Garden View Care Center
Garden View Care Center in Shenandoah, IA — inspection on April 10, 2025.
Found 2 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
During an interview on 4/7/25 at 1:35 PM, Resident #26 stated he had an ileostomy that was about a month old. Resident #26 stated the staff do not ever wear gowns when emptying his colostomy bag.
Review the Care Plan, Date Initiated: 3/24/25 revealed a Focus area to address Requires enhanced barrier precautions related to the presence of ileostomy.
The Focus area included the Intervention: PPE (Personal Protective Equipment) and waste disposal regularly monitored for compliance.
Date Initiated: 3/24/25.
During a continuous observation on 4/8/25 starting at 12:48 PM, Staff M, Certified Nursing Assistant (CNA) and Staff G, CNA emptied Resident #26 ' s ileostomy collection bag.
Both staff completed hand hygiene, and donned gloves.
Neither staff donned a gown.
Staff M obtained a graduated container (a container that has markings to measure contents collected) and garbage bag, which she placed inside of the graduate.
Staff M proceeded to unfold the ileostomy bag, and emptied the contents into the bagged graduate container.
Staff M handed the garbage bag to Staff G.
Staff M cleansed the open end of the ileostomy bag and resealed.
Gloves were removed by both staff and placed in the garbage bag with the waste.
Both staff completed hand hygiene.
Staff G then carried the garbage bag down the hall to the garbage area in the hallway.
During an interview on 4/9/25 at 11:01 AM, the Director of Nursing (DON) stated if a resident was on EBP then a gown should have been worn in the room when the ileostomy was emptied.
The DON acknowledged Resident #26 was on EBP.
Review of policy dated 3/25/24 titled, Enhanced Barrier Precautions revealed a Policy Statement which declared Enhanced Barrier Precautions are utilize to prevent the spread of multi-drug resistant organisms (MDROs) to residents.
The Policy Interpretation and Implementation section directed, in part:
1.
Enhanced Barrier Precautions (EBPs) are used as in infection prevention and control intervention to reduce the spread to multi-drug resistant organisms (MDROs).
2. EBPs employ targeted gown and glove use during high-contact resident care activities when contact precautions do not otherwise apply .
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 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Garden View Care Center 1200 West Nishna Road Shenandoah, IA 51601
F-F880 Infection Control deficient practice cited during Recertification Survey ending on 7/25/24, Complaint Survey ending on 9/11/24, and Complaint Survey ending on 2/27/25.
b.
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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.