Harmony Marshalltown
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$78,878
Outcome
Harmony Marshalltown in Marshalltown, IA was fined $78,878 by CMS following 58 deficiency citations identified during federal surveys.
Details
Harmony Marshalltown (Marshalltown, IA) — $78,878 in CMS Fines
Outcome: Harmony Marshalltown in Marshalltown, IA was fined $78,878 by CMS following 58 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Have policies on smoking.
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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