Aspire Of Pleasant Valley
Aspire of Pleasant Valley in Pleasant Valley, IA — inspection on October 21, 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
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.
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