Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Iva Post-acute during CMS and state inspections, most recent first.
A resident with acute respiratory failure and hypoxia did not receive oxygen therapy as ordered, with observations showing oxygen administered at a higher flow rate than prescribed and tubing not changed according to the physician's schedule. Documentation by nursing staff did not match actual practice, and both an LPN and the DON confirmed the discrepancies in oxygen administration and tubing change frequency.
A resident with ESRD who required hemodialysis did not receive scheduled morning medications on multiple dialysis days, despite physician orders allowing for adjusted administration times. An LPN withheld all medications except pain medication and did not clarify the order, while the DON was unaware of the specific instructions, resulting in missed doses.
Staff did not adhere to Enhanced Barrier Precautions (EBP) when providing indwelling urinary catheter care for two residents with urinary retention, using only gloves instead of the required gowns and face shields. Despite facility policy and staff training on EBP, staff demonstrated inconsistent understanding and failed to implement the necessary PPE during catheter care, as confirmed by interviews and observations. The DON stated that staff were expected to follow EBP protocols and report PPE shortages, but this did not occur.
The facility failed to provide the correct Medicare Part A Advanced Beneficiary Notice of Non-coverage to two residents when their services were ending. Instead, they received a form intended for Medicare Part B services. This error was confirmed by the Business Office Manager and Assistant Business Office Manager, who admitted to using the incorrect form due to a lack of proper documentation.
A resident with severe cognitive impairment received medication through an enteral feeding tube without following the facility's protocol. An LPN failed to use a towel or Chux pad and did not verify tube placement, leading to contamination of the syringe. The DON acknowledged the protocol breach.
A facility failed to ensure proper communication with a dialysis center for a resident with ESRD. The facility's policy and agreement require information exchange for resident care, but records for specific dialysis sessions were missing. Interviews with staff revealed that communication forms are supposed to be completed by the dialysis center and returned, but some were missing, leading to the deficiency.
The facility did not include a Registered Nurse (RN) on the daily staff postings for March, June, and July 2024. The staffing sheets lacked a designated RN for at least eight hours, as required. The Operation Manager noted that the HR officer, who was new, took over the task of completing the postings and failed to include RN hours.
The facility failed to remove outdated or improperly labeled medications and biologicals from a treatment cart. During an observation, several items were found to be opened and no longer sterile, and some were expired. The facility's policy requires proper labeling and removal of expired items, but these procedures were not followed. The findings were verified by an LPN and acknowledged by the DON.
A facility failed to coordinate care between hospice services and its staff for a resident with multiple diagnoses, including a cerebrovascular accident. Despite receiving hospice care, the facility did not document hospice visit assessments in the resident's medical record, which should have included findings for progress or necessary care plan changes. The Director of Nursing noted that daily assessments were sent by the hospice but were not placed in the hospice binder, leading to a lack of documented communication and coordination.
Failure to Administer Oxygen Therapy per Physician Orders
Penalty
Summary
A deficiency occurred when a resident with a diagnosis of acute respiratory failure with hypoxia did not receive oxygen therapy according to physician orders. The physician's order specified oxygen at 2 liters per minute (LPM) via nasal cannula continuously and required the oxygen tubing to be changed weekly on Wednesdays. However, observations revealed that the resident was receiving oxygen at 3 LPM, and the oxygen tubing in use was dated nearly two weeks prior, indicating it had not been changed as ordered. Documentation in the Treatment Administration Record confirmed that nursing staff recorded the resident as being on 2 LPM, but direct observation contradicted this, showing the oxygen set at 3 LPM. During interviews, an LPN acknowledged the discrepancy in both the oxygen flow rate and the tubing change schedule, stating tubing was changed every three days rather than weekly. The DON confirmed that staff were expected to check oxygen settings every shift and change tubing weekly, but these practices were not followed for this resident.
Failure to Administer Scheduled Medications for Dialysis Resident
Penalty
Summary
The facility failed to ensure that a resident with end-stage renal disease (ESRD) who required hemodialysis received their scheduled morning medications either before or after returning from dialysis. Review of the resident's care plan and physician orders indicated that medication administration times on dialysis days could be adjusted to ensure proper absorption, but the September Medication Administration Record showed that several medications, including amlodipine, Aricept, and duloxetine, were not administered on multiple dialysis days. The facility's policy required staff to be trained in the timing and administration of medications for residents receiving dialysis, but this was not followed in practice. Interviews revealed that the LPN responsible for the resident's care withheld all medications except pain medication on dialysis days and did not administer them when the resident returned. The LPN also stated that she did not seek clarification regarding medication administration for the resident on dialysis days. Additionally, the DON was unaware of the specific order allowing for medication time adjustments and believed all medications were to be held on dialysis days. This lack of communication and adherence to physician orders resulted in the resident missing scheduled doses of essential medications.
Failure to Follow Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
Staff failed to follow infection prevention and control guidelines regarding Enhanced Barrier Precautions (EBP) during the provision of indwelling urinary catheter care for two residents with urinary retention and indwelling catheters. Facility policy required the use of EBP, including wearing gowns, gloves, and face shields during device care for residents with indwelling catheters. However, during multiple observations, staff members performed catheter care using only gloves and did not wear gowns or face shields as required. Interviews with certified nurse aides revealed inconsistent understanding and application of EBP protocols, with some staff believing gowns were only necessary for residents with wounds, and others acknowledging they should have worn additional PPE but did not obtain it prior to providing care. The residents involved had documented orders and care plans specifying the need for catheter care and EBP due to their indwelling urinary catheters. Despite receiving training on EBP, staff did not consistently implement the required precautions. The Director of Nursing confirmed that staff were expected to follow EBP protocols and to notify management if PPE was unavailable, but this expectation was not met during the observed care events.
Incorrect Medicare Part A Notice Issued to Residents
Penalty
Summary
The facility failed to issue the correct Medicare Part A Advanced Beneficiary Notice of Non-coverage (SNFABN) to two residents, R28 and R35, when their Medicare Part A services were ending. Instead of providing the required CMS Form-10055, the facility issued Form CMS-R-131, which is intended for Medicare Part B services. This error occurred despite the fact that both residents were still in the facility and had not exhausted their benefit days under Medicare Part A. The deficiency was confirmed during an interview with the Business Office Manager and the Assistant Business Office Manager, who acknowledged that the incorrect form was used. They stated that CMS-R-131 was the only form they had been using, along with CMS-10123, which informed the residents of the last day of their Medicare Part A Skilled Services. This oversight affected two out of three residents reviewed for advanced beneficiary notices, indicating a systemic issue in the facility's process for handling Medicare Part A service terminations.
Improper Medication Administration via Enteral Feeding Tube
Penalty
Summary
The facility failed to ensure the safe administration of medications through an enteral feeding tube for a resident with severe cognitive impairment. The resident, who was admitted with diagnoses including Parkinson's Disease with Dyskinesia, was observed receiving medication through a feeding tube without adherence to the facility's established protocol. The facility's policy requires specific preparation and procedural steps, such as using a towel or Chux pad and verifying tube placement, to ensure safe medication administration. During an observation, an LPN administered Vancomycin HCL to the resident without placing a towel on the bed or bedside table and failed to check the tube placement before administering the medication. The LPN placed the syringe on the bare sheet and later discarded it due to contamination. The Director of Nursing acknowledged the lapse in protocol and indicated that an in-service on tube feeding would be conducted to address the issue.
Failure in Communication Between Facility and Dialysis Center
Penalty
Summary
The facility failed to ensure proper communication between the nursing facility and the dialysis center for a resident with End Stage Renal Disease (ESRD), identified as R10. The facility's policy and agreement with the dialysis center require the exchange of information necessary for the care of residents with ESRD, including the use of a communication form. However, records for R10's dialysis sessions on specific dates were missing, indicating a lapse in the communication process. The facility's policy, revised in 2010, and the SNF Dialysis Services Agreement from 2011, both emphasize the importance of documented collaboration and communication between the nursing facility and the dialysis unit. Interviews with facility staff, including an LPN, the Director of Nursing (DON), and the Medical Records Coordinator, revealed the process for handling communication forms when a resident goes to dialysis. The forms are supposed to be completed by the dialysis center and returned to the facility, where they are then sent to medical records. However, the Medical Records Coordinator confirmed that some forms were missing, and they had to contact the dialysis center to retrieve them. This breakdown in communication and documentation led to the deficiency noted in the report.
Failure to Include RN Hours on Daily Staff Posting
Penalty
Summary
The facility failed to include a Registered Nurse (RN) on the daily staff posting for the months of March, June, and July 2024. This deficiency was identified through observations, record reviews, and interviews. The daily staffing sheets for each shift during these months did not list a designated RN for at least eight hours, as required. A line on the staffing sheets indicated where RN hours should be recorded, but this section was left blank. During an interview, the Operation Manager acknowledged that RN hours should be included on the daily staff posting. The Operation Manager explained that they had been responsible for completing the daily staff postings in January and February, but the task was later assigned to the Human Resource (HR) officer, who was new to the facility. The Operation Manager was unsure why the HR officer did not include the RN hours.
Improper Storage and Labeling of Medications
Penalty
Summary
The facility failed to ensure that medications and biologicals that were outdated or without proper labeling were removed from the medication treatment cart. During an observation of the Unit 100/200 Treatment Cart, several items were found to be opened and no longer sterile, including Maxorb II AG Alginate Wound Dressing, Opticell Chitosan-Based Gelling Fiber, MediHoney Hydrogel, and others. Additionally, some items were expired, such as the MediHoney Hydrogel and Maxorb II alginate wound dressing. The facility's policy on the storage of medications, revised in November 2020, requires that drug containers with missing, incomplete, improper, or incorrect labels be returned to the pharmacy for proper labeling before storing. Discontinued, outdated, or deteriorated drugs or biologicals should be returned to the dispensing pharmacy or destroyed. However, during the observation, it was noted that these procedures were not followed, leading to the presence of expired and improperly labeled items in the treatment cart. The findings were verified by an LPN and later acknowledged by the Director of Nursing, who stated that all nurses should check for expired medications.
Failure in Coordination of Hospice Care
Penalty
Summary
The facility failed to ensure proper coordination of care between hospice services and the facility for a resident receiving hospice care. The facility's policy outlined responsibilities for both the hospice and the facility, including the hospice managing the resident's care related to the terminal illness and the facility meeting the resident's personal care and nursing needs in coordination with the hospice. However, the facility did not have documentation of hospice visit assessments in the resident's medical record, which should have included findings during assessments for progress, decline, or necessary changes to the care plan. The resident in question was admitted to the facility with multiple diagnoses, including cerebrovascular accident, chronic viral hepatitis C, and anxiety, and was receiving hospice care for the cerebrovascular accident. Despite the hospice entity sending daily assessments to the facility, these assessments were not placed in the hospice binder as required, leading to a lack of documented communication and coordination between hospice and facility staff. The Director of Nursing acknowledged that the assessments should have been available to ensure continuity of care for the resident.
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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 Iva
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Richard M Campbell Veterans Nursing Home | 12.7 mi | ★★★★★ | 0 | 0 |
| Achieve Rehabilitation And Nursing Center | 13 mi | ★★★★★ | 1 | 0 |
| Hart Care Center | 14.6 mi | ★★★★★ | 0 | 0 |
| Linley Park Post Acute | 15 mi | ★★★★★ | 8 | 0 |
| Nhc Healthcare - Anderson | 15.2 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.