Inspection Reports for
Ruthven Community Care Center
2701 Mitchell Street, Ruthven, IA, 513587741
Back to Facility ProfileDeficiencies (last 11 years)
Deficiencies (over 11 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
43 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 2
Date: Oct 2, 2025
Visit Reason
The inspection was conducted to investigate complaints related to inadequate nursing supervision to prevent falls and improper insulin medication administration.
Complaint Details
The complaint investigation found substantiated issues regarding falls due to inadequate supervision and medication errors related to insulin administration.
Findings
The facility failed to provide adequate nursing supervision to prevent falls for one resident and failed to properly administer insulin medication by using an expired insulin pen for another resident. The facility policies on gait belt usage and medication management were not consistently followed.
Deficiencies (2)
Failed to provide adequate nursing supervision to prevent accidents for Resident #5, including improper use of gait belts and insufficient staff assistance during transfers.
Failed to administer insulin medication appropriately and discard the insulin pen 28 days after opening for Resident #8.
Report Facts
Census: 43
Fall Risk Assessment Score: 22
Fall Risk Assessment Score: 18
Insulin Dose: 6
Insulin Pen Usage Duration: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse (RN) | Administered insulin pen beyond expiration date and acknowledged error |
| Staff B | Certified Nursing Assistant (CNA) | Involved in fall incident transferring Resident #5 without gait belt |
| Staff C | Certified Nursing Assistant (CNA) | Involved in fall incident transferring Resident #5 without gait belt |
| Staff D | Registered Nurse (RN) | Reported on fall incident involving Resident #5 and staff transfer issues |
| Staff E | Certified Nursing Assistant (CNA) | Attempted to transfer Resident #5 alone, leading to fall |
| Director of Nursing (DON) | Director of Nursing | Provided verbal coaching to CNAs and confirmed expectations for staff compliance |
| Director of Clinical Services | Director of Clinical Services | Reported that a new insulin pen should have been used |
| Pharmacist | Verified insulin pen expiration and potency concerns |
Inspection Report
Renewal
Census: 15
Deficiencies: 0
Date: Aug 28, 2025
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 14
Number of tenants with cognitive impairment: 1
Total census: 15
Inspection Report
Census: 29
Deficiencies: 2
Date: Sep 19, 2024
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of care, medication administration, and staff training requirements at Ruthven Community Care Center.
Findings
The facility failed to implement a physician order for Epsom salt foot soaks for one resident, resulting in delayed treatment due to pharmacy supply issues. Additionally, one staff member was overdue for dependent adult abuse recertification training. Both deficiencies were cited with minimal harm and affected a few residents.
Deficiencies (2)
Failed to implement a physician order for Epsom salt foot soaks for Resident #6, resulting in delayed treatment due to pharmacy supply issues.
Failed to provide dependent adult abuse recertification training within 3 years for 1 of 5 employees reviewed (Staff A).
Report Facts
Residents affected: 1
Residents affected: 1
Census: 29
Medication dosage: 500
Medication duration: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse | Named in finding for overdue dependent adult abuse recertification training |
| Director of Nursing | Reported on pharmacy delays and staff training issues | |
| Pharmacy Manager | Reported inability to locate Epsom salt order for Resident #6 |
Inspection Report
Routine
Census: 35
Deficiencies: 2
Date: Jun 22, 2023
Visit Reason
The inspection was conducted to assess compliance with care standards related to restorative therapy and food safety practices at the nursing home.
Findings
The facility failed to provide restorative therapy as directed for one resident and lacked documentation of restorative activities. Additionally, the facility failed to ensure food items were properly labeled with dates after opening and discarded after expiration.
Deficiencies (2)
Failed to provide restorative therapy for a resident to maintain or improve range of motion and mobility as directed.
Failed to ensure food was labeled with dates after opening, labeled with product after removing from original package, and discarded after product expiration date.
Report Facts
Residents affected: 1
Residents affected: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse (RN) | Mentioned in interview regarding restorative therapy documentation |
| Dietary Manager | Dietary Manager (DM) | Interviewed regarding food labeling deficiencies |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding restorative therapy documentation and staff reporting |
Inspection Report
Renewal
Census: 16
Deficiencies: 0
Date: May 24, 2023
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 14
Number of tenants with cognitive impairment: 2
Total census: 16
Inspection Report
Renewal
Census: 15
Deficiencies: 0
Date: Jan 9, 2019
Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program. Incident #79897-I was also investigated.
Findings
There were no regulatory insufficiencies identified during the visit.
Report Facts
Number of tenants without cognitive disorder: 2
Number of tenants with cognitive disorder: 13
Total census: 15
Inspection Report
Renewal
Census: 15
Deficiencies: 0
Date: Mar 21, 2017
Visit Reason
The visit was conducted for the recertification of the Assisted Living Program at Ruthven Community Care Center.
Findings
There were no regulatory insufficiencies cited during the recertification of the Program.
Report Facts
Number of tenants without cognitive disorder: 12
Number of tenants with cognitive disorder: 3
Total Population of Program at time of on-site: 15
TOTAL census of Assisted Living Program: 15
Inspection Report
Monitoring
Census: 18
Deficiencies: 0
Date: Mar 25, 2015
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program at Ruthven Community Care Center.
Findings
No regulatory insufficiencies were found during this evaluation. The review of recertification documents was completed and accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of Evacuation Plans were received.
Report Facts
Number of tenants without cognitive disorder: 18
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed letter regarding Final Recertification Monitoring Evaluation Report |
Inspection Report
Monitoring
Census: 20
Deficiencies: 0
Date: Mar 13, 2012
Visit Reason
The visit was a Final Recertification Monitoring Evaluation to assess compliance with Iowa Administrative Code and to evaluate the assisted living program's adherence to regulatory requirements.
Findings
No regulatory insufficiencies were found during this evaluation. The program was accepted, and the Plan of Correction was approved. Tenant satisfaction was positive, and the facility was found to be safe, clean, and well-staffed.
Report Facts
Number of tenants without cognitive disorder: 19
Number of tenants with cognitive disorder: 1
Total census of Assisted Living Program: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the evaluation |
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 0
Date: Feb 8, 2011
Visit Reason
The inspection was conducted as a complaint investigation following allegations regarding tenant care at Ruthven Community Care Center Assisted Living.
Complaint Details
The complaint alleged a tenant had increased problems with bloody stools, weakness, and dizziness, leading to hospitalization for Gastro Intestinal Bleeding and blood transfusion. The investigation reviewed tenant files, staff notes, and medical records, finding no regulatory insufficiencies related to the complaint.
Findings
No regulatory insufficiencies were identified during the complaint investigation. The report details tenant evaluations and monitoring observations, with no deficiencies noted in the areas reviewed.
Report Facts
Current number of tenants without cognitive disorder: 17
Current number of tenants with cognitive disorder: 0
Total Population: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor for the complaint investigation |
Inspection Report
Monitoring
Census: 19
Deficiencies: 1
Date: Apr 23, 2008
Visit Reason
An on-site monitoring evaluation was conducted at Ruthven Community Care Center Assisted Living to assess compliance with assisted living program regulations and to evaluate the program's operations.
Findings
The evaluation found that tenants were generally satisfied with the living environment, services, and medical care. However, a regulatory insufficiency was identified related to the lack of annual in-service training on food protection for some staff involved in food service.
Deficiencies (1)
The program did not consistently ensure personnel responsible for preparing or serving food had an annual in-service training on food protection.
Report Facts
Current number of tenants without cognitive disorder: 19
Current number of tenants with cognitive disorder: 0
Total Population: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Streepy | RN | Monitor conducting the on-site evaluation |
Inspection Report
Complaint Investigation
Census: 18
Deficiencies: 0
Date: Feb 28, 2008
Visit Reason
A complaint investigation on-site visit was conducted at Ruthven Community Care Center Assisted Living to investigate allegations related to denial of desserts and snacks to diabetic tenants and public access to tenant personal information via computer terminals.
Complaint Details
The complaint alleged that the Administrator posted notices restricting desserts and denied bedtime snacks to diabetic tenants, and that tenant personal information was accessible via a public computer terminal. Both allegations were unsubstantiated.
Findings
No regulatory insufficiencies were found. Observations and interviews revealed no posted notices restricting desserts or snacks for diabetic tenants, and snacks were freely available. No computer terminals accessible to the public were observed, and staff confirmed no public access to program computers.
Report Facts
Current number of tenants without cognitive disorder: 18
Current number of tenants with cognitive disorder: 0
Total Population: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Streepy | RN | Monitor conducting the complaint investigation |
| Delores Pyle | Administrator | Named in complaint allegation regarding snack restrictions |
Inspection Report
Monitoring
Census: 19
Deficiencies: 0
Date: May 10, 2006
Visit Reason
An on-site monitoring evaluation was conducted at Ruthven Community Care Center Assisted Living to assess compliance with assisted living program regulations as part of recertification monitoring.
Complaint Details
There were no substantiated complaints during this certification period.
Findings
There were no regulatory insufficiencies noted during this on-site evaluation. Tenant/family satisfaction was positive, with tenants reporting staff as helpful and respectful, though some noted repetition of foods offered.
Report Facts
Tenants without cognitive disorder: 19
Tenants with cognitive disorder: 0
Total Population: 19
Tenant meeting attendance: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dee Pyle | Administrator | Named as the administrator and noted positively by tenants |
| Hal L. Chase | RN BSN MPH | Monitor conducting the on-site evaluation |
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 0
Date: Apr 14, 2005
Visit Reason
A complaint investigation was conducted at Ruthven Community Care Center to determine if the program followed physician orders for prescription medication administration.
Complaint Details
The complaint alleged that the program did not follow physician orders for prescription medication administration. The investigation reviewed four tenant files and found medications were administered appropriately, resulting in no regulatory insufficiencies.
Findings
The investigation found that medications were administered correctly as ordered by the physicians, with no regulatory insufficiencies noted.
Report Facts
Current number of tenants without cognitive disorder: 18
Current number of tenants with cognitive disorder: 1
Total Population: 19
Number of tenant files reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN, BSN, MPH | Monitor conducting the complaint investigation |
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