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Complaint Investigation

Iowa City Rehab & Health Care

October 8, 2025 · Iowa City, IA · 3661 Rochester Avenue
Citations 1
CMS Rating 2/5
Beds 89
Provider ID 165198
Healthcare Facility
Iowa City Rehab & Health Care
Iowa City, IA  ·  View full profile →
Inspection Summary

Iowa City Rehab & Health Care in Iowa City, IA — inspection on October 8, 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

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.

Facility ID:

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.


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