Garden View Care Center
Inspection Findings
F-Tag F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Interview for Mental Status (BIMS) of 15 indicating no cognitive impairment. The MDS also documented Resident #2 was dependent on a helper to do all the effort or the assistance of 2 or more helpers was required to shower/bathe.Review of Resident #2's EHR titled, Task Bathing / Showering ADL documented from 7/22/25 - 9/30/25 Resident #2 received 8 showers/baths out of the 18 showers/baths Resident #2 should have received. Review of Resident #2's EHR titled, Progress Notes documented no refusal of shower/bath.3. The Minimum Data Set (MDS) dated [DATE REDACTED] for Resident #4 documented a Brief Interview for Mental Status (BIMS) of 13 indicating no cognitive impairment. The MDS also documented Resident #2 was dependent on a helper to do all the effort or the assistance of 2 or more helpers was required to shower/bathe.Review of Resident #4's EHR titled, Task Bathing / Showering ADL documented from 6/20/25 - 10/21/25 Resident #4 received 17 showers/baths out of the 33 showers/baths should have received.
Review of Resident #4's EHR titled, Progress Notes documented 1 refusal of shower/bath on 6/20/25.On 10/20/25 at 2:57 PM the DON stated upon review of the bath sheets it was discovered baths were missed and a Performance Improvement Plan (PIP) was developed related to the missed baths. The DON stated of
the 4 residents that had been requested there were some baths that were missed. The DON stated a bath aide was starting the first of November as well. The DON stated the facility expectation was a bath would be completed at least twice a week. The DON acknowledged that baths were not being completed appropriately. On 10/21/25 at 12:12 PM the Administrator stated usually the residents at the facility would receive a shower twice a week unless they refuse. The Administrator stated resident preferences are taken into consideration with care plans and if the resident wanted to have a bath 3 times a week they would try to accommodate. The Administrator acknowledged that the facility had already identified resident baths as
a concern and developed a PIP for the improvement. The Administrator stated they were in the process of hiring a person for the bath aide position.Review of policy dated 2024 titled, Resident Showers documented
it was the practice of this facility to assist residents with bathing to maintain proper hygiene, stimulate circulation and help prevent skin issues as per current standards of practice. Residents will be provided showers as per request or as per facility schedule protocols and based upon resident safety.
Event ID:
Facility ID:
If continuation sheet
Garden View Care Center in Shenandoah, 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 Shenandoah, 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 Garden View Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.