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F0584
E

Persistent Pungent Odors Compromise Homelike Environment

Urbandale, Iowa Survey Completed on 02-11-2026

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 maintain a safe, clean, comfortable, and homelike environment due to persistent pungent odors on two of three nursing units (Station 1 and Station 2). Surveyors repeatedly detected strong, unpleasant odors in specific areas, including near the shower room and environmental services door on Station 2, and down the East hallway on Station 1. These odors were present at multiple times over several days, sometimes lingering for hours and recurring after temporary reduction. On one occasion, an uncovered trash and linen cart containing trash, soiled briefs, and soiled linens was observed in the Station 2 hallway, contributing to unpleasant odors. Staff interviews confirmed awareness of the ongoing odor problem. The Housekeeping Director reported using a deodorizing machine about twice weekly and as needed, without a set schedule for specific units, and acknowledged that the odor is present daily, suspecting it may be related to personal habits of several residents. The Housekeeping Director stated staff were instructed to change bedding daily and empty trash in a timely manner. The Maintenance Assistant also acknowledged the odors, particularly on Station 1 East hallway, and suspected the carpets as a source, noting they are shampooed once per month. The Administrator acknowledged the pungent odors throughout the building. Facility policy on Quality of Life–Homelike Environment requires staff and management to maximize a personalized, home-like setting with pleasant, neutral scents and to minimize institutional odors, which was not achieved based on these observations.

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