Inspection Reports for Story Medical Senior Care
710 S 19th St., Nevada, IA, 502012902
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 8, 2025, did not identify any deficiencies and confirmed the facility’s substantial compliance with health requirements. Earlier inspections showed a mixed record, with deficiencies related primarily to abuse reporting and investigation, mental health screening, food safety, and staff training. A substantiated complaint in November 2025 cited failures to report and investigate alleged abuse properly, while prior reports noted issues with care planning, medication administration, and infection control. Complaint investigations were mostly unsubstantiated except for the November 2025 case involving abuse reporting. The facility’s recent inspections suggest some improvement following earlier deficiencies, though certain compliance areas have recurred over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
57 residents
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Dec 8, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's compliance with health requirements, indicating acceptance of a credible allegation of substantial compliance and plan of correction.
Findings
The facility will be certified in compliance with health requirements effective November 20, 2025, based on acceptance of the credible allegation of substantial compliance and plan of correction. No specific deficiencies are detailed in this document.
Report Facts
Certification effective date: Nov 20, 2025
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 2
Date: Nov 19, 2025
Visit Reason
The inspection was conducted as a result of investigation of complaint #2568593-C regarding alleged abuse at the facility.
Complaint Details
Complaint #2568593-C resulted in deficiencies related to failure to report and investigate alleged abuse. The investigation included clinical record review, staff and family interviews, and policy review. The facility failed to report the allegation within required timeframes and did not conduct a thorough investigation. The complaint was substantiated as evidenced by the deficiencies.
Findings
The facility failed to report an allegation of abuse for one of three residents reviewed and failed to complete a thorough investigation and take steps to ensure resident safety after alleged abuse. The facility reported a census of 57 residents.
Deficiencies (2)
Failed to report an allegation of alleged abuse to the State survey and certification agency for 1 of 3 residents reviewed for abuse.
Failed to complete a thorough investigation and take steps to ensure resident safety after alleged abuse for 1 of 3 residents reviewed for abuse.
Report Facts
Census: 57
Residents reviewed for abuse: 3
Completion date: Nov 19, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Opperman | Administrator | Signed the report and plan of correction |
| Staff A | Registered Nurse (RN) | Interviewed resident and family, documented grievance form |
| Staff B | Director of Households | Interviewed resident and family, documented grievance form, followed up on reported concerns |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 28, 2025
Visit Reason
The document is a Plan of Correction submitted by Story Medical Senior Care following a prior inspection, indicating acceptance of credible allegation of substantial compliance and certification in compliance with health requirements effective April 21, 2025.
Findings
The facility was found to be in substantial compliance with health requirements based on the accepted Plan of Correction; no specific deficiencies or severity levels are detailed in this document.
Inspection Report
Annual Inspection
Census: 54
Deficiencies: 1
Date: Apr 3, 2025
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey from March 31, 2025 to April 3, 2025, to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.
Findings
The facility failed to submit a required Level II Preadmission Screening and Resident Review (PASRR) evaluation for one resident with a new mental health diagnosis and initiation of psychotropic medication. The Director of Nursing acknowledged the omission, and the Administrator confirmed the expectation for such evaluations.
Deficiencies (1)
Failure to submit a Level II PASRR evaluation for a resident with a new mental health diagnosis and psychotropic medication initiation.
Report Facts
Census: 54
Investigation period: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Opperman | Administrator | Signed the plan of correction and acknowledged expectations regarding PASRR evaluations |
| Director of Nursing | Director of Nursing | Acknowledged failure to complete Level II PASRR evaluation for Resident #17 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 25, 2024
Visit Reason
An investigation for complaint #121726-C was conducted on November 25, 2024.
Complaint Details
Investigation for complaint #121726-C; facility found in substantial compliance.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jun 10, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, based on acceptance of a credible allegation of substantial compliance and plan of correction.
Findings
The Story Medical Senior Care is in substantial compliance with the regulatory requirements, and the facility will be certified in compliance effective May 22, 2024.
Inspection Report
Annual Inspection
Census: 48
Deficiencies: 2
Date: May 9, 2024
Visit Reason
The inspection was conducted as the facility's annual recertification survey to assess compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.
Findings
The facility was found non-compliant due to deficiencies in food safety practices during meal service and failure to ensure mandatory adult abuse training for some staff members. Specifically, lids used during meal service were placed unsanitarily, and 3 of 5 staff did not meet mandatory abuse training requirements.
Deficiencies (2)
Food safety requirements not met; lids placed on floor during meal service.
Failure to ensure 3 of 5 staff completed mandatory adult abuse training within required timeframe.
Report Facts
Census: 48
Staff not meeting training requirements: 3
Staff total reviewed: 5
Training completion deadlines: Staff D required by 11/22/23, Staff E by 12/13/23, Staff F by 1/7/24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Cook | Observed placing lids unsanitarily during meal service |
| Staff A | Dietitian | Reported usual lid placement and training oversight |
| Staff C | Certified Dietary Manager (CDM) | Reported expectations for lid placement |
| Staff D | Certified Nursing Assistant (CNA) | Lacked mandatory adult abuse training |
| Staff E | Food Nutrition Services (FNS) | Lacked mandatory adult abuse training |
| Staff F | Food Nutrition Services (FNS) | Lacked mandatory adult abuse training |
| Melissa Opperman | Administrator | Acknowledged training expectations and commented on lid placement |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 23, 2023
Visit Reason
The document is a plan of correction submitted following a prior inspection, indicating acceptance of credible allegation of compliance and certification of the facility effective February 3, 2023.
Findings
The facility was found to be in compliance based on acceptance of the credible allegation of compliance and plan of correction; no specific deficiencies are detailed in this document.
Inspection Report
Annual Inspection
Census: 46
Deficiencies: 4
Date: Feb 2, 2023
Visit Reason
The inspection was conducted as the facility's annual recertification survey with an investigation of complaints #104521 and #109181.
Complaint Details
Complaints #104521 and #109181 were investigated and found not substantiated.
Findings
The facility was found deficient in care plan timing and revision, provision of services meeting professional standards, bowel/bladder incontinence care, and dialysis care. Complaints investigated were not substantiated.
Deficiencies (4)
Failure to review and revise care plans for 1 of 13 residents reviewed.
Failure to provide care and services according to accepted standards for 1 of 12 residents reviewed related to medication administration.
Failure to provide appropriate catheter care for 1 of 1 residents reviewed to prevent urinary tract infections.
Failure to complete pre and post hemodialysis assessments for 1 of 1 resident receiving dialysis.
Report Facts
Residents reviewed for care plan deficiency: 13
Residents reviewed for medication administration deficiency: 12
Residents reviewed for catheter care deficiency: 1
Residents reviewed for dialysis care deficiency: 1
Facility census: 46
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 6
Date: Sep 1, 2021
Visit Reason
A recertification health survey and investigation of Complaint #97393-C was completed from 08/24/2021 to 09/01/2021. The complaint was not substantiated.
Complaint Details
Complaint #97393-C was investigated and found not substantiated.
Findings
The facility failed to request a Department of Human Services evaluation for misdemeanor convictions for 2 of 5 employees reviewed. The facility also failed to develop comprehensive care plans addressing pain medication and other resident needs, failed to follow physician orders for pressure ulcer treatment, failed to provide appropriate incontinence care, and failed to store drugs in accordance with professional standards. Multiple deficiencies were identified related to staff background checks, care planning, treatment of pressure ulcers, incontinence care, and medication storage.
Deficiencies (6)
Facility failed to request a Department of Human Services evaluation for misdemeanor convictions for 2 of 5 employees reviewed.
Facility failed to develop a comprehensive care plan to address pain medication, goals, and interventions for 1 of 18 sampled residents.
Facility failed to update care plans with new diagnosis and medication for 2 of 18 residents reviewed.
Facility failed to follow physician ordered treatment to a Stage II pressure ulcer for 1 of 3 residents reviewed.
Facility failed to provide appropriate incontinence care for 1 of 3 residents reviewed.
Facility failed to store drugs in accordance with currently accepted professional practices; found outdated stock supply of acetaminophen.
Report Facts
Census: 50
Employees reviewed: 5
Residents sampled: 18
Residents reviewed for pressure ulcer treatment: 3
Residents reviewed for incontinence care: 3
Inspection Report
Abbreviated Survey
Census: 51
Deficiencies: 0
Date: Jun 23, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 6/23/20 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 CDC recommended practices to prepare for COVID-19.
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