Northern Mahaska Specialty Care

F-F610, dated 1/18/25, revealed that on 1/16/25, Resident #1 approached by staff in her room and noted to be visibly upset, staff had consoled her Level of Harm - Minimal harm or and assisted to van for transport to appointment, during transport Resident #1 reported to family, with Staff C potential for actual harm present, that a staff member yelled at her, thrown a belonging at her, was rude, and scolded her. Document identified corrective action for the self identified lack of reporting, included completing a head to toe Residents Affected - Few assessment, a trauma assessment, and a skin assessment on Resident #1, notification to Physician, family, and Police, and all staff education provided on timely abuse reporting for allegations of abuse.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 3 of 3 165274