Click Free Pest Control Quote
to fill in a form to obtain a free pest control quote today.
An Iowa nursing home cited for regulatory violations that contributed to abuse, neglect and the death of a resident has been added to a federal list of the nations worst care facilities and fined more than half a million dollars.
The QHC Fort Dodge Villa in Webster County was cited in October for 18 federal regulatory violations and four state violations.The facility was recently added to the Centers for Medicare and Medicaid Services Special-Focus Facility List, which is a national list of care facilities with some of the worst records of regulatory compliance.
The Fort Dodge home, which has about 75 residents, now has the lowest possible overall rating from CMS, which evaluates care facilities performance based on inspectors findings, staffing levels and quality of care. It is one of two Special-Focus Facilities in Iowa that are run by QHC Management of Clive, a company owned by Jerry and Nancy Voyna.
QHC Management operates eight nursing homes and two assisted living facilities that provide care for about 500 Iowans.
As a result of issues uncovered by state inspectors this past summer, the Fort Dodge home has been hit with federal fines for each day it has remained out of compliance with minimum health care standards. The daily fines, which once were accruing at almost $9,000 per day, so far total $685,740. State officials said Friday the final fine wont be determined until the facility comes into substantial compliance with all government regulations.
In August, state inspectors visited the Fort Dodge home and subsequently issued a 199-page inspection report listing all of the regulatory violations found at the facility. Among the violations: failure to respect residents rights; failure to provide a safe, clean environment; failure to provide quality care; failure to prevent or treat pressure sores, and failure to ensure residents are free of medication errors.
Also, failure to employ sufficient nursing staff; failure to adequately prevent and control infections; failure to provide adequate COVID-19 testing and screening; failure to keep the home free of accident hazards; and failure to employ competent nursing staff.
The inspection was triggered by 10 complaints to the state inspections agency, all of which were substantiated.
Among the problems alleged by inspectors:
Resident death: On June 27, a resident of the home fell and struck his head. According to an aide who witnessed the fall, a nurse was nearby, on her phone, and did nothing to assist the resident and continued to talk on her phone even after the fall. Another aide interviewed about the fall told inspectors the facility is a mess compared to others she worked in, and that the nurses dont care when resident issues are reported to them.
Although the resident who fell immediately complained of pain, no pain medications were given for 22 hours, and there was no indication of a complete assessment of the injury being performed. Shortly after the fall, the resident screamed out in pain and could be heard as far as approximately 200 feet away when he was repositioned in bed, inspectors reported. The resident screamed, cried and begged for God to take his life, the inspectors found. On July 2, five days after the fall, the resident died.
A staff nurse who saw the resident that day later told inspectors the mans hip was rotated all the way to his buttock and one leg was significantly shorter, adding that the mans condition would have been obvious to anyone who had performed an assessment.
Neglect: On Aug. 23, a resident was admitted to the home after surgical repair of an open compound fracture of his left ankle. The resident told inspectors that he waited more than an hour for assistance from the staff to get into bed. During that time, he said, he watched the staff congregate at the nurses station, using their phones and laughing.
When he attempted to put himself to bed, his wheelchair slid out from under him and he fell to the floor, then crawled to the bed and climbed in. None of the staff came to his assistance or evaluated his injuries, he said.
Another resident of the home told inspectors she fell on Aug. 30 while attempting to get into a taxi at the facility for a trip to bank. She said the staff saw her fall but was instructed not to help her, so she crawled across the parking lot and got into the taxi.
Physical abuse: A medication aide told inspectors she saw one resident of the home punch another resident while a group of nurses sat nearby using their phones. The aide said she had to threaten to call the state before her co-workers agreed to check the resident who was attacked. Another employee told inspectors that a nurse immediately assessed the resident.
Verbal abuse: A medication aide at the home backed up a residents complaint about two workers who were accused of bullying residents of the home. The aide said the two were verbally abusive to one resident, saying things such as, You are going to do this right now or its not going to happen for you at all, and spoke in vulgar, blunt tones.
COVID-19 screening: A dietary aide told inspectors she had a problem breathing through her COVID-19 mask so she typically placed it below her nose. She also reported that had never had her temperature checked prior to working and had never been asked any questions about signs or symptoms of COVID-19 prior to entering the facility and serving food and drinks to residents.
Another dietary aide was seen by inspectors eating in the dining room, alongside two unmasked residents, with her mask pulled down below her chin. Inspectors watched as two nurse aides entered a residents room with their masks pulled down.
Later that day, another worker entered the building without being screened for COVID-19 and walked into the building with her mask below her nose. The home was also cited for failing to employ an infection prevention specialist as required.
COVID-19 testing: The home was cited for failing to maintain records of COVID-19 testing prior to July 13 of this year, and for repeatedly failing to test dozens of residents after positive COVID-19 cases were confirmed in the facility.
Resident discharge: The facility was cited for discharging a resident against medical advice without first making referrals to ensure someone would follow up with the man once he left the home and was in the community.
A nurse aide told inspectors that about a week after the man was discharged, she was driving to work and saw the man on the street where he flagged her down. She turned around and gave the man money to eat, later reporting that the mans clothing was drenched in urine and soiled with feces and his motorized scooter was about to stop working.
It was horrible to see him like that, he was definitely in the same clothes, the aide told inspectors. When he was at the facility, he was my favorite, respectful, never really did anything. I miss him.
Medication errors: The home failed to give one resident four doses of prescribed medications for hypertension a condition that increases the risk of stroke and heart attacks. The resident was rushed to the hospital after complaining of chest pain and becoming unresponsive. The resident was admitted to the hospital and diagnosed as having had a heart attack.
Residents rights: Inspectors noted that an infestation of bed bugs resulted in the staff throwing away one residents new leather recliner, which was not the source of the bugs.
Staffing levels: The home was cited for employing a director of nursing who often worked as a floor nurse, limiting her ability to oversee the staff. The director of nursing had worked 756 hours in one three-month period an average of 63 hours per week.
Tuberculosis testing: The homes administrator told inspectors the facility didnt have any new physicals or tuberculosis tests for employees, adding that she wondered if the staff had stopped doing them once the company stopped giving pay raises.
QHC Fort Dodge Villa is now on the nations Special Focus Facilities list. Typically, homes that are eligible for special-focus designation have about twice the average number of violations cited by state inspectors; they have more serious problems than most other nursing homes, including harm or injury to residents, and they have established a pattern of serious problems that has persisted over a long period of time.
The Special-Focus Facility List is updated quarterly by CMS and includes homes deemed by CMS to have a history of serious quality issues. Those homes are enrolled in a special program intended to stimulate improvements in their quality of care through increased oversight.
While 10 Iowa homes are deemed eligible for that sort of assistance, they are not actually enrolled in the program or receiving the assistance.
Thats because the number of facilities on the list remains relatively constant. New facilities cant be named a special-focus facility, regardless of how poor their care is, until other homes in that same state improve and graduate from the list a process thatcan take four years or more.
Nationally, there are normally about 88 nursing facilities on the list, with one or two slots to be filled by each state.The only Iowa homes now designated as Special-Focus Facilities are both run by QHC Management of Des Moines, with QHC Winterset North having been on the list for 12 months.
According to CMS, the Winterset home remains on the list because it has not yet shown any improvement. A third QHC home in Mitchellville is on the list of homes eligible for special-focus status due to its history of care issues.
In addition to the Mitchellville home, the other Iowa facilities deemed eligible for special-focus status are Altoona Nursing & Rehab; Aspire of Muscatine; Aspire of Primghar; Cedar Falls Health Care Center; Fleur Heights Center for Wellness in Des Moines; Garden View Care Center in Shenandoah; The Ivy in Davenport; Oakland Manor; and the Rock Rapids Health Centre.
Officials at QHC Management said Friday that owner Nancy Voyna was not available for comment.
Since 2011, the Voynas have contributed $36,000 to Iowa Health PAC, a political action committee controlled by a lobbying group for the Iowa nursing home industry. Between December 2017 and December 2018, Iowa Health PAC contributed $65,100 to the campaign committee of Gov. Kim Reynolds.
- CrossFire Bed Bug Concentrate (Residual Spray) - January 17th, 2022
- Common Iowa Insect Bites and Stings - July 31st, 2020
- Iowa Bed Bug Hotel and Apartment Reports | BedBugReports.com - May 22nd, 2020
- Laundromats try to help prevent COVID-19 with precautions - KCAU 9 - April 16th, 2020
- Donald Lewis finds beauty in the small things - Iowa State Daily - February 3rd, 2020
- Pest Control | Bed Bug Exterminator Iowa City, Cedar ... - April 19th, 2019
- Pest Control | Omaha & Council Bluffs - February 25th, 2019
- Bed Bugs AnswerLine Iowa State University Extension ... - November 1st, 2018
- Bed Bugs - Termites | Priority Pest Control - Omaha, NE - April 14th, 2018
- Driving someone with bedbugs Got Bed Bugs? Bedbugger Forums - March 22nd, 2018
- BedBug Chasers Rated #1 Iowa Bed Bug Heat Treatment - March 17th, 2018
- Iowa, United States Bed Bug Registry Map Bed Bug ... - March 17th, 2018
- Bed bugs have favorite colors | Science News for Students - February 21st, 2018
- Iowa Legal Aid - November 20th, 2017
- Four You - Eclipse of My Heart - WAAF.com (blog) - August 22nd, 2017
- Springer Canine Teams Receive NESDECA Bed Bug Certification - PCT Magazine - August 19th, 2017
- 5 children found overheated, infested with bugs in back of U-haul - WPXI Pittsburgh - August 9th, 2017
- Experts on bed bugs and bed bug extermination - Bed Bug Guide - August 8th, 2017
- Central Illinois struggles to find solution for bed bugs - Moline Dispatch - Quad-Cities Online - July 27th, 2017
- Bed Bugs vs Fleas - Difference and Comparison | Diffen - July 6th, 2017
- Bed bugs trouble for hospitals across Iowa and US - KCRG - April 8th, 2017
- Iowa Bed Bug Control - March 8th, 2017
- Questions and Answers for Tenants About Bedbugs | Iowa ... - March 4th, 2017
- Pest Control Omaha | Bed Bugs | Termites | Priority Pest ... - February 24th, 2017
- Community agencies struggle to meet emergency housing needs - McDonough Voice - February 6th, 2017
- Baltimore, D.C. Rank #1 and #2 On Orkins Bed Bugs List ... - February 4th, 2017
- Bed Bugs Treatment and Extermination Testimonials - Page 1 - December 27th, 2016
- Bed Bugs | Linn County, IA - Official Website - July 22nd, 2016
- Bed Bug Control & Prevention | Plunketts Pest Control - March 9th, 2016
- Bed Bug Treatment Des Moines and Ames - Iowa Bed Bugs - March 7th, 2016
- Bat Bug | Iowa Insect Information Notes - August 30th, 2015
- Herbal Health Care: Bed Bug Repellents - blogspot.com - February 9th, 2015
- Getting Rid Of Bed Bugs :: Springer Bed Bug Removal - January 29th, 2015
- Bed Bug Services - Des Moines's Bed Bug Experts | Janssen ... - December 24th, 2014
- Investigating Easy Options Of bedbugs removal ia | Home - November 30th, 2014
- Groups - Black Hair World - November 23rd, 2014
- MastiClub.net | Rapid Systems For bed bugs termal ... - November 19th, 2014
- Battling Bedbugs On A Budget - November 7th, 2014
- Killing Bed Bugs is No Easy Task - November 3rd, 2014
- County looks at bed bug problem - October 8th, 2014
- Bed bugs on the rise in eastern Iowa - September 23rd, 2014
- Identify Bed Bugs, Identify bed bug, Iowa Bed Bug, Iowa ... - July 10th, 2014
- Bed Bugs Iowa State University | Bed Bug Relief - July 10th, 2014
- Newton apartment building found to be an unfit dwelling - July 2nd, 2014
- Bed Bug Report for Holiday Inn, Davenport, IA - May 8th, 2014
- Indiana Bed Bugs Bettenhausen & Jarman, Ltd. Real - March 31st, 2014
- Charities don't need actual junk - March 29th, 2014
- SW Ohio ranks again for bedbug treatments - January 20th, 2014
- Chicago Tops Bed Bug Cities List for Second Year in a Row ... - January 16th, 2014
- Bed Bug Picture / Bedbug Picture 3 (Hardin MD / CDC) - December 9th, 2013
- Bedbug Treatments - Downs Pest Control | Des Moines Safe Pest ... - December 3rd, 2013
- Hawkeye Exterminators - Pest Control Des Moines, Iowa ... - November 25th, 2013
- Bed Bug Detection and Removal for Iowa :: Springer Home Services - November 25th, 2013
- Bed Bug Detection and Extermination :: Springer Home Services - November 9th, 2013
- Green Iowa Bed Bug Treatment - Miller Pest & Termite - Bedbugs - November 9th, 2013
- Preferred Pest Control | Professional Pest Control in Central Iowa - November 3rd, 2013
- Mount Mercy Treats Apartments After Bed Bugs Found in One Unit - October 11th, 2012
- Bedbug expert scratches head over extent of UNL infestation - February 18th, 2012
- Bedbug Bill Tries to Hold Tenants Accountable For Infestation - February 13th, 2012
- SHELTER BUGS: A homeless shelter in Des Moines is infested with bed bugs - February 13th, 2012
- Bedbug bill causes rash of debate in House subcommittee - February 1st, 2012
- Bedbug Heat Treatment - Video - January 20th, 2012
- Lexington Park on Iowa has bed bugs - Video - December 12th, 2011
- Bed Bugs Becoming an Epidemic - Video - December 10th, 2011
- ISU Extension: Bed bugs - Video - October 14th, 2011
- Company Plans Bigger Battle Against Bedbugs - September 24th, 2011
- Lifestyles of the Creepy and Crawly - September 22nd, 2011
- Bed Bug Talk With Jeff Springer - September 19th, 2011
- Official: Saboteur Unleashed Bedbugs In City Building - September 14th, 2011
- Pauls Pest Control Adel IA - September 13th, 2011
- New Task Force To Fight Bedbugs - September 11th, 2011
- Polk County creates bed bug task force - September 11th, 2011
- Residents Sue Apartments Over Bedbugs - September 8th, 2011
- Organic Biological Pest Control Product Non Toxic Green Best - September 8th, 2011
- Spring Brings Insect Invasion - September 8th, 2011
- Industry Adaptation and Advances in Bed Bug Control - September 8th, 2011
- Newswatch 18: The Year in Review Part 2 - September 6th, 2011
- Newswatch - Oct. 3, 2010 - September 5th, 2011
- Iowa Hotel Launches Bed Bug Battle - August 20th, 2011
- Bedbugs at Iowa State University - August 17th, 2011
Click Free Exterminator Quote
to fill in a form to obtain a free exterminator quote today.