Inspection Reports for Elkader Care Center

116 Reimer Street SW, IA, 520439558

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Deficiencies per Year

4 3 2 1 0
2020
2021
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

20 25 30 35 40 45 Jul '21 Jun '22 Aug '23
Inspection Report Annual Inspection Deficiencies: 0 Dec 18, 2025
Visit Reason
An annual recertification survey and investigation of complaints #2651886-C and #2655837-C were conducted from December 15, 2025 to December 18, 2025.
Findings
The facility was found to be in substantial compliance.
Complaint Details
Investigation of complaints #2651886-C and #2655837-C was conducted during the survey.
Inspection Report Complaint Investigation Deficiencies: 0 Oct 2, 2025
Visit Reason
A complaint investigation for complaint #1697365-C was conducted from September 26, 2025 to October 2, 2025.
Findings
The facility was found to be in substantial compliance.
Complaint Details
Complaint #1697365-C was investigated and the facility was found to be in substantial compliance.
Inspection Report Complaint Investigation Deficiencies: 0 May 5, 2025
Visit Reason
Investigation of complaint #128264-C completed on 5/5/25.
Findings
The facility was found to be in substantial compliance at the time of the survey. No deficiency was cited related to complaint #128264-C.
Complaint Details
Complaint #128264-C was investigated and found to have no deficiencies; the complaint was not substantiated.
Inspection Report Annual Inspection Deficiencies: 0 Dec 5, 2024
Visit Reason
An annual recertification survey was conducted from December 2, 2024 to December 5, 2024.
Findings
The facility was found to be in substantial compliance.
Inspection Report Re-Inspection Deficiencies: 0 Nov 18, 2024
Visit Reason
An onsite revisit was conducted on 11/18/24 regarding the investigation of complaints #124129-C and #124187-C conducted from October 17, 2024 to October 24, 2024.
Findings
All deficiencies identified in the prior complaint investigations have been corrected and the facility was found in substantial compliance with all regulations surveyed effective October 25, 2024.
Complaint Details
The visit was related to complaints #124129-C and #124187-C. The facility was found in substantial compliance and all deficiencies were corrected.
Report Facts
Complaint investigation dates: Complaints investigated from October 17, 2024 to October 24, 2024
Inspection Report Plan of Correction Deficiencies: 0 Oct 3, 2023
Visit Reason
The document serves as a Plan of Correction following acceptance of a credible allegation of substantial compliance by the facility.
Findings
The facility was found to be in substantial compliance and will be certified in compliance effective September 30, 2023.
Inspection Report Annual Inspection Census: 29 Deficiencies: 2 Aug 30, 2023
Visit Reason
The inspection was conducted as the facility's annual recertification survey and investigation of a reported incident #112338-I from August 27 to August 30, 2023.
Findings
The facility was found not to have substantiated the reported incident. Deficiencies were identified related to failure to ensure staff completed required Dependent Adult Abuse training within six months of hire and failure to complete Single Contact Repository (SING) background checks prior to hiring for some staff members.
Complaint Details
The facility reported incident #112338-I was investigated and found not substantiated.
Severity Breakdown
Level D: 2
Deficiencies (2)
DescriptionSeverity
Failure to ensure 1 of 5 staff members completed the two-hour Dependent Adult Abuse training within 6 months of hire date.Level D
Failure to complete Single Contact Repository (SING) background checks prior to hire on 2 of 5 staff members.Level D
Report Facts
Census: 29 Staff members reviewed: 5
Employees Mentioned
NameTitleContext
Amy HickieAdministratorReported no record of dependent adult abuse mandatory reporter training for Staff A and verified background checks for Staff B and Staff C
Staff ACertified Nursing Assistant (CNA)Lacked documentation of Dependent Adult Abuse training
Staff BCertified Nursing Assistant (CNA)Had incomplete background checks prior to hire
Staff CCertified Nursing Assistant (CNA)Had incomplete background checks prior to hire
Inspection Report Plan of Correction Deficiencies: 0 Jun 28, 2022
Visit Reason
The document serves as a statement of deficiencies and plan of correction for Elkader Care Center, certifying the facility in compliance effective June 28, 2022, based on acceptance of a credible allegation of compliance and plan of correction.
Findings
The facility was certified in compliance effective June 28, 2022, based on acceptance of the credible allegation of compliance and plan of correction. No specific deficiencies or severity levels are detailed in the report.
Inspection Report Annual Inspection Census: 37 Deficiencies: 3 Jun 16, 2022
Visit Reason
The inspection was conducted as the facility's annual recertification survey from June 13, 2022 to June 16, 2022.
Findings
The facility was found deficient in ensuring psychotropic drugs were administered only when necessary with proper documentation of non-pharmacological interventions prior to administration. Additionally, deficiencies were noted in menu preparation and nutritional adequacy, and in maintaining a quality assessment and assurance committee with required attendance.
Deficiencies (3)
Description
Failure to attempt and document non-pharmacological and behavioral interventions prior to administration of as needed anxiolytic medication for Resident #10.
Failure to provide correct serving amounts as planned on the menu for pureed diets.
Failure to maintain a quality assessment and assurance committee with required meeting frequency and member attendance.
Report Facts
Facility census: 37 Dates of survey: 4 Number of servings observed: 4 Medication order start date: Jan 19, 2022
Employees Mentioned
NameTitleContext
Director of NursingDirector of NursingCompleted education with nurses on PRN anxiolytic medication interventions and monitoring compliance
Dietary SupervisorDietary SupervisorProvided education to cooks on measuring blended food items and proper serving size; involved in meal preparation observations
AdministratorAdministratorMonitors compliance with quality assessment and assurance committee meetings
Inspection Report Plan of Correction Deficiencies: 0 Jul 12, 2021
Visit Reason
The document reflects acceptance of the facility's credible allegation of compliance and plan of correction for regulatory compliance.
Findings
The facility was certified in compliance effective 7/12/21 based on acceptance of the plan of correction; no specific deficiencies or severity levels are detailed in the report.
Inspection Report Complaint Investigation Census: 32 Deficiencies: 2 Jul 1, 2021
Visit Reason
The Iowa Department of Inspections and Appeals conducted a Medicare Recertification Survey and investigation of a facility reported incident to determine compliance with Medicare Conditions of Participation.
Findings
The facility was found to be not in compliance due to failure to develop and implement a behavior-related care plan for one resident and failure to complete nursing assessments and monitoring after outpatient dialysis for one resident. The facility reported a census of 32 residents.
Complaint Details
Facility Reported Incident #98199-I was reviewed and found not substantiated.
Deficiencies (2)
Description
Failed to develop and implement a behavior related care plan for 1 of 3 residents reviewed (Resident #20).
Failed to complete nursing assessments and monitoring of residents after outpatient dialysis for 1 of 1 resident that received dialysis services (Resident #1).
Report Facts
Total residents: 32 Residents reviewed for behavior care plan deficiency: 3 Residents reviewed for dialysis deficiency: 1
Employees Mentioned
NameTitleContext
Ian BenzingAdministratorSigned the plan of correction on July 12, 2021
Inspection Report Abbreviated Survey Deficiencies: 0 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 the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Nov 7, 2024
File
ScannedReport_812_2024-11-07_065511.pdf

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