Heartland Care Center
Inspection Findings
F-Tag F0695
F 0695 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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Heartland Care Center in Marcus, 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 Marcus, 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 Heartland Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.