Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pleasantview Home during CMS and state inspections, most recent first.
Expired food and beverage items were found in the kitchen, including tea, cereal, almond milk, and powdered drink mixes, and they remained present on follow-up observation. During meal prep and service, a Cook repeatedly touched prep and service surfaces with her shirt and body, piled used gloves on the counter, changed gloves without hand hygiene, and later pureed food without changing gloves or sanitizing the surface. The Cook also did not temp sweet potatoes on the steam table.
A facility failed to assist residents with toileting in a timely manner when the Sara Steady lift was not immediately available. A resident with intact cognition and dependent toileting needs reported waiting about 30 minutes daily and being incontinent while waiting, and was observed waiting 20 minutes before staff returned with the lift. Another resident with intact cognition and frequent bowel and bladder incontinence reported waiting 20 to 30 minutes for bathroom assistance and was observed waiting with her call light on before staff brought the lift. A third resident with a recent femur fracture, intact cognition, and dependent transfers reported having to void in her brief because staff response was slow and they had to wait for a second staff member.
Medication Error and Lack of Post-Error Assessment: An RN was interrupted during med pass and then gave one resident another resident’s bedtime meds, including an antipsychotic, an anxiolytic, and a statin. The resident, who had MDD and anxiety and intact cognition, later reported visual hallucinations, but the record lacked documentation of a post-error assessment or vital signs, and the RN confirmed she did not check them.
Failure to Perform Hand Hygiene and Change Gloves During Catheter Care: A CNA provided catheter care and toileting assistance to a resident with an indwelling urinary catheter, then changed gloves without performing hand hygiene and continued multiple care tasks, including dressing, perineal care, and oral care setup. Facility policy and staff interviews confirmed hand hygiene was required after glove removal and between glove changes.
A facility failed to follow infection control practices during medication administration for two residents. An RN used bare hands to handle pills, contrary to policy, leading to contamination risks. Interviews confirmed this practice was against the facility's guidelines.
Expired Food, Poor Hand Hygiene, and Unsanitary Food Prep Practices
Penalty
Summary
The facility failed to discard expired food and beverage items, maintain sanitary work stations, and ensure staff completed hand hygiene during meal preparation during 3 of 3 kitchen observations. During the initial kitchen observation, expired items were found in multiple locations, including a box of black tea with a use by date of 11/13/2025, four boxes of shredded wheat cereal with use by dates of 01/17/2026, six bottles of almond milk with use by dates of 01/04/2026, and powdered cherry and orange thirst quencher items with use by dates of 03/06/2026 and 03/14/2026. Staff R, Dining Services Coordinator, stated she audited for expired items and expected the person who found them to remove them, but on the follow-up observation the expired items were still present in the kitchen. During continued observation, Staff B, Cook, repeatedly allowed clothing and body contact with food preparation and service surfaces and did not complete hand hygiene when changing tasks or gloves. Staff B leaned on counters, her shirt touched plates and the white prep surface, and she cut chicken on the prep surface after contact with those surfaces. She also removed gloves and piled them on the food preparation surface, then put on clean gloves without washing hands. Later, Staff B began the puree process without changing gloves or sanitizing the surface. On another observation, Staff B took temperatures of steam table items but did not temp the sweet potatoes, stating she used softness instead. Staff A, Dietary Services Director, stated staff should wash hands every time they changed tasks or gloves, should not lean on serving or preparation surfaces, and that sweet potatoes should have been included on the temperature sheet.
Delayed Toileting Assistance Due to Limited Lift Availability
Penalty
Summary
The facility failed to assist residents with toileting in a timely manner, and three residents were reported or observed to have been incontinent while waiting for staff to obtain and use the Sara Steady lift. Resident #21 had intact cognition, required substantial assistance with toileting and dependent transfers, and was frequently incontinent of urine and always incontinent of bowel. The resident reported that staff routinely made her wait about 30 minutes to get into the bathroom because the Sara Steady was not available, and that she had been incontinent as a result. During observation, she was sitting in her wheelchair waiting to toilet, stated she had already been waiting 20 minutes, and staff had to leave to find another lift before assisting her to the toilet. Resident #6 also had intact cognition and was frequently incontinent of bowel and bladder, with dependence for transfers and toileting. She reported waiting 20 to 30 minutes to use the bathroom because the Sara Steady was not available and said staff told her the lift was not available. During observation, she had her call light on for 10 minutes and stated she needed to go to the bathroom. Staff initially attempted to use her walker, but the resident requested the Sara Steady; staff then left and returned with the lift and another CNA before assisting her to the toilet. Resident #64 had a right femur fracture with surgical repair, intact cognition, urge incontinence of the bladder, and dependence for transfers and toilet use. She reported needing to use the bathroom three times in one day and having to void in her incontinent brief because staff responded slowly and told her they had to wait for a second staff member. The DON confirmed that seven residents used the Sara Steady lift and that the facility had reviewed lift use and was considering purchasing another machine, while the facility policy stated that nursing staff were to provide appropriate assistance and support with ADLs.
Medication Error and Lack of Post-Error Assessment
Penalty
Summary
Resident #47, who had intact cognition with a BIMS score of 15 and diagnoses including major depressive disorder and anxiety disorder, received another resident’s bedtime medications on 3/29/26. The medications given in error were pravastatin 20 mg, quetiapine 25 mg, and lorazepam 0.25 mg. The medication error occurred when the RN was called away during medication pass and, upon returning, resumed passing medications and took medications to the wrong resident. The incident report stated the RN realized the error right away and notified the on-call nurse. The on-call nurse determined it was not necessary to contact the physician at that time, and the provider would be informed on rounds the next morning. The report also documented that the nurse who administered the medications was instructed to observe the resident for signs and symptoms of adverse reaction, and no adverse reactions were noted for the remainder of the shift. The record did not contain documentation of an assessment of Resident #47 after the medication error. During interview, Resident #47 stated she later experienced visual hallucinations of a man in her room and said she had not seen staff check her vital signs or ask about medication side effects after the incident. The RN confirmed she did not check vital signs and was told to just watch for reactions, while the ADON and DON stated the nurse should have assessed, checked vital signs, monitored the resident, and documented the resident’s condition following the error.
Failure to Perform Hand Hygiene and Change Gloves During Catheter Care
Penalty
Summary
The facility failed to ensure staff performed hand hygiene with a change in gloves after completing catheter care for one sampled resident. Resident #10 had an indwelling urinary catheter and, per the MDS dated 3/10/26, required partial to moderate assistance with toileting and personal hygiene, set up assistance with oral hygiene, substantial assistance with lower body dressing, and partial to moderate assistance with upper body dressing. On 4/1/26 at 7:21 AM, a CNA entered the resident’s room after performing hand hygiene and donning a gown and gloves. During catheter-related care and toileting assistance, the CNA emptied the catheter bag, cleaned the catheter components, changed gloves without performing hand hygiene, and continued providing care. The CNA later continued resident care, including dressing, repositioning, perineal care, and assisting the resident with oral care setup, without changing gloves and performing hand hygiene between those tasks. Facility staff interviews confirmed that hand hygiene should be performed after glove removal and between glove changes, and the facility policy required handwashing before and after resident care, including after glove removal and during catheter care.
Infection Control Breach in Medication Administration
Penalty
Summary
The facility failed to adhere to standard infection control practices during the administration of oral medications for two residents. Resident #9, who had intact cognition as indicated by a perfect score on the Brief Interview for Mental Status (BIMS) exam, was observed receiving medications from Staff A, RN, who handled the pills with bare hands. Staff A popped the medications out of the bubble pack directly into his hands and also used his fingers to retrieve pills from stock bottles. During the process, a Vitamin B-12 tablet fell onto a clipboard before being placed into the medication cup, which was then administered to Resident #9. Similarly, Resident #6, also with intact cognition, was administered medications by Staff A, who again used bare hands to handle the pills. Staff A popped the medications out of the bubble pack into his hands and retrieved pills from stock bottles using his fingers. A cranberry concentrated capsule fell onto a clipboard before being placed into the medication cup. Interviews with Staff A and other staff members, including the Director of Nursing, confirmed that touching tablets or capsules with bare hands was against the facility's medication administration policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kalona
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkview Manor | 6.6 mi | ★★★★★ | 13 | 0 |
| United Presbyterian Home | 13.3 mi | ★★★★★ | 0 | 0 |
| Oaknoll Retirement Residence | 13.7 mi | ★★★★★ | 5 | 0 |
| Halcyon House | 13.9 mi | ★★★★★ | 5 | 1 |
| Aspire Of Washington | 14 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.