The citation, tagged under F0657, identified the violation as causing minimal harm or potential for actual harm, and noted that a few residents were affected.
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That finding sat at the center of a November 2025 complaint inspection at the Cedar Falls nursing facility.
Inspectors assigned it a scope and severity level of G, meaning the harm was isolated but real.
What they found when they arrived extended well beyond whatever prompted the initial call.
The facility is Nortonville Health Care Center, operated by ANEW Healthcare.
The cart was observed unsecured at 10:23 a.m.
The violation was cited at a level of minimal harm or potential for actual harm.
Federal inspectors cited the facility for that failure during a complaint inspection completed November 19, 2025.
The Director of Maintenance, identified in the inspection report as Staff D, said he had known about the fly problem since the beginning of November.
Federal inspectors cited Sunset Home on November 19, 2025, for causing actual harm to a resident identified in the inspection report as R53.
An endotracheal tube is a flexible tube threaded into the windpipe to keep the airway open and support breathing.
The details that emerged from the inspection are spare but damning.