West Ridge Specialty Care
West Ridge Specialty Care in Knoxville, IA — inspection on November 4, 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.
Inspection Findings
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.
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