Mississippi Valley
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Penalty
$19,663
Outcome
Mississippi Valley in Keokuk, IA was fined $19,663 by CMS across 2 separate penalties following 24 deficiency citations identified during federal surveys.
Details
Mississippi Valley (Keokuk, IA) — $19,663 in CMS Fines
Outcome: Mississippi Valley in Keokuk, IA was fined $19,663 by CMS across 2 separate penalties following 24 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Allow residents to self-administer drugs if determined clinically appropriate.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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