Garden View Care Center
Garden View Care Center in Shenandoah, IA — inspection on February 27, 2025.
Found 4 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
F-F732 Posted Nurse Staffing Information,
The facility's complaint survey ending on 4/5/2024:
a)
F-F842 Resident Records-Identifiable Information
The facility's annual recertification survey ending on 7/25/2024:
a)
F-F865 QAPI Program/Plan Good Faith Attempt
165531
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 165531 B.
Wing 02/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Garden View Care Center 1200 West Nishna Road Shenandoah, IA 51601
According to the quarterly Minimum Data Set (MDS) assessment tool with a reference date of 12/4/2024 documented Resident #2 had a Brief Interview of Mental Status (BIMS) score of 15. A BIMS score of 15 suggested no cognitive impairment.
Resident did not refuse cares during the review period and received insulin.
The following diagnoses were listed for Resident #2: type 2 diabetes mellitus, renal failure.
The Care Plan focus area with a revision date of 6/16/2024 documented Resident #2 had diabetes mellitus type 2.
Staff were directed to administer diabetes medications as ordered by her doctor and to monitor/document for side effects and effectiveness.
Resident #2 had the following orders:
a) Blood sugars four times a day (QID), with an order start date of 10/2/2023,
b) Humalog (treatment of diabetes) injection solution 100 unit/milliliters (u/mL), inject per sliding scale.
On 2/18/2025 at 10:35 AM Resident #2 stated Staff A has a habit of doing accuchecks and giving insulin without using alcohol wipes. Resident #2 would tell her she needed to use the wipes and Staff A would tell her she forgot the wipes.
Resident#2 would tell Staff A she is not forgetting to use the alcohol wipes with her. Resident #2 stated it's just crazy to her that she would not use alcohol wipes before getting her blood sugar and before administering her insulin.
3.
According to the annual MDS assessment tool with a reference date of 1/30/2025, Resident #6 had a BIMS score of 14. A BIMS score of 14 suggested no cognitive impairment.
The MDS documented she received insulin 7 days of the 7-day review period.
The MDS listed the following diagnoses: stage 5 kidney disease, hypertension, renal failure, diabetes mellitus, thyroid disease, Parkinson's disease, anxiety, and depression.
The Care Plan focus area with a revision date of 11/19/2019 documented Resident #6 was insulin dependent due to her diagnosis of diabetes mellitus.
She received Humalog sliding scale daily before meals.
Staff were directed to administer insulin as ordered by doctor and to monitor/document for side effects and effectiveness.
165531
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 165531 B.
Wing 02/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Garden View Care Center 1200 West Nishna Road Shenandoah, IA 51601