Southeast Iowa Regional Medical - Klein Center
Southeast Iowa Regional Medical - Klein Center in West Burlington, IA — inspection on October 30, 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
During the interview on 10/30/25 at 12:12 PM, the Director of Nursing (DON) queried on the purpose of the bed/chair alarms and she stated the purpose was for the residents who could not communicate or know to use the call light.
The DON stated the bed/chair alarms went through the staff phones to notify them when a resident was getting up or where set to audible.
The DON confirmed Resident #1 bed alarm did not alarm when Resident #1 got up and fell.
The DON asked what the expectation of the bed/chair alarms and she stated they would be tasking the nurse to check the bed alarms to make sure they were working properly every shift just like a wander guard (device used to alarm staff if a resident is wandering to a potentially unsafe location.) During an interview on 10/30/25 at 1:30 PM, the Staff C, RN (Registered Nurse) Unit Manager queried on the incident with Resident #1 and she confirmed the bed alarm did not sound and they trouble shot the alarm and changed the batteries, even though the batteries were not completely dead and the bed alarm worked again.
Staff C stated Resident #1a bed alarm started out going through the staff phone, but after the fall, they switched it to audible.
During an interview on 10/30/25 at 1:40 PM, Staff B, RN queried on Resident #1 fall in the bathroom and she stated she found Resident #1 in the bathroom on the floor.
Staff B stated Resident #1 didn't remember why she was in the bathroom.
Staff B stated Resident #1's bed alarm did not sound on her phone and when Staff B checked the bed alarm, Staff B noticed if you wiggled the cord, the bed alarm came back on.
Staff B stated she told the day shift to switch out the bed alarm because Staff B didn't have access to the new bed alarms.
Review of the facility Fall Procedure dated 3/2024 revealed the following:a.
Note any environmental factors that may have contributed to fall. b.
Review the care plan for current fall prevention interventions and add new interventions or edit current interventions.
New or edited interventions need to be tried to prevent recurrence of falls.
Review of the undated [Brand name redacted] Sensor Pad Monitors instructions revealed: a.
Place the user on the pad surface to activate system and test to ensure function. (If placed properly, the monitor will sound an alarm to notify staff if the user removes weight from the pad.
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