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F0584
E

Failure to Maintain Clean and Homelike Resident Environment

Fort Dodge, Iowa Survey Completed on 08-27-2025

Penalty

Fine: $208,150
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Surveyors observed multiple instances where the facility failed to maintain a clean, sanitary, and homelike environment for its residents. On several occasions, dried, brown stains were seen running down the wall beside a resident's bed, persisting over multiple days without being cleaned. Additional observations included a buildup of dust, dirt, and debris on care equipment such as a stand-up lift and a total lift device, as well as a brown or rust-like substance on a scale device. A bedside fall mat was found with a torn plastic covering, exposing the inner foam and making it unsanitizable, and the mat itself had significant white stains and discoloration. The floor in the resident's room also had a noticeable accumulation of dust, dirt, and debris. Further inspection revealed a torn pillow or positioning device on a bed, exposing inner foam, and a hallway heating element in poor repair with exposed inner elements and jagged edges. Staff interviews corroborated these findings, with a CNA and an RN both describing the resident rooms as unclean, containing dust, dirt, and debris, and expressing that the residents deserved better conditions. These observations and staff statements indicate a consistent failure to uphold standards for cleanliness and maintenance in resident rooms and care equipment.

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