Accura Healthcare Of Muscatine
Accura Healthcare of Muscatine in Muscatine, IA — inspection on August 28, 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
#1's hands that day.
The Administrator stated it was not acceptable or appropriate for staff to call the resident names, threaten a resident, or attempt to hurt a resident in any way as that was considered Dependent Adult Abuse and was not tolerated, Staff A, RN was terminated as a result of the allegation and the results of the facility's investigation of the incident.
During an interview on 8/28/25 at 2:00 p.m., Staff A, RN, stated on the 8/7/25 night shift Resident #1 was awake most of the night, had behaviors, disrobed, scratched herself, wouldn't stay in bed, the resident heard voices at times.
That night the resident said they are talking about you, she was restless, didn't know what she wanted, they had provided snacks and the resident wasn't redirectable.
When they tried to get her up and dressed the resident got a hold of her left index finger, bent it backwards and it hurt.
She'd asked the resident to let go several times but she wouldn't let go, Staff A had to pry the resident's finger/grasp away from her finger to get it away from her.
Staff A denied that she had verbally abused the resident in any way, and had not attempted to hurt the resident during the care that was provided that night.
Staff A stated the facility informed her the resident had scratches on her hands, and the resident scratches herself all the time, that was nothing new and not something Staff A had done.
Review of the facility policy, titled Nursing Facility Abuse Prevention, Identification, Investigation and Reporting policy, updated 10/19/22, revealed a Policy Statement which declared, in part All Residents have the right to be free from abuse, neglect, misappropriation of resident property, exploitation, corporal punishment, involuntary seclusion, and any physical or chemical restraint not required to treat the resident's medical symptoms.
This includes prohibiting nursing facility staff from taking acts that result in person degradation, including the taking or using photographs or recordings in any manner that would demean or humiliate a resident, and prohibits using any type of equipment (e.g., cameras, smart phones, and other electronic devices) to take, keep, or distribute photographs and/ or recordings on social media or through multimedia messages.
Residents must not be subjected to abuse by anyone, including, but not limited to, facility staff, other residents, consultants or volunteers, staff of other agencies serving the resident, family members or legal guardians, friends, or other individuals.
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