Inspection Reports for
Wheatland Manor
316 East Lincolnway, Wheatland, IA, 527770368
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
44 residents
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Routine
Census: 44
Deficiencies: 1
Date: Jan 15, 2026
Visit Reason
The inspection was conducted to investigate a fall incident involving Resident #48 where staff failed to use a gait belt during transfer, resulting in an arm fracture.
Findings
The facility failed to ensure staff used a gait belt during transfer of a resident requiring moderate assistance, leading to an acute fracture of the resident's left arm. Staff interviews, record reviews, and policy assessments confirmed noncompliance with transfer protocols despite posted care instructions and facility policies.
Deficiencies (1)
Failure to use a gait belt during transfer of Resident #48 resulting in an arm fracture.
Report Facts
Residents Affected: 3
Census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nursing Assistant (CNA) | Named in the finding for not using gait belt during transfer resulting in resident injury |
| Staff B | Registered Nurse (RN) | Interviewed regarding the incident and confirmed Staff A did not use gait belt |
| Staff C | Certified Nursing Assistant (CNA) | Provided information on transfer policies and care card usage |
| Staff D | Certified Nursing Assistant (CNA) | Discussed facility policy on gait belt use and care card |
| Director of Nursing | Director of Nursing (DON) | Oversaw investigation, confirmed policy and staff education on gait belt use |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 9, 2025
Visit Reason
A complaint investigation for complaint #1729361-C was conducted on October 9, 2025.
Complaint Details
Complaint #1729361-C was investigated and found to be unsubstantiated as the facility was in substantial compliance.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Feb 6, 2025
Visit Reason
A revisit of the survey ending on January 9, 2025 was conducted to verify correction of previous deficiencies.
Findings
All deficiencies were corrected and the facility was found to be in compliance effective January 29, 2025.
Inspection Report
Annual Inspection
Census: 44
Deficiencies: 1
Date: Jan 9, 2025
Visit Reason
The inspection visit was conducted as an annual recertification survey of Wheatland Manor from January 6, 2025 to January 9, 2025.
Findings
The facility failed to provide adequate supervision to prevent a fall resulting in a fracture for one resident. The investigation revealed that staff left the resident unattended during transfer, contrary to facility policy, leading to the fall. The facility provided re-education to nursing staff and updated policies to prevent recurrence.
Deficiencies (1)
Failure to provide adequate supervision and assistance devices to prevent accidents, resulting in a resident fall with fracture.
Report Facts
Resident census: 44
Brief for Mental Status (BIMS) score: 15
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Weir | Administrator | Signed the statement of deficiencies and plan of correction |
| Staff A | Resident Care Technician (RCT) | Witnessed the resident fall and assisted with care |
| Staff C | Resident Care Technician (RCT) | Assisted Resident #5 with transfer during observation |
| Director of Nursing (DON) | Provided statements regarding the fall and staff expectations |
Inspection Report
Annual Inspection
Census: 44
Deficiencies: 1
Date: Jan 9, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulations related to resident safety and supervision following a fall incident involving Resident #5.
Findings
The facility failed to provide adequate supervision to prevent a fall that resulted in a left hip fracture requiring surgical repair for Resident #5. The investigation revealed that staff left the resident unattended during a transfer despite care plan instructions requiring assistance.
Deficiencies (1)
Failure to provide adequate supervision to prevent a fall resulting in a fracture for Resident #5.
Report Facts
Residents present: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Resident Care Technician | Witnessed fall and left Resident #5 unattended during transfer |
| Director of Nursing | Director of Nursing | Interviewed regarding fall incident and facility policies |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 21, 2024
Visit Reason
A complaint investigation for complaints #121676-C was conducted on October 21, 2024.
Complaint Details
Complaint #121676-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: Feb 16, 2024
Visit Reason
The document reflects acceptance of a credible allegation of substantial compliance and the facility's Plan of Correction, resulting in certification of compliance.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction submitted, leading to certification effective February 16, 2024.
Inspection Report
Annual Inspection
Census: 41
Deficiencies: 5
Date: Feb 1, 2024
Visit Reason
The inspection was conducted as part of the facility's Annual Recertification Survey and investigation of multiple complaints (#110786-C, #118146-C) and a Facility Self-Reported Incident (#117371-14) from January 29, 2024 to February 1, 2024.
Complaint Details
The inspection included investigation of complaints #110786-C and #118146-C, and a Facility Self-Reported Incident #117371-14. The report documents findings related to these complaints, including privacy violations during resident transport and bathing, medication administration errors, and call light accessibility issues.
Findings
The facility was found deficient in multiple areas including resident rights and dignity during transport and bathing, accuracy of Minimum Data Set (MDS) assessments, medication administration and documentation, food safety and handling, and resident call system accessibility. Corrective actions and staff re-education plans were documented for each deficiency.
Deficiencies (5)
Failure to provide residents with privacy and dignity during transport to the shower room, including use of a shower chair pulled backwards exposing residents' skin.
Failure to accurately code Minimum Data Set (MDS) assessments for residents.
Failure to meet professional standards by omitting physician orders for Fentanyl pain patches for residents.
Failure to procure, store, prepare, and serve food in accordance with food safety requirements, including failure to check temperature of cabbage and perform hand hygiene.
Failure to provide a call light within reach of residents in some rooms and bathrooms.
Report Facts
Census: 41
Deficiencies cited: 5
MDS Assessment Scores: 0
MDS Assessment Scores: 10
Medication Patch Dosage: 12
Medication Patch Dosage: 1
Inspection Report
Routine
Census: 41
Deficiencies: 5
Date: Feb 1, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, accurate assessments, medication administration, food safety, and call light availability at Wheatland Manor nursing home.
Findings
The facility failed to maintain resident dignity during transport to the shower room, failed to accurately code Minimum Data Set assessments for antidepressant use, omitted a Fentanyl pain patch for over one day, failed to check food temperatures and perform hand hygiene during meal service, and did not provide accessible call lights in resident rooms and bathrooms.
Deficiencies (5)
Failed to provide residents with privacy and dignity during transport to the shower room when residents were pulled backwards in a shower chair with skin exposed.
Failed to code 2 out of 5 Minimum Data Set (MDS) Assessments correctly for residents reviewed.
Failed to follow Physician's Orders when a resident's Fentanyl pain patch had been omitted for greater than one day.
Failed to check the temperature of cabbage served and failed to perform hand hygiene when picking up an item from floor during meal service.
Failed to provide a call light within reach of a resident in his room and one unlocked bathroom lacked a call light.
Report Facts
Residents affected: 3
Residents affected: 2
Residents affected: 1
Residents affected: 1
Census: 41
Deficiencies cited: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Certified Nursing Assistant (CNA) | Named in dignity issue during resident transport |
| Staff A | Certified Nursing Assistant (CNA) | Named in dignity issue during resident transport |
| Staff E | Certified Nursing Assistant (CNA) | Reported use of sheet to cover residents during transport |
| Director of Nursing | Director of Nursing (DON) | Provided confirmation and explanations regarding deficiencies including dignity, MDS assessments, medication administration, and call light issues |
| Staff G | Dietary Aide | Observed failing to perform hand hygiene during meal service |
| Dietary Supervisor | Dietary Supervisor | Reported failure to check food temperature and intention to educate staff |
| Staff D | Registered Nurse (RN) | Reported bathroom door lock broken and lack of call light |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
An Annual Recertification Survey was conducted from December 12, 2022 to December 15, 2022.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 15, 2022
Visit Reason
Annual survey inspection of Wheatland Manor nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 1
Date: Oct 1, 2021
Visit Reason
The visit was conducted as a Re-certification Survey and Investigation of Complaints #04025 and #00009 completed on 09/23/2021.
Complaint Details
The investigation was related to complaints #04025 and #00009. The facility's Director of Nursing provided counseling to the employee involved, and the facility took steps to reinforce safety precautions and gait belt usage to prevent future incidents.
Findings
The facility failed to provide adequate supervision and assistance devices to prevent accidents, resulting in a resident falling due to not having a gait belt during transfer. The facility took corrective actions including counseling staff and re-educating nursing staff on gait belt usage.
Deficiencies (1)
The facility failed to provide adequate supervision and assistance devices to prevent accidents, evidenced by a resident falling during transfer without a gait belt.
Report Facts
Resident census: 36
Date of resident assessment: Aug 25, 2021
Date of observation: Sep 21, 2021
Date of interviews: Sep 21, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael J. Weich | Administrator | Signed the plan of correction document |
| Employee A | Employee counseled by the Director of Nursing regarding the incident | |
| Director of Nursing | Director of Nursing | Provided counseling to Employee A and explained expectations for resident transfers |
Inspection Report
Abbreviated Survey
Census: 40
Deficiencies: 0
Date: Nov 24, 2020
Visit Reason
A focused COVID-19 infection survey was conducted 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.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 27, 2020
Visit Reason
The inspection was a recertification survey conducted from 2/24 to 2/27/2020 to assess the facility's compliance with federal regulations.
Findings
The facility was found to be in substantial compliance with the Code of Federal Regulations (42CFR) Part 483, Subpart B-C at the time of the recertification survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Feb 27, 2020
Visit Reason
The inspection was a recertification survey conducted from February 24 to 27, 2020, to assess the facility's compliance with federal regulations.
Findings
The facility was found to be in substantial compliance with the applicable federal regulations at the time of the recertification survey.
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