Inspection Reports for
Accura HealthCare of Ames

The facility will be certified in compliance with health requirements effective May 8, 2026. No deficiencies were cited.

Facility reported incident #2748701-I investigated during the survey.

Multiple deficiencies were cited related to discharge process, accuracy of assessments, comprehensive care plans, and infection prevention and control. The facility failed to ensure proper bed hold notification, accurate resident assessments, development of comprehensive care plans, and proper hand hygiene practices among staff.

Complaint #129724-C was investigated and found not to be substantiated as no deficiencies were identified.

The investigation of complaint #129724-C did not result in any deficiencies; the facility was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

The facility was found to be in substantial compliance with health requirements based on the accepted Plan of Correction; no specific deficiencies or severity levels are detailed in this document.

Complaint #126482-C was investigated from March 23 to March 26, 2025 and was not substantiated.

The facility was found not in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, with deficiencies related to coordination of PASARR assessments, free of accident hazards, bowel/bladder incontinence care, food safety and storage, and payroll-based journal staffing data submission. The complaint was not substantiated.

Complaints #124671 and #125006 were investigated and found to be unsubstantiated.

The facility was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. Complaints #124671 and #125006 were not substantiated.

The Accura Healthcare of Ames was found to be in compliance effective October 11, 2024, following the onsite revisit conducted on October 31, 2024.

The survey substantiated complaints #123077-C and #123140-C and a facility-reported incident #121910-I. The investigation confirmed that Resident #1 was left alone in the bathroom, resulting in a fall and fractured femoral neck. Staff failed to provide required assistance and supervision.

The facility failed to ensure a resident environment free from accident hazards, resulting in Resident #1 sustaining a left hip fracture after a fall when left alone in the bathroom. The investigation revealed inadequate supervision and assistance for residents requiring help with activities of daily living.

The facility failed to provide adequate supervision to two residents, resulting in one resident falling in the bathroom and sustaining a left hip fracture, and another resident falling unattended at a dental appointment causing dental fractures. The facility provided education to staff after the incidents.

The Accura Healthcare of Ames Nursing Home was found to be in substantial compliance effective June 21, 2024, with no specific deficiencies detailed in this document.

The complaint investigation found that confidentiality was breached for Residents #19 and #46. The facility did not have a policy to ensure securing computer screens with resident information. The Director of Nursing expected staff to follow professional standards and the 5 rights of medication administration.

The facility failed to maintain confidentiality for 2 of 5 residents reviewed during medication administration, including leaving medication unsupervised and exposing resident information on a computer screen.

The facility was found to have multiple deficiencies including failure to maintain confidentiality of resident records, inadequate supervision during medication administration, failure to coordinate PASARR assessments, unsafe medication storage and handling, inadequate nutritional services, improper food storage and sanitation, and lapses in infection control practices.

The facility was found deficient in maintaining resident confidentiality during medication administration, failing to refer a resident for a Level II PASARR evaluation, inadequate supervision during medication administration for multiple residents, leaving medication carts unlocked, serving incorrect food portions and unsafe food temperatures, improper food storage and sanitation practices, and lapses in infection prevention and control practices.

The Accura Healthcare of Ames Nursing Home is in substantial compliance based on acceptance of a credible allegation of substantial compliance effective March 15, 2024. No specific deficiencies are detailed in this document.

The complaint investigation found that Resident #6 was not administered the correct amount of PRN Dilaudid for post-surgical pain as ordered. The resident reported being denied pain medication at one point and only received one pain pill instead of the prescribed one or two based on pain rating. The Director of Nursing confirmed staff failed to follow the ordered pain medication parameters.

The facility failed to administer Dilaudid as ordered for Resident #6, who had severe post-surgical pain following cervical spinal fusion. Documentation and interviews confirmed that the resident did not receive the correct dosage of pain medication as prescribed, and the facility lacked a specific policy for PRN medication administration.

Complaint #116248-C was not substantiated.

The facility was found not in compliance with 42 CFR Part 483 related to medication administration standards, specifically failing to administer pain medication as ordered for one resident. The complaint #116248-C was not substantiated. Corrective actions included staff education and auditing physician orders to ensure compliance.

Complaint investigation for multiple complaints was conducted and the facility was found to be in substantial compliance.

The facility was found to be in substantial compliance.

Complaint #110886 was investigated and found not substantiated.

The facility was found to be in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. Complaint #110886 was not substantiated. A discretionary denial of payment for new admissions was effectuated from February 22, 2023 to February 26, 2023.

The facility was found deficient in multiple areas including failure to honor residents' advance directives, protect residents' property, timely complete assessments, provide appropriate treatment and care, prevent pressure ulcers, ensure safety related to smoking, maintain nurse aide certification, prevent medication errors, serve proper food portions, and maintain sanitary food preparation practices.

The facility failed to prevent pressure ulcers in one resident and failed to provide medications as ordered for three residents, resulting in medication errors and an unnecessary hospitalization. The facility also lacked proper documentation and interventions related to pressure ulcers and medication administration.

Investigation involved Facility Reported Incidents #101624-I, #102222-I and Complaint #101967-C completed 2/8/22-2/24/22.

Based on the facility's plan of correction and credible allegation of compliance, the facility will be certified in compliance effective 3-10-22.

Facility Reported Incidents #101624-I and #102222-I were substantiated. Complaint #101967-C was not substantiated.

The facility failed to ensure the resident environment was free of accident hazards, resulting in an elopement incident involving a cognitively impaired resident. Additionally, deficiencies were found related to labeling, storage, and counting of controlled drugs and biologicals, including failure to reconcile narcotic counts and medication discrepancies.

The facility failed to ensure the 100 hallway exit door alarm was activated and staff were properly educated on its use, resulting in a resident at high risk for elopement leaving the facility unsupervised in 5 degree Fahrenheit weather. Immediate jeopardy was identified but removed on 2/3/22 after corrective actions including door alarm checks, staff education, and elopement drills were implemented.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.

Complaints #97723-C, #97765-C, and #98112-C were not substantiated. Facility reported incidents #99439-I and #99538-I were substantiated.

The investigation found that complaints #97723-C, #97765-C, and #98112-C were not substantiated, while facility reported incidents #99439-I and #99538-I were substantiated. Deficiencies were identified related to baseline care plans, free of accident hazards, dialysis care, pharmacy services, food safety, quality assurance, and infection control.

The facility failed to ensure Resident #41 received adequate supervision during e-stim diathermy treatment and failed to maintain the e-stim diathermy machine according to manufacturer recommendations, resulting in the resident sustaining two second degree thermal burns to his right arm. The machine had not been calibrated since 2/27/20 and no maintenance plan was in place prior to the incident.

Complaint #96755-C was substantiated. The investigation found multiple deficiencies related to resident dignity, fall notification and assessment, pressure ulcer care, fall prevention, and catheter care.

The facility was found deficient in multiple areas including failure to assure resident dignity related to catheter care, failure to notify physician and family of a resident fall, failure to immediately assess a resident after a fall, failure to prevent and properly treat pressure ulcers, failure to provide adequate supervision to prevent a fall, and failure to provide appropriate catheter care and infection control.

The facility failed to provide care consistent with professional standards to prevent pressure ulcers in Resident #3, who developed multiple unstageable and stage 3-4 pressure ulcers despite documented risk and care plans. The wound care advanced registered nurse practitioner and other staff noted avoidable pressure ulcers due to inadequate pressure relief measures, including failure to pad the footrest bar of the resident's chair. The facility lacked a formal pressure ulcer policy and relied on standard practice.

Complaint #95017-C was not substantiated. Incident #96017 was substantiated. The incident involved Resident #1 choking on inappropriate food and subsequent death.

The facility failed to ensure 6 sampled residents received the appropriate diet and adequate nursing supervision while consuming altered textured diets. Resident #1 choked on whole brussel sprouts despite being on a mechanical soft diet requiring supervision, resulting in death. Multiple residents were served food inconsistent with their prescribed mechanical soft diets, including whole brussel sprouts, unshredded lettuce, garlic bread with crust, and baked potatoes with skin. The facility lacked approved menus signed by a dietitian and staff were inadequately trained on diet orders and feeding supervision.

The facility failed to ensure appropriate diet consistency and adequate supervision for residents on mechanically altered diets, resulting in Resident #1 choking on whole brussel sprouts, which led to death. Multiple residents were served food inconsistent with their prescribed mechanical soft diets, including whole brussel sprouts, unshredded lettuce, garlic bread with crust, and baked potatoes with skin. Staff training and communication regarding diets and supervision were inadequate.

Complaint #93515-C was not substantiated. Complaint #92926-C was not substantiated. Incident #93427-I was not substantiated.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19. The investigations of complaints #93515-C, #92926-C, and incident #93427-I resulted in no deficiencies and were not substantiated.

The facility was found not in compliance with infection prevention and control requirements, specifically failing to properly screen employees prior to entering and exiting the facility. Multiple deficiencies were noted in employee screening logs and temperature checks.

Investigation of complaint #90380-C and complaint #91044-C did not result in deficiency.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19. Investigations of complaint #90380-C and complaint #91044-C did not result in any deficiencies.

Complaint #90000-C was investigated and found to be not substantiated.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19. Complaint #90000-C was not substantiated.

Complaint #87573, #87575, #89575 & #89730 and incident #89024, #89634 & #89727 were not substantiated.

The complaints and incidents investigated were not substantiated according to the Code of Federal Regulations (42CFR) Part 483, Subpart B-C.