Aspire Of Muscatine
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
upset by Resident #1's behavior and had to be reassured they were safe. Staff A stated she felt the staff were not trained to handle this type of behaviors. During an interview on 11/5/25 at 2:46 PM, The Director of Nursing (DON) stated the mental health provider only participated in resident care by telehealth and several residents refused to participate. The DON stated she had identified the lack of training for staff for behavioral health. The DON stated the facility was to change providers, to a group who will do in house visits and will provide future training for the staff. Review of a Policy titled Abuse Prevention F-F600 dated 8/2025 revealed:a. Residents have a right to be free from abuse.b. Comprehensive policies and procedures have been developed to aid the facility administration in preventing abuse, neglect, or mistreatment.c.
Mandated staff training/orientation programs that include abuse prevention (all types), identification, reporting of abuse, and dementia management. d. Identification of occurrences and patterns of potential mistreatment and abuse. e. The protection of residents during abuse investigations.f. The development of investigative protocols governing resident to resident and resident to staff abuse. g. An ongoing review and analysis of abuse incidentsh. The implementation of changes to prevent future occurrences of abuse.
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Aspire of Muscatine
2002 Cedar Street Muscatine, IA 52761
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0741
F 0741 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Based on employee record review, and staff interviews the facility failed to ensure the staff were adequately trained in managing residents with dementia and difficulty managing their behavior. The facility reported a census of 34 residents.Findings include:During an interview on 11/5/25 at 1:05 pm, Staff E, Licensed Practical Nurse stated he had witnessed a resident-to-resident incident on 10/23/25. Staff E stated he had worked in this center for a month with a large population of Alzheimer's and dementia residents. Staff E stated he had not received training from the facility. During an interview on 11/5/25 at 1:38 pm, Staff I, LPN stated she had been employed at this facility for 4 years. She stated there had been a resident-to-resident altercation in 2024 and another last month. Staff I stated with there was not adequate training on how to manage people with dementia, or how to prevent aggressive behaviors.During an interview on 11/5/25 at 2:05 pm, Staff F, Certified Nursing Assistant (CNA) stated she had witnessed Resident #1 being aggressive with staff, expressed having fear of Resident #1 and would have to provide care for him with two staff as the behavior increased in the evening. Staff F stated the facility had not provided training for abuse in the last year and she could not recall having received training in behavioral management. During an interview on 11/5/25 at 12:00 pm, Staff J, CNA stated she had received dementia training from another facility and in the five months employed by this facility there had been a lack of training in this area. During an interview on 11/5/25 at 3:03 pm, Staff A, Registered Nurse (RN) stated she was fearful of Resident #1 and felt he was a loose cannon. Staff A felt the staff were not trained to handle this type of behaviors.During an interview on 11/5/25 at 2:46 pm, The Director of Nursing (DON) stated she had identified the lack of training for staff for behavioral health. The DON stated the facility planned to change mental health providers, to a group who will do in house visits and will provide future training for the staff. A review of five employees records revealed a lack of training for dementia management.
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Aspire of Muscatine in Muscatine, 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 Muscatine, 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 Aspire of Muscatine or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.