A list of the most recent deficiencies for Harmony West Des Moines. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-13 | 2024-01-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-11 | 2024-01-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-11 | 2024-01-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-11 | 2024-01-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-11 | 2024-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-11 | 2024-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-11 | 2024-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-11 | 2024-01-09 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-13 | 2023-12-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-13 | 2023-12-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-13 | 2023-12-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-04 | 2023-10-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-03 | 2023-10-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-03 | 2023-10-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-08 | 2023-07-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-08 | 2023-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-07-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-08 | 2023-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-07-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-08 | 2023-07-17 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-08 | 2023-07-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-08 | 2023-07-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-08 | 2023-07-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-08 | 2023-07-17 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-06-08 | 2023-07-17 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-06-08 | 2023-07-17 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-06-08 | 2023-07-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-07-17 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-06-08 | 2023-07-17 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-08 | 2023-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-14 | 2023-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-07-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-14 | 2023-07-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-14 | 2023-07-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-14 | 2023-07-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-14 | 2023-04-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-14 | 2023-04-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-14 | 2023-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-14 | 2023-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-14 | 2023-04-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-14 | 2023-04-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-14 | 2023-04-12 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-14 | 2023-04-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-14 | 2023-04-12 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-14 | 2023-04-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-14 | 2023-04-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-14 | 2023-04-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-14 | 2023-04-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-28 | 2023-03-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-28 | 2023-03-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-28 | 2023-03-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-10 | 2022-11-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-10 | 2022-11-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-10 | 2022-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-10 | 2022-11-04 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-10 | 2022-11-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-10 | 2022-11-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-28 | 2022-08-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-28 | 2022-08-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-28 | 2022-08-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-28 | 2022-08-19 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-07-28 | 2022-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-07-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-09 | 2022-04-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-09 | 2022-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-09 | 2022-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-09 | 2022-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-04-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-09 | 2022-04-04 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-03-09 | 2022-04-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-09 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2022-01-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-30 | 2022-01-13 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-12-30 | 2022-01-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-30 | 2022-01-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-30 | 2022-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-12-30 | 2022-01-13 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-30 | 2022-01-13 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-30 | 2022-01-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-30 | 2022-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-20 | 2022-01-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-20 | 2022-01-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-20 | 2022-01-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-20 | 2022-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-20 | 2022-01-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-20 | 2022-01-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-20 | 2022-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-20 | 2022-01-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-20 | 2021-12-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-20 | 2021-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-20 | 2021-12-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-05 | 2021-11-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-05 | 2021-11-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-05 | 2021-11-05 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-05 | 2021-11-05 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-10-05 | 2021-11-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-06 | 2021-06-04 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-06 | 2021-06-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-06 | 2021-06-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-06-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-06 | 2021-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-06-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-06 | 2021-06-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-28 | Not Fixed | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-28 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | Not Fixed | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-28 | Not Fixed | Y |
