Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Riceville Family Care And Therapy Center during CMS and state inspections, most recent first.
Failure to obtain informed consent for psychotropic medications: A resident with severe cognitive impairment, dementia, insomnia, and other diagnoses received two antidepressants and one antipsychotic, but the record lacked documentation of family consent and/or education about adverse side effects and the risks and benefits of the medications. The DON stated the psychotropic consents were not completed with the family until later, and the Administrator said staff had not yet been trained on the process; the facility policy did not address when or how to obtain informed consent.
A resident with A-fib, dementia, and severe cognitive impairment was receiving warfarin, but an ordered INR recheck was not completed on time because the order was entered incorrectly and did not trigger an alert. The resident stayed on the same warfarin dose while the INR was missed, and the facility’s INR policy stated the hospital would obtain INRs, the appointment calendar should be checked daily, and the Care Coordinator would audit INRs weekly.
The facility failed to accurately document and submit MDS assessments for three residents, leading to discrepancies in the recorded use of anti-anxiety medications. The MDS assessments did not reflect the administration of Buspirone during the 7-day lookback period, despite the MAR showing its administration. The MDS Coordinator admitted to coding Buspirone incorrectly as an antidepressant instead of an anti-anxiety medication.
A facility failed to update the PASRR for a resident newly diagnosed with major depressive disorder. The resident had moderately impaired cognition and existing mental health conditions, but the PASRR did not reflect any mental health diagnosis. A psychiatry visit later documented major depressive disorder and other conditions, along with prescribed medications. The DON admitted that a new PASRR should have been completed after the diagnosis and medication changes.
The facility failed to provide baseline care plan summaries to four residents or their representatives within 48 hours of admission. The Director of Nursing acknowledged the incomplete documentation and lack of review, which did not comply with the facility's policy.
Failure to Obtain Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to provide informed consent regarding the risks and benefits of as needed psychotropic medications for Resident #7, who had severe cognitive impairment with a BIMS score of 3 and diagnoses including atrial fibrillation, dementia, insomnia, and mild cognitive impairment. The resident’s MDS documented use of an antidepressant, an antipsychotic, and an anticoagulant during the lookback period, and the physician’s notes indicated continuation of Seroquel and trazodone. Review of the resident’s medication records showed she was receiving two antidepressants and one antipsychotic medication daily at bedtime, but the progress notes from 12/9/25 through 3/18/26 lacked documentation of family consent and/or education about adverse side effects related to the risks and benefits of psychotropic medications. The care plan identified a medical need for medication due to multiple diagnoses and included antidepressant and antipsychotic use with monitoring for adverse side effects. During interview, the DON stated the facility did not complete psychotropic medication consents with the resident’s family until 3/19/26, and the Administrator stated the facility had recently reviewed psychotropic medication consents but had not yet trained the floor nurses on it. The facility’s Drug Regimen Review policy did not include instructions on when to obtain informed consent or the process for doing so.
Failure to Obtain Ordered INR Monitoring for Resident on Warfarin
Penalty
Summary
The facility failed to obtain an INR lab test for one resident receiving warfarin, and the resident remained on the same anticoagulant dosage while the ordered INR was not completed on time. Resident #7 had diagnoses including atrial fibrillation, dementia, insomnia, and mild cognitive impairment, and the MDS documented a BIMS score of 3 and use of an anticoagulant during the lookback period. The physician’s note instructed continuation of warfarin, and the INR lab test on 12/19/25 directed that the INR be rechecked in 2 weeks on 1/2/26. The resident’s progress notes showed the INR was not completed from 1/2/26 through 1/22/26, and the 1/23/26 note stated the INR had not been checked on 1/2/26 because of a technical issue in which the order was entered but did not trigger. The resident’s MAR for January 2026 showed warfarin was administered from 1/2/26 through 1/23/26 without an order change. The 1/23/26 INR result was 2.4, and the lab instructed the next INR to be checked on 2/23/26 with no medication changes. The facility’s Finger Stick INR Procedure & Policy dated 9/24/20 stated the local hospital would obtain INRs, the appointment calendar should be checked daily for INRs, and the Care Coordinator would audit INRs weekly for accuracy. In interviews, the DON and Administrator stated the nurse entered the order incorrectly, it did not alert staff to check the lab, and they expected the INR to have been completed as ordered.
Inaccurate MDS Documentation for Anti-Anxiety Medications
Penalty
Summary
The facility failed to accurately document and submit Minimum Data Set (MDS) assessments for three residents, leading to discrepancies in the recorded use of anti-anxiety medications. Resident #5's MDS assessment indicated severe cognitive impairment and included diagnoses of depression, anxiety, and dementia. However, the MDS did not document the administration of Buspirone, an anti-anxiety medication, during the 7-day lookback period, despite the Medication Administration Record (MAR) showing its administration in November and December 2024. Similarly, Resident #13's MDS assessment showed moderate cognitive impairment with diagnoses of depression, anxiety, unspecified mood disorder, and dementia, but failed to document the administration of Buspirone during the lookback period, as reflected in the December 2024 MAR. Resident #15's MDS also omitted the administration of Buspirone during the lookback period, despite its documentation in the December 2024 MAR. The MDS Coordinator admitted to incorrectly coding Buspirone as an antidepressant instead of an anti-anxiety medication, contrary to the RAI Manual's instructions to code medications according to their pharmacological classification.
Failure to Update PASRR for New Major Depression Diagnosis
Penalty
Summary
The facility failed to complete a new Preadmission and Resident Review (PASRR) evaluation for a resident who was newly diagnosed with major depressive disorder. The resident, identified as having moderately impaired cognition with a Brief Interview of Mental Status (BIMS) score of 10, had existing diagnoses of depression, anxiety, unspecified mood disorder, and dementia. However, the PASRR dated 11/17/22 did not document any mental health diagnosis. A subsequent psychiatry visit note dated 1/3/25 revealed the resident had major depressive disorder, insomnia, anxiety, and visual hallucinations, along with medications prescribed for these conditions. During an interview, the Director of Nursing (DON) acknowledged that the transferring facility completed the initial PASRR, but a new PASRR should have been completed following the new diagnosis and medication changes.
Failure to Provide Baseline Care Plan Summaries
Penalty
Summary
The facility failed to provide residents or their representatives with a summary of the baseline care plan within 48 hours of admission for four residents. Resident #125, who had intact cognition and required partial assistance with bed mobility and transfers, did not receive a reviewed or signed baseline care plan. Similarly, Resident #126, who entered the facility from the community, also lacked documentation of a reviewed or signed baseline care plan. Both residents' forms were incomplete and lacked necessary signatures and dates from staff, residents, or their representatives. Resident #9, who had intact cognition and was dependent on staff for bed mobility and transfers, also did not receive a reviewed or signed baseline care plan. Additionally, Resident #23, who required partial assistance with various transfers and had multiple diagnoses including cancer and heart failure, did not have a reviewed or signed baseline care plan. The Director of Nursing acknowledged these deficiencies, confirming that the baseline care plans were not reviewed with the residents or their representatives, and copies were not provided. The facility's policy mandates the development and implementation of a baseline care plan within 48 hours of admission, including resident involvement and a summary provided to the resident or their representative, which was not adhered to in these cases.
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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 Riceville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Colonial Manor Of Elma | 9.5 mi | ★★★★★ | 16 | 0 |
| Stacyville Community Nursing Home | 12.6 mi | ★★★★★ | 2 | 0 |
| Faith Lutheran Home | 13.9 mi | ★★★★★ | 0 | 0 |
| Osage Rehab And Health Care Center | 14.2 mi | ★★★★★ | 33 | 0 |
| Good Samaritan - Saint Ansgar | 18 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.