Iowa City Rehab & Health Care
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
secondary absorbent dressing, daily in the morning for wound care. The resident's Nursing Care Plan included the following:Resident (name redacted) has (potential for) impaired skin integrity and is at risk for edema, skin/tissue color changes, swelling, pain and pressure ulcers related to dx of wound infection.
Current: Wound to upper back with wet to dry dressings Wound right lateral back x2 (4cm x 4cm and 2cm x 1cm) Date Initiated: 08/21/2025 The resident will have no complications related to impaired skin integrity through the next review date Date Initiated: 08/21/2025 Target Date: 11/10/2025a. Administer pain medications as per orders prior to treatment/turning etc. to ensure Resident (name redacted) comfort. Date Initiated: 08/21/2025 b. Administer treatments as ordered and monitor for effectiveness. Treatments as per orders/facility protocol. Date Initiated: 08/21/2025 c. Braden assessment quarterly and PRN Date Initiated: 08/21/2025 d. Encourage good nutrition/ hydration in order to promote healthier skin. Date Initiated: 08/21/2025 e. Encourage to avoid scratching and keep hands and body parts from excessive moisture.
Keep fingernails short. Date Initiated: 08/21/2025 f. Monitor/ document location, size and treatment of skin injury. Report any abnormalities, failure to heal, signs or symptoms of infection, maceration, etc to physician as indicated. Date Initiated: 08/21/2025 g. Observe for side effects of ANTICOAGULANTS medications: Hematuria, hemorrhage, elevated lab results, bruising, nosebleeds, bleeding gums, blood in urine/feces/vomit. SPECIAL ATTN: Major or fatal bleeding, abrupt onset of hypotension, pain or tenderness and swelling of upper/lower extremity, unexplained shortness of breath, chest pain. Date Initiated: 08/21/2025 h. Utilize pressure reduction equipment/procedures as indicated for preventative: PRESSURE REDUCTION MATTRESS TO BED Date Initiated: 08/21/2025 i. Weekly skin/treatment documentation in accordance to wound nurse assessment and plan of care recommended. Date Initiated: 08/21/2025
Observation on 9/11/25 at 10:50 a.m., the wound care treatment with dressing change was signed off as completed for that day on the September, 2025 Treatment Administration Record (TAR) by Staff D, LPN. On 9/11/25 at 11:03 a.m., the resident was seated in the common area and stated staff had not changed his dressing yet. The resident stood up, lifted his shirt that revealed a compression type of garment worn on the upper chest and back area. There were 2 irregular shaped areas approximately 1 to 2 inches wide by 2 to 3 inches long of what looked like wound drainage on the back of the resident's shirt located at the central/mid-back area near the spine. Observation on 9/11/25 at 11:37 a.m. revealed Staff D, LPN, located
in the resident's room, prepared for the resident's wound care with supplies that included Vashe Wound Wash Solution (a wound cleanser that uses hypochlorous acid to cleanse the wound). Staff D stated it looked like there were new wound care orders since the last time she worked. Staff D cleansed the resident's wound with Vashe Wound Wash Solution and did not use the Hibiclens as ordered and directed.
Observation during the wound care provided revealed an approximate 12-14 ounce sized bottle of Hibiclens was located in a plastic basin on top of the dresser in the resident's room.
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Iowa City Rehab & Health Care in Iowa City, 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 Iowa City, 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 Iowa City Rehab & Health Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.