Inspection Reports for
Ruthven Community Care Center
2701 Mitchell Street, Ruthven, IA, 513587741
Back to Facility Profile5 Reports
Inspection Report — Oct 2, 2025
Complaint Investigation
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.
Violations (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
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 — Aug 28, 2025
Renewal
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
Inspection Report — Sep 19, 2024
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.
Violations (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
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 — Jun 22, 2023
Routine
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.
Violations (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 — May 24, 2023
Renewal
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
3 CMS Surveys
CMS Survey — Jun 22, 2023
Jun 22, 2023
CMS Survey — Sep 19, 2024
Sep 19, 2024
CMS Survey — Oct 2, 2025
Oct 2, 2025
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