Accura Healthcare Of Lake City, Llc
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Staff C asked her to go down and use the restroom and she headed down to her room around 6:05 p.m.
Resident #1 came back up to the nurse's station and asked for her family member's number. Staff C told her there was a piece of paper in her room and Resident #1 went to look for it (this was usually a good distraction and focus point for her) and Staff D Licensed Practical Nurse (LPN) said to Resident #1 why don't she go look for it. Staff C didn't see Resident #1 return to the desk right away, so at 6:15 p.m. she went down the hall to help with a resident transfer. She learned of Resident #1 (eloping) around 6:45 p.m.
They immediately initiated frequency checks. Throughout the shift Staff C used several interventions to assist with Resident #1's wandering and behavior. These included offering food, offering fluids, offering toileting, activity provided, and assessed for pain. Except for at 3:35 p.m. when she asked to go down the hill to see her family, Resident #1 did not display any exit seeking behavior or indications that she wanted to leave. Staff C signed the statement on 8/31/25.During an interview on 10/21/25 at 2:15 p.m. the Administrator stated since the incident on 8/30/25 they had investigated what happened. The door alarm apparently was off when the incident occurred. She had interviewed staff and visitors and was unable to determine who/how the alarm was turned off. They did not feel Resident #1 was outside very long, or if she even went clear outside. Based on the timeline there had only been 10 minutes since she had last been seen.The facility Missing Resident/Elopement Process updated 10/29/24 included when the door alarm sounded, facility staff should: a. Reset the door alarm after they determined by visual check that no resident exited the facility inappropriately or returned to the facility. b. If for any reason, door alarms were turned off,
the staff would continually visually monitor the door/doors. c. The nurse, Director of Nursing (DON), or Executive Director would question staff to determine who deactivated the door alarm and reason for doing so.
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If continuation sheet
Accura Healthcare of Lake City, LLC in Lake 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 Lake 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 Accura Healthcare of Lake City, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.