Tabor Manor Care Center
Inspection Findings
F-Tag F0607
F 0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Level of Harm - Minimal harm or potential for actual 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.
Residents Affected - Few
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Tabor Manor Care Center
209 Main Street Tabor, IA 51653
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
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.
Event ID:
Facility ID:
If continuation sheet
Tabor Manor Care Center in Tabor, 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 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.