Centers of Independence West Campus 1610 Third Street NE Independence, IA 50644

During an interview on 8/12/25 at 10:10 am, the resident revealed that last evening at

Interview and review of the computerized Call Light Wait time logs on 8/12/25 at 10:30 am with Staff

times for Resident #1: a. On 8/5/25 the resident activated her call light at 10:16 am, the staff failed to answer the call light for 28 minutes and 48 seconds. b. On 8/6/25 the resident activated her call light at 8:44 am, the staff failed to answer the call light for 31 minutes and 34 seconds. At 6:21 pm the resident activated her call light, the staff failed to answer the call light for 20 minutes and 24 seconds. c. On 8/7/25 the resident activated her call light at 5:09 am, the staff failed to answer the call light for 25 minutes and 25 seconds. At 12:04 pm the resident activated her call light, the staff failed to answer the call light for 40 minutes and 10 seconds. d. On 8/9/25 the resident activated her call light at 6:36 am, the staff failed to answer the call light for 33 minutes and 6 seconds. At 1:00 pm the resident activated her call light, the staff failed to answer the call light for 19 minutes and 6 seconds. e. On 8/10/25 at 6:16 am the resident activated her call light, the staff failed to answer her call light for 19 minutes and 9 seconds. At 6:18 pm the resident activated her call light, the staff failed to answer her call light for 23 minutes and 45 seconds. e. On 8/11/25 at 8:03 am the resident activated her call light, the staff failed to answer the call light for 22 minutes and 9 seconds. At 12:36 pm the resident activated her call light, the staff failed to answer her call light for 22 minutes and 4 seconds. At 1:55 pm the resident activated the call light, the staff failed to answer her call light for 17 minutes and 2 seconds. At 6:10 pm the resident activated her call light, the staff failed to answer her light for 42 minutes and 14 seconds.

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 Independence, 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 Rehabilitation Centers of Independence West Campus or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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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.