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Complaint Investigation

Tabor Manor Care Center

August 20, 2025 · Tabor, IA · 209 Main Street
Citations 2
CMS Rating 1/5
Beds 46
Provider ID 165546
Healthcare Facility
Tabor Manor Care Center
Tabor, IA  ·  View full profile →
Inspection Summary

Tabor Manor Care Center in Tabor, IA — inspection on August 20, 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.

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Inspection Findings

FF0607
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Based on personnel file review, staff interview and policy and procedure reviews the facility failed to complete the Iowa Criminal History, Iowa Sex Offender Registry, and Iowa Central Abuse Registry prior to employment for 1 of 1 employees reviewed (Staff E).

The facility census was 40.

Findings include:The personnel file for Staff E, Licensed Practical Nurse (LPN), reflected a hire date of 6/9/25.

The file contained a Single Contact License and Background Check (SING) dated 5/20/25.

The document revealed the Criminal History required further research with record found results to be faxed.

The personnel file did not contain the confirmation of approval to work statement indicating the background check process was completed and the employee was able to work at the facility. On 8/19/25 at 3:00 PM the Administrator stated the facility was looking for the response for the approval to work email. On 8/20/25 at 10:35 AM the Administrator stated at this time the facility had not found the email response in printed or electronic format for approval to work.

The Administrator confirmed the facility was required to have the approval to work upon receiving a notification that further research was required.

The Administrator acknowledged this had been a problem in the recent past and the facility continued to work on an improved process for submitting and tracking documentation for background checks.

The Facility Hiring Process Policy undated revealed the SING must be completed, submitted, and cleared before the employee starts on the floor.

The Abuse Prevention, Identification, Investigation, and Reporting Policy undated disclosed the facility will maintain documentation of the conduction of an Iowa criminal record check and dependent adult/child abuse registry check on all prospective employee and other individuals engaged to provide services to residents prior to hire.

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.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Tabor Manor Care Center

209 Main Street Tabor, IA 51653

SUMMARY STATEMENT OF DEFICIENCIES

the nurse to see if it was in the Cubex before documenting NA.

The staff further stated if the medication was not available the staff were to reach out to the DON or the on-call and the pharmacy.

The DON stated she would investigate why the medication was not available.

The staff stated she was not notified the previous day regarding a medication shortage for Resident #5.

The DON stated she found out this morning about the shortage as she receives alerts regarding medications that were documented at NA on the MAR-TAR. On 8/19/25 at 4:30 PM the Administrator stated he had been made aware of the problem with lack of medications and the staff not checking the Cubex system.

The Administrator expected staff to check the Cubex, and follow the process for medication administration and ordering medications.The Protocol for Medication Administration updated 9/3/14 revealed medications must be provided within 1 hour before or 1 hour after the time it was ordered to be administered.

The protocol did not provide instructions regarding the use of the Cubex.

Facility ID:

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 Tabor, 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 Tabor Manor Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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