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F0727
F

Failure to Provide Required RN Coverage

Onawa, Iowa Survey Completed on 05-08-2025

Penalty

No penalty information released
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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

The facility failed to ensure that a Registered Nurse (RN) was present for 8 consecutive hours each day, as required. A review of the April 2025 nursing schedule revealed that there was no RN coverage on two specific days, the 13th and the 17th. The Director of Nursing (DON) confirmed the absence of RN coverage on these dates. Additionally, a nurse consultant was unsure if there was a formal policy regarding RN coverage but stated that the facility follows the standard of care to provide 8 consecutive hours of RN coverage daily. The facility assessment indicated that staffing plans are based on census, acuity, and hiring availability, with a reported census of 32 residents at the time.

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