Inspection Reports for New Hampton Nursing & Rehab Center
703 South Fourth Avenue, New Hampton, IA, 506590428
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 7, 2025, was a complaint investigation that found the facility to be in substantial compliance despite a substantiated complaint. Earlier inspections showed a mixed record, with several deficiencies cited in prior years related mainly to resident care issues such as failure to maintain call lights within reach, insufficient nursing staff, and timely reporting of abuse, as well as medication management concerns including missed assessments for anticoagulation therapy. Some complaints were substantiated, particularly those involving abuse and neglect, while others were unsubstantiated. The facility has corrected previous deficiencies as verified by re-inspections, and recent surveys since early 2025 have found no new deficiencies, indicating improvement over time. Enforcement actions such as fines or license suspensions were not listed in the available reports.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
24 residents
Based on a January 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 7, 2025
Visit Reason
A complaint investigation for complaint #2568617-C was conducted from October 6, 2025 to October 7, 2025.
Findings
The facility was found to be in substantial compliance.
Complaint Details
Complaint #2568617-C was investigated and found to be substantiated with the facility in substantial compliance.
Report Facts
Complaint number: 2568617
Inspection Report
Annual Inspection
Deficiencies: 0
Jul 9, 2025
Visit Reason
An annual recertification survey was conducted from July 7, 2025 to July 9, 2025 to assess the facility's compliance with regulatory requirements.
Findings
The facility was found to be in substantial compliance with no deficiencies cited during the annual recertification survey.
Inspection Report
Re-Inspection
Deficiencies: 0
Feb 5, 2025
Visit Reason
A revisit of the survey ending on January 10, 2025 was conducted on February 4, 2025 to February 5, 2025 to verify correction of previous deficiencies.
Findings
All deficiencies were corrected and the facility is in substantial compliance effective January 29, 2025.
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 5
Jan 3, 2025
Visit Reason
The inspection was conducted as an investigation of facility complaints #124746-C and #125376-C and facility abuse investigations #124691-A, #124693-A, #124736-M, and #125793-A from January 3, 2025 through January 10, 2025.
Findings
The facility was found not in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. Deficiencies included failure to maintain call lights within reach for residents, failure to provide an environment free from abuse and neglect, failure to report alleged violations timely, and insufficient nursing staff to assure resident safety and care. Complaints #124746-C and #125376-C were substantiated.
Complaint Details
Complaints #124746-C and #125376-C were substantiated. The investigation revealed issues related to call light accessibility, abuse and neglect of residents, failure to report abuse timely, and insufficient nursing staff.
Severity Breakdown
Level D: 3
Level G: 1
Level E: 1
Deficiencies (5)
| Description | Severity |
|---|---|
| Facility failed to maintain call lights within reach for 1 of 4 residents reviewed (Resident #2). | Level D |
| Facility failed to provide an environment free from physical assault and physical injury for 2 residents reviewed (Resident #1 and Resident #2). | Level G |
| Facility failed to report suspected abuse to the State Agency in a timely manner for 2 residents reviewed (Resident #1 and Resident #2). | Level D |
| Facility failed to investigate, prevent, and correct alleged abuse, neglect, exploitation, or mistreatment. | Level D |
| Facility failed to have sufficient nursing staff with appropriate competencies and skills to assure resident safety and care. | Level E |
Report Facts
Residents present: 24
Call light response time: 15
Call light audits frequency: 2
Skin tear measurement: 24
Skin tear measurement: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nursing Assistant (CNA) | Confirmed call lights were out of reach and described abuse incidents |
| Staff C | Certified Nursing Assistant (CNA) | Confirmed call lights were out of reach |
| Staff D | Certified Nursing Assistant (CNA) | Assisted resident to bed and described abuse incidents |
| Staff E | Certified Nursing Assistant (CNA) | Involved in abuse incidents and handling of resident care |
| Staff F | Certified Nursing Assistant (CNA) | Witnessed and described abuse incidents and skin tear |
| Staff I | Registered Nurse (RN) | Confirmed injury and abuse reports |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding abuse reporting and investigation |
| Clinical Nurse Consultant | Reviewed abuse policy and conducted staff education |
Inspection Report
Annual Inspection
Deficiencies: 0
Aug 18, 2024
Visit Reason
An annual recertification survey was conducted from August 16, 2024 to August 18, 2024.
Findings
The facility was found to be in substantial compliance during the annual recertification survey.
Inspection Report
Annual Inspection
Census: 24
Deficiencies: 0
Mar 7, 2024
Visit Reason
An annual recertification survey was conducted from March 4, 2024 to March 7, 2024.
Findings
The facility was found to be in substantial compliance at the time of the survey.
Inspection Report
Abbreviated Survey
Deficiencies: 0
Apr 20, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals from April 13, 2023 through April 20, 2023.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19. Investigations of a facility self-reported incident and a facility complaint resulted in no deficiencies.
Complaint Details
Investigation of facility complaint #110524-C resulted in no deficiencies.
Report Facts
Incident number: 110068
Complaint number: 110524
Inspection Report
Re-Inspection
Deficiencies: 0
Jan 5, 2023
Visit Reason
A revisit of the facility reported incident survey ending 11/9/22 and investigation of complaint #109793 was conducted on 1/5/23.
Findings
The deficiency was corrected and the facility is in substantial compliance effective 11/10/22. Complaint #109793-C was not substantiated. The Denial of Payment (DOP) was not effectuated.
Complaint Details
Complaint #109793-C was not substantiated.
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 1
Nov 9, 2022
Visit Reason
An investigation of a facility-reported incident #108697-I was conducted from November 2 to November 9, 2022, to assess the quality of care related to anticoagulation medication management for a resident.
Findings
The facility failed to provide appropriate assessment and interventions for one resident regarding anticoagulation therapy, specifically failing to timely perform INR blood tests, resulting in a resident having critically high INR and bleeding complications. The incident was substantiated.
Complaint Details
Facility-reported incident #108697-I was substantiated after investigation.
Severity Breakdown
SS=G: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to appropriately assess and intervene for a resident on anticoagulation therapy, including failure to perform timely INR blood tests after admission until symptoms appeared 35 days later. | SS=G |
Report Facts
Census: 40
INR value: 13.56
INR value: 1.61
Hemoglobin: 8.9
Red blood cell count: 2.9
Warfarin dose: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Malaya Westendorf | Administrator | Signed the plan of correction and report |
| Staff A | Documented progress notes and communication with hospital and physician | |
| Staff B | Noted physician orders and sent fax requests for INR | |
| Staff C | Documented clinic follow-up appointment reminder | |
| Staff D | Documented physician orders and lab tests | |
| Staff E | Documented fax to physician and resident condition updates | |
| Staff F | Notified resident's wife, received lab results, and documented resident condition | |
| Director of Nursing | Director of Nursing | Provided education on lab tracking and communicated with hospital and physician |
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 26, 2022
Visit Reason
The document is a plan of correction submitted following a survey to address deficiencies and demonstrate compliance.
Findings
The facility was certified in compliance effective August 26, 2022, based on acceptance of the credible allegation of compliance and plan of correction.
Inspection Report
Annual Inspection
Census: 38
Deficiencies: 8
Aug 4, 2022
Visit Reason
The inspection was conducted as the facility's annual recertification survey and investigation of multiple complaints and facility reported incidents from August 1 to August 4, 2022.
Findings
The facility was found deficient in multiple areas including failure to notify the physician of a missing fentanyl patch for one resident, failure to report alleged abuse and missing medication incidents timely, failure to notify the Long-Term Care Ombudsman of resident transfers, failure to provide needed diuretic medication, failure to provide prescribed therapeutic diets, failure to maintain essential equipment in safe operating condition, and failure to maintain a quality assessment and assurance committee with required attendance.
Complaint Details
The inspection included investigation of complaints #97840-C (not substantiated), #102408-C (substantiated), #102421-C (not substantiated), #103334-C (substantiated), #105497-C (not substantiated), and facility reported incidents #104467-I, #104468-I, #104470-I, #105273-I, #106597-I (substantiated).
Severity Breakdown
SS=D: 5
SS=E: 1
SS=C: 1
SS=F: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failure to notify the physician of a missing fentanyl patch for Resident #11. | SS=D |
| Failure to report alleged abuse and missing medication incidents timely for Residents #11 and #14. | SS=D |
| Failure to notify the Long-Term Care Ombudsman of Resident #14's transfer/discharge. | SS=D |
| Failure to provide needed diuretic medication as ordered for Resident #36. | SS=D |
| Failure to provide prescribed therapeutic diets for Resident #9. | SS=D |
| Failure to maintain essential equipment (dryers) in safe operating condition. | SS=F |
| Failure to maintain a quality assessment and assurance committee with required attendance. | SS=C |
| Failure to maintain food procurement, preparation, and sanitary standards. | SS=E |
Report Facts
Resident census: 38
Residents reviewed for abuse prevention: 5
Residents reviewed for diuretic PRN medication: 1
Residents reviewed for therapeutic diet: 1
Dryers observed: 2
Dryers with access panels open: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Registered Nurse (RN) | Placed new fentanyl patch on Resident #11. |
| Staff E | RN, charge nurse | Documented placement check on fentanyl patch. |
| Staff A | Called on-call nurse and informed of missing fentanyl patch; reported to Assistant Director of Nursing. | |
| Assistant Director of Nursing (ADON) | Assistant Director of Nursing | Interviewed regarding physician notification policy and missing fentanyl patch incident. |
| Staff B | Resident Care Technician (RCT) | Interviewed about observation of fentanyl patch. |
| Staff C | Licensed Practical Nurse (LPN) | Informed by ADON about missing fentanyl patch follow-up. |
| Administrator | Reported missing patch incident and lack of reporting to DIA. | |
| DON | Director of Nursing | Reported investigation on missing fentanyl patch and lack of reporting. |
| MDS Coordinator | Interviewed about schedules and reporting of incident. | |
| Dietary Manager | Interviewed about food service and diet errors. | |
| Laundry Supervisor | Interviewed about dryer safety and maintenance. |
Inspection Report
Renewal
Census: 35
Deficiencies: 1
May 26, 2021
Visit Reason
The Iowa Department of Inspections and Appeals conducted a Medicare Recertification Survey to determine compliance with Medicare Conditions of Participation.
Findings
The facility was found to be not in compliance due to failure to ensure proper sanitation of kitchen utensils and dishware used for resident meals, specifically related to the chemical sanitizer concentration in the dishwasher.
Deficiencies (1)
| Description |
|---|
| Failure to ensure proper sanitation of kitchen utensils and dishware due to inadequate chemical sanitizer concentration in the dishwasher. |
Report Facts
Total residents: 35
Sanitizer concentration test frequency: 3
Sanitizer concentration level: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Performed sanitizer concentration tests and dishwasher cycles during observation |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 1
Sep 30, 2020
Visit Reason
The inspection was conducted as a focused infection control survey related to Complaint #87918 and Facility Reported Incident #91003. The complaint was substantiated, while the facility reported incident was not substantiated.
Findings
The facility failed to maintain a safe, clean, comfortable, and homelike environment as evidenced by dust, dirt, debris buildup on vents and baseboards in the shower room and other areas. Observations and staff interviews confirmed these sanitation issues.
Complaint Details
Complaint #87918-C was substantiated. Facility Reported Incident #91003-1 was not substantiated.
Deficiencies (1)
| Description |
|---|
| Failure to maintain a safe, clean, comfortable, and homelike environment due to buildup of dust, dirt, and debris on vents and baseboards in the shower room and other areas. |
Report Facts
Census: 40
Date of observation: Sep 24, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dattai Schmitt | Administrator | Signed the statement of deficiencies and plan of correction |
Inspection Report
Routine
Census: 43
Deficiencies: 0
Jun 16, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals 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.
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