Inspection Reports for
West Ridge Care Center

IA, 52405

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 2.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

12 9 6 3 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 45 residents

Based on a August 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

28 35 42 49 56 Jun 2020 Dec 2020 Sep 2022 Nov 2023 Aug 2024

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Jun 3, 2025

Visit Reason
A complaint investigation for complaint #128986-C was conducted from May 30, 2025 to June 3, 2025.

Complaint Details
Complaint #128986-C was investigated and found to have no deficiencies.
Findings
No deficiency was cited related to the investigation of complaint #128986-C.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Dec 12, 2024

Visit Reason
An annual recertification survey was conducted from December 9, 2024 through December 12, 2024.

Findings
The facility was found to be in substantial compliance.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Dec 12, 2024

Visit Reason
The inspection was conducted as an annual survey of the West Ridge Care Center to assess compliance with health and safety regulations.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Complaint Investigation
Census: 45 Deficiencies: 0 Date: Aug 8, 2024

Visit Reason
Investigation of a facility self-reported incident #122161-I and complaint #122055-C conducted from August 7, 2024 through August 8, 2024.

Complaint Details
Investigation of complaint #122055-C and incident #122161-I found no deficiencies.
Findings
No deficiencies resulted from the investigation of the self-reported incident and complaint.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Apr 30, 2024

Visit Reason
A complaint investigation for complaint #115348-C was conducted from April 29, 2024 to April 30, 2024.

Complaint Details
Complaint #115348-C was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Nov 28, 2023

Visit Reason
The document serves as a Plan of Correction following a survey to address deficiencies and certify the facility's compliance.

Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction, resulting in certification effective November 28, 2023.

Inspection Report

Annual Inspection
Census: 50 Deficiencies: 1 Date: Nov 16, 2023

Visit Reason
The inspection visit was conducted as part of the facility's Annual Recertification Survey and an investigation of Complaint #114091-C and Facility Self-Reported Incident #116828-I from November 13, 2023 to November 16, 2023.

Complaint Details
The visit included an investigation of Complaint #114091-C and Facility Self-Reported Incident #116828-I.
Findings
The facility failed to ensure comprehensive care plans were reviewed and revised for residents as required, including hearing aid placement, pain management, and medication monitoring. Deficiencies were noted in care plan timing, revision, and documentation for multiple residents.

Deficiencies (1)
Care plans were not developed within 7 days after completion of the comprehensive assessment and were not reviewed and revised by the interdisciplinary team after each assessment.
Report Facts
Resident census: 50

Employees mentioned
NameTitleContext
Richard CurleyAdministratorSigned the initial comments on the statement of deficiencies
Director of Nursing (DON)Stated plans for resident hearing aids and care plan expectations
RAI CoordinatorConfirmed hearing aid placement and care plan documentation issues

Inspection Report

Annual Inspection
Census: 50 Deficiencies: 3 Date: Nov 16, 2023

Visit Reason
The inspection was conducted to evaluate the facility's compliance with care plan requirements, specifically reviewing comprehensive care plans for residents related to hearing, hypnotic medication use, and pain management.

Findings
The facility failed to ensure comprehensive review and revision of Care Plans for 3 residents: Resident #19's hearing needs were not adequately addressed, Resident #24's hypnotic medication use was not monitored, and Resident #39's pain diagnosis lacked goals and interventions. Observations and interviews confirmed these deficiencies.

Deficiencies (3)
Care Plan for Resident #24 failed to address use of hypnotic medication and failed to direct staff to monitor for adverse effects.
Care Plan for Resident #19 failed to include focus area, goal, or interventions related to hearing and hearing aid placement.
Care Plan for Resident #39 failed to include goals and interventions related to pain diagnosis.
Report Facts
Residents Affected: 3 Census: 50

Employees mentioned
NameTitleContext
Director of NursingDirector of Nursing (DON)Reported expectations for Care Plan content and confirmed deficiencies
RAI CoordinatorResident Assessment Instrument CoordinatorConfirmed hearing aid placement not documented and stated expectations for pain-related Care Plan documentation
AdministratorAdministratorStated expectations for documentation of pain and related Care Plans

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Dec 14, 2022

Visit Reason
The document is a plan of correction submitted following a survey to address deficiencies and certify compliance of the facility.

Findings
The facility was found to be in compliance based on acceptance of the credible allegation of compliance and plan of correction effective December 14, 2022.

Inspection Report

Annual Inspection
Census: 45 Deficiencies: 4 Date: Nov 17, 2022

Visit Reason
The inspection was conducted as the facility's Annual Recertification Survey from November 14, 2022 to November 17, 2022.

Findings
The facility was found deficient in multiple areas including accuracy of resident assessments, care plan timing and revision, professional standards of services provided, and infection prevention and control. Specific issues included inaccurate pain medication coding, failure to follow care plans for residents, inadequate infection control practices, and failure to document incidents properly.

Deficiencies (4)
Accuracy of Assessments - facility failed to accurately code the use of as needed pain medication on the Minimum Data Set (MDS) Assessment for residents.
Care Plan Timing and Revision - facility failed to follow care plans as written for residents and did not include all required interdisciplinary team members in care plan development.
Services Provided Meet Professional Standards - facility failed to provide professional standards of quality for medication review and care planning.
Infection Prevention & Control - facility failed to establish and maintain an infection prevention and control program including proper hand hygiene and blood glucose monitoring procedures.
Report Facts
Census: 45 Deficiencies cited: 4 Pain medication doses: 10 Brief Interview for Mental Status (BIMS) score: 11 Brief Interview for Mental Status (BIMS) score: 3 Brief Interview for Mental Status (BIMS) score: 15 Brief Interview for Mental Status (BIMS) score: 4 Fluid intake: 501

Employees mentioned
NameTitleContext
Staff ARegistered Nurse (RN)Observed administering medication and performing hand hygiene incorrectly
Staff BRegistered Nurse (RN)Observed performing blood glucose monitoring with improper glove use
Staff CRegistered Nurse (RN)Reported use of isolation bin and failure to wear gown during PICC line care
Staff DCertified Nurse Aide (CNA)Interviewed regarding incident recall
Staff ECertified Nurse Aide (CNA)Interviewed regarding resident pills incident
Director of Nursing (DON)Director of NursingInterviewed regarding policies and expectations for MDS accuracy and care plans
Staff FRegistered Nurse (RN)Re-educated on assessment and reporting requirements and provided late medication error report
Staff nurseRequires additional training on glucometer use and hand hygiene/gloving per corrective action plan

Inspection Report

Annual Inspection
Census: 45 Deficiencies: 4 Date: Nov 17, 2022

Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements and to evaluate the quality of care and services provided to residents at West Ridge Care Center.

Findings
The facility was found deficient in multiple areas including inaccurate coding of pain medication use on the MDS assessment, failure to follow care plans especially related to enhanced barrier precautions and gastric residual volume monitoring, failure to provide professional standards of quality in medication management, and inadequate infection prevention practices related to blood glucose monitoring.

Deficiencies (4)
Failed to accurately code the use of as needed pain medication on the Minimum Data Set (MDS) Assessment for 1 of 2 residents sampled for pain.
Failed to develop and follow the complete care plan within 7 days of the comprehensive assessment for 2 of 12 residents, including failure to follow Enhanced Barrier Precautions and failure to measure gastric residual volume prior to tube feeding.
Failed to provide professional standards of quality for medication review for 1 of 5 residents, including lack of documentation and notification following a medication incident.
Failed to implement infection prevention and control program properly, including failure to change gloves between blood glucose check and sanitizing the blood glucose machine for 1 of 2 residents reviewed.
Report Facts
Residents Affected: 1 Residents Affected: 2 Residents Affected: 1 Residents Affected: 1 Census: 45 Medication doses: 10 BIMS score: 11 BIMS score: 15 BIMS score: 3 BIMS score: 4 BIMS score: 14 Tube feeding volume: 501

Employees mentioned
NameTitleContext
Staff ARegistered Nurse (RN)Named in gastric tube feeding observation and interview regarding tube placement
Staff CRegistered Nurse (RN)Named in observation of failure to wear gown during PICC line care
Staff FRegistered Nurse (RN)Documented behavior note regarding Resident #17 medication incident
Staff BRegistered Nurse (RN)Observed performing blood glucose check and sanitizing meter without changing gloves
Director of NursingDirector of Nursing (DON)Interviewed regarding expectations for care plan accuracy and infection control practices
AdministratorFacility AdministratorInterviewed regarding facility policies and procedures
MDS CoordinatorMDS CoordinatorInterviewed regarding MDS assessment accuracy

Inspection Report

Re-Inspection
Deficiencies: 0 Date: Oct 26, 2022

Visit Reason
On-site revisit completed October 25-26, 2022 to verify compliance and certification status of the facility.

Findings
The facility was certified in compliance effective October 11, 2022. The plan of correction was not effectuated.

Inspection Report

Complaint Investigation
Census: 50 Deficiencies: 1 Date: Sep 21, 2022

Visit Reason
The inspection was conducted as an investigation of complaints #105176-C, #105230-C, #107464-C, and a facility self-reported incident #105168-M during the period 9/13/22 to 9/21/22.

Complaint Details
Complaints #105176-C and #105230-C were substantiated. Complaint #107464 was not substantiated.
Findings
The facility failed to assess, document, notify the provider and family, and provide ongoing assessment and treatment for a reported wound on Resident #2, which led to infection, surgery, and the resident's death. Complaints #105176-C and #105230-C were substantiated, while complaint #107464 was not substantiated.

Deficiencies (1)
Failure to assess, document, notify provider and family, and provide ongoing assessment and treatment for a reported wound on Resident #2.
Report Facts
Complaint numbers: 3 Facility self-reported incident: 1 Census: 50 Dates of incident and survey: Incident dates 9/13/22 to 9/21/22; wound dressing dated 5/31/22; resident passed away 6/27/22

Employees mentioned
NameTitleContext
Staff ARegistered Nurse (RN)Named in wound assessment and documentation deficiencies
Staff BRegistered Nurse (RN)Completed Re-Admission Skin Assessment and notified provider and family
Director of NursingDirector of Nursing (DON)Interviewed regarding wound assessment and documentation
Medical DirectorMedical Director (MD)Interviewed regarding wound care expectations and resident condition
Physical TherapistPhysical Therapist (PT)Confirmed open area on resident's left elbow
Orthopedic SurgeonOrthopedic SurgeonProvided medical opinion on wound and surgery
MDS CoordinatorMDS CoordinatorConfirmed wound assessment and documentation deficiencies

Inspection Report

Renewal
Census: 43 Deficiencies: 2 Date: Jul 29, 2021

Visit Reason
The inspection was conducted as a Recertification Survey and investigation of a Facility Self-Reported Incident #91050 from 7/26/21 to 7/29/21.

Findings
The facility was found to have deficiencies related to enteral nutrition and food safety requirements, including failure to ensure proper checking of gastric tube placement prior to feeding and failure to date opened food items in the refrigerator and properly label and store dried food items.

Deficiencies (2)
Failure to ensure a resident fed by enteral means receives appropriate treatment and services to prevent complications of enteral feeding.
Failure to date opened items when placed in the refrigerator and to properly label and store dried food items.
Report Facts
Census: 43 Deficiencies cited: 2

Inspection Report

Abbreviated Survey
Census: 39 Deficiencies: 0 Date: Dec 3, 2020

Visit Reason
A Focused COVID-19 Infection Control Survey was conducted from 12/2 - 12/3/2020 by the Department of Inspections and Appeals 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.

Inspection Report

Routine
Census: 33 Deficiencies: 0 Date: Jul 14, 2020

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspections and Appeals on 7/13-14/20 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.

Inspection Report

Abbreviated Survey
Census: 41 Deficiencies: 0 Date: 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.

Report Facts
Total residents: 41

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