Arbor Court of Mount Pleasant, Aspire of Primghar Added to List of Nation’s Worst Nursing Homes

Posted on behalf of Jeff Pitman on May 3, 2023 in Nursing Homes and Elder Rights
Updated on April 24, 2024

yellow pills with medication side effects listArbor Court of Mount Pleasant is one of two Iowa nursing homes recently added to the Special-Focus Facilities list. This list includes the worst-performing long-term care facilities in the nation. The Special Focus Facility designation comes after two residents died between January 2022 and December 2022.

The Centers for Medicare and Medicaid Services (CMS), which maintains the Special-Focus Facilities (SFF) list, gave Arbor Court a one-star rating.

During the past three years, the facility has received a total of $272,024 in federal fines. Due to its history of violations and substandard care, the facility has been eligible for the SFF list for 15 months.

Arbor Court was cited due to violations that led to a resident’s death last December. The resident was given two medications that had a known risk for causing a dangerous interaction and internal bleeding. The facility had an electronic monitoring system that issued a warning to staff about this interaction. Unfortunately, the warning was ignored by nursing staff, and the resident’s doctor was not notified. The resident died from gastrointestinal bleeding.

Another resident died in January of last year after falling from a machine that was transferring her from her bed.

Aspire of Primghar Added to SFF List

Aspire of Primghar was also added to the SFF list. This facility has had nine federal fines in the past three years for a total of $265,168. This facility has been eligible for SFF status for more than a year and a half.

In 2022, Aspire was cited for violating federal regulations 26 times. Some of the violations include:

  • Abuse
  • Neglect
  • Poor quality of care
  • Pressure sore treatment
  • Unnecessary use of psychotropic medications
  • Qualifications of staff members
  • Immunization of staff
  • And more

Iowa state records show a resident of Aspire suffered an injury when her wheelchair went off a ramp. Her chair rolled backward and dropped three or four feet to the ground, causing the resident to hit her head against a building. The resident subsequently had to be taken to the emergency room three times for multiple injuries, which included:

  • Back pain
  • Fractured ribs
  • Muscle spasms
  • Bruising to the arms, legs, face and hands

Three Iowa Care Homes Make List of Facilities Eligible for SFF Status

These three other facilities in Iowa have been added to a separate CMS list of poor-performing nursing homes. Long-term-care facilities on this list are eligible for SFF status and may be moved to this list when an opening becomes available:

Aspire of Gowrie

This long-term care facility has been federally fined six times. That last fine, assessed in October 2022, was for $196,247.

Granger Nursing & Rehab Center

CMS assessed Granger with a one-star rating due to the outcome of its health inspection. The facility was given two stars for poor quality of care and insufficient staffing. Granger was also assessed with a single federal fine in three years for $57,469.

Iowa City Rehab & Health Care Center

CMS gave Iowa City Rehab two stars for poor quality of care and one star for staffing and health inspection. The facility was also assessed with $5,000 in fines a year ago.

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