Community Memorial Health Center

231 North Eighth Avenue West
Hartley, IA, 51346
7127282428
CCN: 165177
3
Overall
2
Health
5
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
FAMILY HEALTH CENTER, P C
1128b8
Excluded 2004-09-20
IOWA FOOT HEALTH CENTER, P.C.
1128a1
Excluded 1996-06-19
Ownership
NameRole%
MILLS, KRISTYCORPORATE DIRECTORNOT APPLICABLE
VANDER VEEN, JILLCORPORATE DIRECTORNOT APPLICABLE
VAN LOON, LAVERNECORPORATE DIRECTORNOT APPLICABLE
TEWES, JOYCECORPORATE OFFICERNOT APPLICABLE
PAULSEN, COLLEENCORPORATE OFFICERNOT APPLICABLE
RIEDEMANN, MARKCORPORATE OFFICERNOT APPLICABLE
STOLTZ, CURTCORPORATE OFFICERNOT APPLICABLE
MOREY, KERRIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KRIKKE, DARYLOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JOCHIMS, AMYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CARSTENSEN, LINDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WALLACE, LAURAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ZEARING, SANDRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ZILLER, STEVENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2024-07-08Fine$36K
2023-08-22Fine$8K
Health Deficiencies (19)
2026-01-22 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
2025-11-25 · Health
E
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
2025-10-07 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-11-07 · Health
D
F625 · Resident Rights Deficiencies
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.
2024-07-08 · Health
E
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
K
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-11-02 · Health
E
F838 · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
2023-08-22 · Health
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.16
3.68
RN Hrs/Resident/Day
1.04
0.54
LPN Hrs/Resident/Day
0.46
0.81
CNA Hrs/Resident/Day
2.66
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01