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Complaint Investigation

Westwood Specialty Care

Inspection Date: October 30, 2025
Total Violations 1
Facility ID 165271
Location Sioux City, IA
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Inspection Findings

F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

and support the tubing against the legto avoid traction or unnecessary movement of the catheter.(4) Gently dry perineum.(5) Remove gloves and sanitize/wash hands.(6) DON glovesc. Ask the resident to turn on her side with her top leg slightly bent, if able.d. Use new wash cloth and apply soap or skin cleansing agent, or use cleansing wipese. Wash the rectal area thoroughly, wiping from the base of the labia towards and extending over the buttocks.f. Rinse and dry thoroughly.For a male resident:a. Wet washcloth and apply soap or skin cleansing agent, or use cleansing wipesb. Wash perineal area starting with urethra and working outward.c. If the resident has an indwelling catheter, gently wash the juncture of the tubing from the urethra down thecatheter about 3 inches. Gently rinse and dry the area.d. Retract foreskin of the uncircumcised malee. Wash and rinse urethral area using a circular motion.f. Continue to wash the perineal area including the penis, scrotum and inner thighs.g. Thoroughly rinse perineal area in same order, using fresh water and clean washcloth.h. If the resident has an indwelling catheter, hold the tubing to one side and support the tubing against the leg toavoid traction or unnecessary movement of the catheter.i. Gently dry perineum following same sequence.j. Reposition foreskin of uncircumcised male.k. Remove gloves and sanitize/wash handsl. Ask the resident to turn on his side with his upper leg slightly bent, if able.m. Use new washcloth and apply soap or skin cleansing agent, or use cleansing wipesn. Wash and rinse the rectal area thoroughly, including the area under the scrotum, the anus, and the buttocks.o. Dry area thoroughly.9.

Discard disposable items into designated containers.10. Remove gloves and discard into designated container.11. Wash and dry your hands thoroughly.12. Reposition the bed covers. Make the resident comfortable.13. Place the call light within easy reach of the resident.14. Clean wash basin and return to designated storage area.15. Clean the bedside stand.16. Wash and dry your hands thoroughly.In an

interview on 10/1/25 at 10:11 AM, the Regional Nurse Consultant revealed she expected staff to follow policy when performing personal care. When asked if staff should use a different wipe for the groin, front perineal, penis and urethral area, the Nurse Consultant stated, yes.

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📋 Inspection Summary

Westwood Specialty Care in Sioux City, IA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Sioux City, 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 Westwood Specialty Care or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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