Aspire Of Pleasant Valley
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
wound. The wounds and surrounding skin appear dark purple in color without edema noted and had a large amount of serous drainage noted on dressings. Staff B then left the room wearing the isolation gown, and without washing her hands. At 11:32 AM, Staff B returned to stand outside the room (while Resident #1 used the urinal) and donned a new isolation gown and gloves. Staff B dried the 3 wounds on Resident #1 right lower shin with the same gauze. Without a glove change or washing her hands, Staff B opened three new collagen dressing packets and applied them to the wound. At 11:42 AM, Staff B, RN removed the scissors from her pocket and without disinfecting them cut the dressing from Resident #1's left lower leg.
The dressings were dated 10/19 and saturated with wound drainage. At 11:45 AM, Staff B, cleansed the wounds on the residents left lower leg with the same gauze. At 11:47 AM, Staff B, without a change of gloves or completing hand hygiene, opened 3 new collagen dressing packets and then picked dead skin from one of the wounds. Staff B removed her gloves, and without completing hand hygiene donned new gloves.At 11:52 AM, Staff B, without a change of gloves, cleansed the wound to the left second toe.At 11:57 AM Staff B picked up items that had been dropped on the floor, without a change of gloves she proceeded to place new dressing supplies in a drawer by the sink. Staff B also placed the scissors in the drawer, without first disinfecting them. During an interview on 10/20/25 at 1:01 PM, Staff A, RN reported the following: after removing soiled dressings or touching any other surfaces, after cleansing the wound, she would need to change her gloves, disinfect the scissors before and after cutting through the dressing. She would always disinfect them afterward. She also reported when she worked on 10/17/25, she was wearing gloves when she changed Resident #1's dressings at the nurse's station. She did not take him to his room as she was worried his wounds were draining so much it would cause his pants to stick to his skin. She also reported she did cleanse the wounds and placed the soiled dressings in a clear bag which she took outside to the dumpster. She may not have had gloves on when she taped the dressing in place.During an
interview on 10/20/25 at 2:17 PM, Staff B RN, reported the following: dressing changes should be completed in the resident's room, she would need to change gloves any time she would touch anything dirty, she would disinfect the scissors after every wound care, between wounds and after use. She admitted
she forgot to disinfect the scissors after wound care and did not know why she forgot. When asked what the proper way was to clean the wounds, she reported up and down and away from the wound. During an
interview on 10/21/25 at 12:02 PM, the Director of Nursing reported she would expect nurses to complete
the following during wound care for a resident in Enhanced Barrier Precautions: complete wound care in
the resident's room, don and doff an isolation gown and gloves in the resident's room, cleanse wounds from
the center and work outward and disinfect the scissors before and after dressing changes.A review of the Facility Policy titled: Wound Care Guidelines dated June 2025, directed:1. Wash and dry hands thoroughly.2. Apply disposable gloves, loosen the tape and remove dressings.3. Pull glove over dressing and discard into appropriate receptacle. Wash and dry hands thoroughly.4. Put on disposable gloves.5.
Cleanse the wound (the policy failed to document the direction the nurse should take when cleansing).6.
Apply treatments and dressings as ordered.7. Wipe reusable supplies (ie: scissors) with alcohol as indicated.A review of the Facility Policy titled: Standard Precautions dated October 2024, directed: 1. Prior to cares, don an isolation gown2. Remove the gown and perform hand hygiene before leaving the resident's room.
Event ID:
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If continuation sheet
Aspire of Pleasant Valley in Pleasant Valley, 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 Pleasant Valley, 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 Pleasant Valley or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.