Heartland Care Center
Heartland Care Center in Marcus, IA — inspection on September 25, 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
9/24/25 at 12:03 PM, Staff F, RN, said that Resident #3 was non-compliant and was always taking his oxygen off so she could see why a request for PRN oxygen would have been appropriate.
She said that they continued to check his oxygen frequently and he always maintained above 90%.
She said that with a titration in oxygen, she would expect increased monitoring.On 9/24/25 at 2:15 PM, Physician #1 said that he was not very familiar with Resident #3 and hadn't actually even seen him while he was at the nursing home. He said that he typically did not like to make any major changes on a resident if he hadn't actually seen them.On 9/25/25 at 7:30 AM, the DON acknowledged that the documentation of the oxygen monitoring had decreased after the order change on 5/10/25.
She said that the nurses could have possibly documented the oxygen levels on their communication sheets that they use to write on and keep track of hot charting.According to the facility policy titled: Nursing Policy for Receiving and Noting New Orders, the nurse was to inform resident and/or family of new orders, especially orders received due to change in resident condition.The policy titled: Policy and Procedure of Oxygen Therapy, showed that the nurse should observe for signs of shortness of breath, rapid, shallow breath, cyanosis of lips assess lung sounds, pulse, respiration rates and SAO2 to determine if oxygen was appropriate.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.