West Ridge Specialty Care
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
to but instead left the building. He stated at times he found a clean bed pad under residents but the layer under that was wet. He stated this happened for the last year and a half and he spoke to charge nurses about it. On 11/4/25 at 9:23 a.m., Staff F Registered Nurse(RN) stated staff reported to her that Staff A left residents wet in bed. Staff F stated she herself filled out a grievance form within the last couple of months related to this concern. On 11/4/25 at 9:28 a.m., Staff E Licensed Practical Nurse(LPN) stated staff found residents soaked in beds requiring a bed strip when they took over care for Staff A. She stated she filled out some grievances but she was not sure on the time frame. On 11/4/25 at 9:37 a.m., the Director of Nursing(DON) stated she had not had any encounters with Staff A since 2024 when Staff A ripped up a disciplinary action sheet she gave to her. The disciplinary action was regarding residents being left wet when day shift took over for her. The DON stated she was directed by the Administrator to let her(The Administrator) handle Staff A. She stated last week, Staff G CNA told her she had a complaint about Staff A doing the same thing again, leaving resident's wet. She stated because the Administrator handled Staff A,
she didn't know what happened regarding this. She stated she did not come in on the night shift and was unsure if anyone else had. She stated she felt like there were grievances filled out regarding Staff A. On 11/4/25 at 9:55 a.m., the Regional Director of Clinical Services stated the facility located a grievance related to Staff A, dated 10/25/25. She stated they interviewed residents and educated staff related to denial of critical care. The facility implemented a new box to place grievances in and they conducted education related to rounding. The facility lacked documentation of follow-up to the 10/25/25 grievance from 10/25/25 to 10/29/25. The facility also lacked any additional documentation of grievances filled out by staff concerning Staff A.On 11/4/25 at 2:23 p.m., Regional Director of Clinical Services stated if there was an allegation that a staff member intentionally withheld care, they would report it to the state agency and complete an investigation. She stated the facility should review all grievances.On 11/4/25 at 2:47 p.m., the Director of Nursing(DON) stated staff should change residents every 2 hours.
Event ID:
Facility ID:
If continuation sheet
West Ridge Specialty Care in Knoxville, 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 Knoxville, 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 West Ridge Specialty Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.