State Center Specialty Care
State Center Specialty Care in State Center, IA — inspection on November 19, 2025.
Found 1 citation. 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
Review of the Progress Notes dated 3/20/25 at 4:01 PM revealed Resident #1 had voiced comments of having suicidal thoughts and a plan.
The resident stated she would put Visine on her food because she had seen that if ingested a person would have a heart attack within 15 minutes and it could not be traced.
One-to-one (1:1) was initiated.
The Progress Notes lacked documentation that the resident's representative was notified.
During an interview on 10/9/25 at 9:20 AM, the Director of Nursing (DON) revealed the resident representative would be contacted if there was a change in a resident's condition and that generally they offer to reach out to others.
The DON further acknowledged the Progress Notes for Resident #1 lacked documentation that she had offered to contact the resident's representative.
During an interview on 10/9/25 at 10:00 AM, Resident #1 revealed that staff did not ask her if she wanted her representative contacted when she had suicidal thoughts and a plan when the 1:1 was initiated but preferred they would have done so.
Facility policy titled, Change in a Resident's Condition or Status, revised February 2021 directed the facility to promptly notify the resident representative of changes in the resident's medical/mental condition and/or status.
The policy further documented that unless otherwise instructed by the resident, a nurse will notify the resident's representative when there is a significant change in the resident's physical, mental or psychosocial status.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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