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Complaint Investigation

Accura Healthcare Of Pomeroy, Llc

August 13, 2025 · Pomeroy, IA · 303 East 7th Street
Citations 3
CMS Rating 3/5
Beds 30
Provider ID 165414
Healthcare Facility
Accura Healthcare Of Pomeroy, Llc
Pomeroy, IA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Accura Healthcare of Pomeroy, LLC in Pomeroy, IA — inspection on August 13, 2025.

Found 3 citations. 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

FF0684
Quality of Life and Care Deficiencies

prevent him from getting into the bathroom. He said that sometimes he would bump his arms on the

that there were many times that he would get combative with the staff when they provided cares and

said that there was an incident when they were transferring him with the mechanical lift, he raised his fist and hit the arm of the lift which bruised on his hand. On 8/12/25 at 9:02 AM, Staff C, CMA said that many times Resident #2 was combative and it wasn't documented.

She displayed a bruise on her leg where he slammed his wheel chair into her. On 8/12/25 at 9:13 AM Staff I, CNA said that there were many incidences in past, that Resident #2 was combative and he hit her.

She reported to Nursing and the Administrator and she was told to just get away from him.

She did not see any new interventions or documentation completed.On 8/12/25 at 11:12 AM, Staff B, CNA said that Resident #2 often had bruising on his arms, he would get agitated when the staff tried to clean him. He would report to the nurses whenever it happened.On 8/12/25 at 1:11 PM the Director of Nursing said that Resident #2 often had bruises on his arms because he would bump them on the walls and side rails of the bed.

She said that they hadn't been keeping track of the bruising before the incident on 7/5/25.On 8/12/25 at 2:30 PM, the Administrator said that Resident #2 often got caught up on the hall arm rests and in doorways which caused bruising.

She said that if there were incidents between residents and staff such as hitting them or running his wheel chair into them, staff should step back and there should be a behavior note in the nursing documentation.

They would do an incident report if/when the resident sustained new injury.According to a facility policy dated 5/6/23 titled: Skin Management Protocol to notify the DON and wound nurse of new skin alteration and complete incident report and a skin sheet.

165414 08/13/2025

Accura Healthcare of Pomeroy, LLC 303 East 7th Street Pomeroy, IA 50575

was a Sunday night when agency staff set a cup of medications for Resident #3 and it was left on the

8/13/25 at 10:30 AM the Administrator said that they do not have any residents that have been

She said that the nurses should know the 5 rights of medication administration and double check during medication pass.

165414 08/13/2025

Accura Healthcare of Pomeroy, LLC 303 East 7th Street Pomeroy, IA 50575

dementia care and abuse prevention.

observation, interview and record review the facility failed to ensure that staff were orientated and

perform the job duties without proper training.

The facility reported a census of 36 residents.Findings include: On 8/12/25 at 1:00 PM, the Administrator and the Assistant Director of Nursing (ADON) stated they had orientation checklists for agency staff. In the absence of the Director of Nursing (DON) they would look for documentation that the following temporary staff had been oriented: Staff C, CNA, Staff E, CNA, and Staff D, Registered Nurse (RN). In an observation on 8/12/25 at 1:10 PM, Staff L, CNA was assisting residents with transfers too and from their rooms.

Staff L said that she was with a staffing agency it was her second day at this facility.

The last time she worked at this facility was 6 months previous.

She said that she did not get an orientation, and she didn't remember any education checklists offered to her before she worked independently with the residents.On 8/12/25 at 10:05 AM, Staff E, CNA said that she worked the overnight shift on the previous Sunday, and it was a difficult night because she was the only aide on floor.

She had worked several other shifts at this facility and she tried to transfer Resident #2 without the use of the mechanical lift because he told her that he could stand.

When she found that he wasn't standing, she lowered him back down onto the bed.

Staff E said that she did not get an orientation or education before she worked independently with the residents. On 8/12/25 at 10:14 AM, Staff M, CNA said that she worked the overnight shifts and she did not get any orientation or education.

She said that she knew how to transfer residents and provide cares because she was a CNA for a long time.On 8/12/25 at 10:23 AM, Staff D, RN said that she usually worked the weekends at this facility.

She said when she first started she was expected to come in an hour early and another nurse showed her around the building.

She did not remember getting a complete orientation or a signed checklist.On 8/12 at 9:45 AM, Resident #5 was in her wheel chair in the dayroom.

She had bruising on her left arm and said it was from a recent hospitalization.

She said that she was on dialysis and was feeling much better.

The resident said that she was concerned about good staff that were leaving and the temporary aides don't know what they are doing.

She said that on that morning, she had to explain to the CNA how to help her with her catheter and toileting needs.On 8/13/25 at 11:00 AM, the Administration said that many orientation checklists were on the DON's desk except for the 3 staff that were requested.A form titled: Agency Staff Checklist indicated that the following items would be included in orientation:a.

Facility layout with tourb.

Shift routine/general duties.

Resident care, mechanical lifts, documentation, narcotic count, medication deliveries, change in condition guidelines, 24 hour report, Pocket Care Plans, Medication administrationc.

Communication; Door alarms, telephone use, walkie use,d.

Abuse Policy; what to report and whene.

Resident Incident Reports; falls, skin protocol, medication errors, deathf.

Emergencies; physician contacts, hospital contactsg.

Emergency Procedures: fire, weather, elopement, leave of absence, emergency carth. DON notificationi.

Concern [NAME] signing, staff acknowledged that they had received training for all of the above guidelines and information to perform the job.

The orientation was not intended to cover every situation which may arise while on assignment but was a general guideline.

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 Pomeroy, 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 Accura Healthcare of Pomeroy, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.