Best Nursing Homes In Des Moines Iowa – Iowa nursing home named one of nation’s worst Shenandoah homes fined more than $300,000
An Iowa nursing home recently hit with more than $300,000 in fines has been added to Medicare’s list of the nation’s worst nursing homes.
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Garden View Maintenance Center in Shenandoah has been cited for 23 policy violations so far this year. After an inspection in April, federal officials fined the building $306,335.
Via Health Services
The Page County home is one of 10 care facilities in Iowa eligible for inclusion on the Centers for Medicare and Medicaid Services list, a national list of homes with some of the worst compliance records.
Garden View Maintenance Company in Shenandoah was recently fined more than $300,000 by federal regulators. (Photo courtesy of Shenandoah Valley News)
Garden View was recently added to the list of buildings considered eligible for listing on the basis of poor performance. The home had the lowest possible CMS ratings on all three dimensions set by the federal agency: quality of care, staffing levels and regulatory compliance.
About 32% of Garden View’s workforce has not been vaccinated against COVID-19, according to CMS. The property is owned by Shenandoah Properties, a limited liability company based in Jackson, Mississippi.
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In April, state inspectors visited View Gardens in response to nine complaints, eight of which were substantiated. Inspectors cited the building for failing to protect residents from abuse; lack of sufficient nursing staff; failure to maintain sanitary conditions; failure to provide residents with supplemental oxygen ordered by a physician; failure to develop a treatment plan for residents; failure to provide adequate grooming and bathing for residents; failure to change wound dressings; fails to provide scheduled physical therapy for residents; and failure to protect two occupants from accidents that led to broken bones.
The inspectors reported that the company’s fire alarm equipment indicates that building residents often wait 30 to 50 minutes — and sometimes two or three hours — for workers to answer the fire calls they use to make.
According to inspectors, two nurses at the home refused to feed a resident unless he got up in bed, keeping his feeding tray at the nurse’s station instead. For dinner, the woman ate a meatloaf that her brother had brought to the company, and other workers later reported that the woman was “crying hard” in her room.
One of the nurses serving the dinner later told the female colleague she was not allowed to eat because of her size, investigators reported.
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In an unrelated incident at the home, an employee told investigators he heard an aide say of a resident, “I’m not going to do this all night,” and watched the aide drag the woman out of the room and drag her back across. floor to another room. The officer reported that the aide told the resident, “Sit down and shut up.” The officer told investigators that he confronted the assistant and told him, “You’re lucky I need my job because I would never hit anybody.”
During the visit, inspectors reported seeing residents with long, dirty fingernails and messy, greasy hair. Residents, staff and personal facilities indicate that showers are often not provided because the building is short staffed and day shift workers refuse to provide showers. In at least some cases, residents are given a bag of wet wipes called “Ready to Wash” instead.
The director of nursing told the inspectors that the house was not understaffed and that they were showering. He reported that he was “superior to the staff” and added that if the staff, residents and records showed that they did not receive a shower, they were wrong.
A superintendent was found by an inspector lying naked on a bed with urine soaked clothes. Ten different workers in the building told an inspector that when they started their shifts in the morning, they would often find residents lying in urine-soaked clothes.
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Two residents who were not receiving supplemental oxygen at home were admitted on an emergency basis after their oxygen levels, which should have been above 88%, dropped to the mid-40s.
During the visit, the inspectors also noticed large, “bullet-sized” holes in the walls, visible pipes, missing ceiling tiles and plastic surfboards that were peeling from the walls.
While the investigation is still ongoing, state officials told the facility that the residents are considered to be in “immediate danger,” which is a term that refers to a high-level code violation. The next day, inspectors reduce crime based on the provided plans for the building to fix the problems.
Based on the findings, the Iowa Department of Inspections and Appeals proposed, but did not impose, $20,000 in state fines. By withholding those fines, the state agency gave CMS the ability to collect $306,335 in unpaid federal fines.
Des Moines, Ia Senior Living
The CMS Healthcare website cites the most recent federal fine levied in our Garden View in 2019 – although some of the data on this website appears to be incomplete. The Department of Inspections and Appeals website states that in March 2020, CMS paid a federal fine of $62,582 against Garden View.
Typically, homes eligible for special focus selection have about twice the average number of violations cited by state inspectors; they have more serious problems than many other nursing homes, including injury or harm to residents; and they established a pattern of serious problems that has existed for a long time.
Other Iowa facilities currently eligible for special focus status are: Altoona Nursing & Rehab; Aspiration of Muscatine; Aspire from Primghar; Cedar Falls Health Care Center; The Ivy in Davenport; Oakland Manor; QHC Fort Dodge Villa; QHC Mitchellville; and Rock Rapids Health Center.
The list of special focus facilities is updated quarterly by CMS and includes facilities deemed by CMS to have a “history of serious quality problems.” These homes are part of a project that aims to improve the quality of their care through increased supervision.
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While 10 Iowa households are eligible for such assistance, they are not enrolled in the program or are not receiving the assistance.
That’s because the number of applications in the list remains constant. New facilities cannot be designated as a special focus facility, no matter how poorly maintained, until other buildings in the same condition are improved and “graded” off the list – a process that can take years, four or more.
Nationally, there are approximately 88 nursing homes on the list, with one or two spots to be filled from each state. The State Department of Inspections and Appeals selects Iowa applications for inclusion on the list, and CMS selects two from the state to enroll in the program.
The two Iowa facilities currently designated as special focus facilities are Touchstone Health Care Community in Sioux City and QHC-Winterset North in Madison County.
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Editor’s Note: This story has been updated with a correction: Garden View Care Center is located in Page County, not Fremont County.
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Deputy editor Clark Kauffman has worked for the past 30 years as both an investigative reporter and editorial writer at two of Iowa’s largest newspapers, the Des Moines Register and the Quad-City Times. He has received a number of state and national awards for reporting and editorial writing. His column (2004) on prosecutorial misconduct in Iowa was named a finalist for the Pulitzer Prize for investigative reporting. From October 2018 to November 2019, Kauffman was the deputy director of the Iowa Office of the Ombudsman, an agency that investigates citizen complaints of wrongdoing between state and local governments. We believe that everyone should have the opportunity to live a life of growth, experience, engagement and meaning, regardless of physical, social or economic conditions. Aging is beneficial. The second half of life can be the best half!
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