Inspection Reports for Akron Care Center, INC

991 Highway 3, Akron, IA, 510017716

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Inspection Report Summary

The most recent inspection on May 1, 2025, identified a deficiency related to the facility’s failure to coordinate a PASARR assessment for one resident. Earlier inspections showed a mix of deficiencies, including issues with quality of care, infection control, medication management, and food safety. Prior reports noted problems such as delayed medication orders, inadequate hand hygiene, incomplete PASARR referrals, and infection prevention concerns, but no fines or enforcement actions were listed in the available reports. Complaint investigations were generally unsubstantiated, with one complaint finding the facility in substantial compliance. The facility’s inspection history shows recurring themes around PASARR coordination and infection control, with some improvement indicated by the acceptance of plans of correction and no recent enforcement actions.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

55% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2022
2023
2024
2025

Census

Latest occupancy rate 43 residents

Based on a May 2025 inspection.

Census over time

36 40 44 48 52 Mar 2020 Sep 2020 Jan 2022 May 2024 May 2025

Inspection Report

Plan of Correction
Deficiencies: 0 Date: May 13, 2025

Visit Reason
The document serves as a Plan of Correction following acceptance of a credible allegation of substantial compliance for the facility.

Findings
The facility was found to be in substantial compliance and will be certified in compliance effective May 9, 2025, based on the accepted Plan of Correction.

Inspection Report

Annual Inspection
Census: 43 Deficiencies: 1 Date: May 1, 2025

Visit Reason
The inspection was conducted as part of the facility's annual recertification survey from April 28, 2025 to May 1, 2025.

Findings
The facility failed to coordinate assessments with the PASARR program for one resident, missing an updated PASARR to include psychotic disorder. The facility submitted a new PASARR for the resident and plans ongoing monitoring and review of PASARR diagnoses for accuracy.

Deficiencies (1)
Failure to refer one resident with a negative Level I result for the PreAdmission Screening and Resident Review (PASRR) to the appropriate state-designated authority for Level II PASRR evaluation and determination.
Report Facts
Census: 43

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jun 4, 2024

Visit Reason
The document serves as a Plan of Correction following a prior inspection, indicating acceptance of the facility's credible allegation of substantial compliance.

Findings
The facility was found to be in substantial compliance based on the accepted Plan of Correction and will be certified in compliance effective June 4, 2024.

Inspection Report

Annual Inspection
Census: 43 Deficiencies: 3 Date: May 13, 2024

Visit Reason
The inspection was conducted as the facility's annual recertification survey from May 13, 2024 to May 16, 2024.

Findings
The facility was found deficient in quality of care, pharmacy services, and infection prevention and control. Deficiencies included failure to assess and intervene appropriately for a resident's skin tear, delays in processing medication orders, and inadequate hand hygiene practices among staff.

Deficiencies (3)
Facility failed to assess and provide appropriate intervention to a left lumbar skin tear resulting in decline to cellulitis for Resident #39.
Facility failed to process and initiate medication orders timely for Resident #22.
Facility failed to establish and maintain an infection prevention and control program, including proper hand hygiene during incontinence care and wound care for Residents #11, #13, and #32.
Report Facts
Residents reviewed: 13 Residents observed for infection control: 3 Census: 43

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Feb 20, 2024

Visit Reason
A complaint investigation for complaint #115266-C was conducted on February 20, 2024.

Complaint Details
Complaint #115266-C was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Mar 2, 2023

Visit Reason
An annual recertification survey and investigation of incident #111654-I was conducted from 2/27/2023 to 3/2/2023.

Findings
The facility was found to be in substantial compliance with no deficiencies cited.

Inspection Report

Annual Inspection
Census: 41 Deficiencies: 2 Date: Jan 20, 2022

Visit Reason
The inspection was conducted as an annual health survey of the facility to assess compliance with federal regulations.

Findings
The facility was found deficient in coordinating PASARR assessments for residents with serious mental illness and in food safety practices, including failure to date food storage containers and discard expired food.

Deficiencies (2)
Failure to ensure a resident's complete and updated list of diagnosed mental illness was submitted for PASARR review.
Failure to procure, store, prepare, distribute, and serve food in accordance with professional food safety standards, including undated measuring scoops and expired food in storage.
Report Facts
Census: 41 Deficiency severity level D: 1 Deficiency severity level E: 1

Employees mentioned
NameTitleContext
Patricia RaschAdministratorSigned the report and plan of correction
Director of NursingInterviewed regarding PASARR submission expectations
Certified Dietary ManagerReported on food safety deficiencies and corrective actions
Registered DieticianInterviewed regarding food storage and labeling

Inspection Report

Abbreviated Survey
Census: 41 Deficiencies: 1 Date: Sep 23, 2020

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals from 09/21/2020 through 09/23/2020 to assess infection prevention and control practices at the facility.

Findings
The facility failed to ensure appropriate infection control procedures related to staff screening for COVID-19 symptoms, as evidenced by incomplete screening logs and staff working while symptomatic. The Director of Nursing acknowledged issues with the current screening process and is working on improvements.

Deficiencies (1)
Failure to establish and maintain an infection prevention and control program, specifically inadequate staff COVID-19 symptom screening procedures.
Report Facts
Census: 41 Dates of survey: Survey conducted from 2020-09-21 through 2020-09-23

Employees mentioned
NameTitleContext
Staff ACertified Nurse Assistant (CNA)Answered yes to having COVID-19 symptoms and entered facility for testing
Staff BDietary CookAnswered yes to headache and congestion during screening
Staff CCertified Nurse Assistant (CNA)Answered yes to cough and congestion on multiple dates; self-screened and thought she had a cold
Staff DCertified Nurse Assistant (CNA)Described self-screening procedures during shift
Staff ECertified Nurse Assistant (CNA)Stated staff always screen themselves in and out
Staff FDietary AidObserved screening herself and documenting temperature and screening answers
Director of NursingDirector of Nursing (DON)Acknowledged issues with screening process and stated staff education and new screening process are underway

Inspection Report

Routine
Deficiencies: 0 Date: Jun 16, 2020

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 6/16/20 to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.

Findings
The facility was found to be in compliance with CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

Inspection Report

Annual Inspection
Census: 45 Deficiencies: 3 Date: Mar 3, 2020

Visit Reason
The inspection was conducted as the annual recertification and state licensure survey for Akron Care Center, Inc., completed March 2-5, 2020.

Findings
The facility was found deficient in several areas including reasonable accommodations for resident needs, accuracy of assessments, and infection prevention and control practices. Specific issues included inaccessible call lights for residents, inaccurate Minimum Data Set (MDS) assessments, and failure to follow appropriate infection control procedures during catheter care and oxygen tubing maintenance.

Deficiencies (3)
Facility failed to have a call light accessible while residents were in bed for 1 of 22 residents (Resident #37).
Facility failed to accurately complete 1 of 15 resident's Minimum Data Set (MDS) assessments (Resident #27).
Facility failed to utilize appropriate infection control practices during resident care for 1 of 3 residents reviewed (Resident #43).
Report Facts
Resident census: 45 Residents with call light issue: 1 Residents with inaccurate MDS: 1 Residents reviewed for infection control: 3

Employees mentioned
NameTitleContext
Patricia MagelAdministratorSigned the inspection report on 3/3/20
Staff ACertified Nursing Assistant observed failing to perform appropriate hand hygiene during catheter care for Resident #43
Director of Nursing (DON)Director of NursingPresent during observations, assisted Resident #37, and provided statements regarding call light accessibility and infection control practices
MDS CoordinatorSubmitted correction to CMS and corrected MDS assessment
Infection Control PreventionistCorrected and properly dated oxygen tubing for all affected residents and cleaned oxygen concentrators and filters

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