Above average — CMS composite of the measures below.
The next survey window likely opens around September 2026
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 Ruthven Community Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, unsteadiness on feet, and a history of falls required 2-person assist for transfers and ambulation with a gait belt. Staff did not follow the care plan during transfers, and the resident was lowered to the floor during two separate transfer incidents when CNAs were unable to fully support his weight. One incident also lacked documentation that the family or resident representative was notified.
A resident with DM2 and moderately impaired cognition received Lispro insulin from a KwikPen that had been opened beyond the 28-day use period. An RN was unsure of the post-opening limit, administered the dose anyway, and later confirmed the pen should not have been used. The pharmacist verified the pen should be discarded after 28 days, and the manufacturer’s instructions stated to discard it after 28 days even if insulin remained.
A resident with a history of hypertension and foot pain did not receive prescribed Epsom salt soaks due to a failure in the facility's supply chain. Despite a physician's order, the facility did not ensure the delivery of Epsom salt, leading to a lack of treatment for several days. The Director of Nursing acknowledged the oversight, and the pharmacy confirmed a delay in stock availability.
The facility did not provide timely dependent adult abuse recertification training for an LPN, as required by their policy. The LPN, hired in early 2024, completed the initial training in 2021 but did not receive the mandated recertification within the three-year timeframe. The DON confirmed the oversight.
Failure to Provide Adequate Supervision During Resident Transfers
Penalty
Summary
The facility failed to provide adequate nursing supervision to prevent accidents for a resident with severe cognitive impairment and significant mobility needs. The resident’s MDS documented a BIMS score of 05, diagnoses including schizophrenia, depression, anxiety, unsteadiness on feet, and a history of falling, and the care plan identified the resident as at risk for falls. The care plan directed staff to transfer the resident with assistance from 2 staff members and to ambulate the resident with a front wheeled walker, gait belt, wheelchair follow, and 2 staff members assisting. Despite these directions, the resident had two falls during transfers. In one event, the resident walked into the bathroom with CNAs and, before reaching the toilet, started to sit and was lowered to the floor; the record documented staff re-education on using a gait belt or wheelchair, but did not document that the family or resident representative was notified. In a second event, the resident was being transferred into a recliner when he began sitting too soon and the CNA could not fully support his weight, so he was lowered to the floor. Staff interviews indicated that on that occasion a CNA attempted the transfer by herself while another aide was present but not assisting, and the DON acknowledged it was the expectation to follow the care plan and use a gait belt with all transfers.
Insulin Pen Used Beyond 28-Day Opened Date
Penalty
Summary
The facility failed to administer insulin appropriately for one resident with type 2 diabetes mellitus with hyperglycemia and moderately impaired cognition. The resident had a physician order dated 6/12/25 for Lispro 6 units subcutaneously once daily via KwikPen. On 9/30/25 at 11:00 AM, an RN obtained the resident’s Lispro insulin pen from the medication cart and observed that it was labeled as opened on 8/27/25. When asked how long the pen was good after opening, the RN said she was not sure and would need to check, then administered 6 units from that pen. Later that morning, the RN verified that the Lispro insulin pen was good for 28 days after opening and acknowledged that the pen opened on 8/27/25 should not have been given. The Director of Clinical Services stated the RN should have gotten a new insulin pen. The pharmacist confirmed the pen was good for 28 days after being removed from the refrigerator and opened, and that the manufacturer would question the strength of the insulin after 28 days because it may be less potent and less likely to control blood sugar. The manufacturer’s Instructions for Use stated not to use and to discard the insulin pen after 28 days of usage, even if insulin remained, and the facility’s Medication Management Policy directed staff to check expiration dates on package/container.
Failure to Implement Physician's Order for Epsom Salt Soaks
Penalty
Summary
The facility failed to implement a physician's order for Epsom salt foot soaks for a resident, leading to a deficiency in care. The resident, who had intact cognition and was independent in mobility, had a history of hypertension, cerebral palsy, pain in the right foot, and localized edema. After a podiatrist appointment, the resident received orders for Epsom salt soaks to manage inflammation and pain in the right great toe, which was red, inflamed, and causing discomfort. Despite the physician's order on 9/5/24, the facility did not ensure the delivery of Epsom salt from the pharmacy, resulting in a lack of treatment from 9/5/24 to 9/10/24. Progress notes repeatedly documented the unavailability of Epsom salt, and the clinical record lacked documentation of follow-up actions to secure the necessary treatment supplies. The Director of Nursing acknowledged the oversight and reported that the facility was waiting on the pharmacy, which did not have the Epsom salt in stock initially. The pharmacy confirmed that the Epsom salt was billed on 9/9/24 and delivered on 9/10/24, but there was no record of an order for the Epsom salt on 9/5/24. The facility's policy required that all medications be administered as ordered by a healthcare professional, but this was not adhered to in this case, resulting in a deficiency in the standard of care provided to the resident.
Failure to Provide Timely Abuse Recertification Training
Penalty
Summary
The facility failed to provide dependent adult abuse recertification training within the required three-year period for one of the five employees reviewed, specifically an LPN identified as Staff A. The personnel file for Staff A indicated a hire date of January 12, 2024, and documented completion of the initial two-hour dependent adult abuse training on August 17, 2021. According to the facility's abuse policy dated 2023, each employee is required to complete a one-hour recertification training within three years of the initial training and every three years thereafter. On September 17, 2024, the Director of Nursing acknowledged that Staff A's recertification training was overdue.
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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 Ruthven
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palo Alto County Hospital | 10.6 mi | ★★★★★ | 0 | 0 |
| Lakeside Lutheran Home | 11 mi | ★★★★★ | 6 | 0 |
| Emmetsburg Care Center | 11.2 mi | ★★★★★ | 10 | 0 |
| St Luke Lutheran Nursing Home | 11.5 mi | ★★★★★ | 15 | 1 |
| Spencer Post Acute Rehabilitation Center | 13 mi | ★★★★★ | 43 | 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.