Aspire Of Estherville

For profit - Corporation · 2001 First Avenue North, Estherville, IA 51334 · See home’s Medicare page

Affiliated With Beacon Health Management

People or companies with an ownership interest in or managerial control of this home, according to CMS data.

3.08

Nurse hours/resident/day

Reported total nurse staffing hours per resident per day.

State Average: 3.7

69.0%

Nurse turnover

The percentage of nursing staff who stopped working at the home over a 12-month period.

State Average: 54.9%

Certified beds

Qualifying beds in the certified provider or supplier facility.

Average residents/day

Average number of residents based on daily census.

Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.

Direct owners

Black Hawk Healthcare, Llc (100%)

Indirect owners

Bruce Wertheim (100%)

Managerial control

Beacon Health Management Llc since May, 2021

Managing employee(s)

Kassidy Spurgin since May, 2021

Inspection Reports

total deficiencies

infection-related deficiencies

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.

Oct 5, 2023

Standard report

8 deficiencies

to E

Full report

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0607

Failure to: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Nursing and Physician Services Deficiency — F0726

Failure to: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Administration Deficiency — F0868

Failure to: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0943

Failure to: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0582

Failure to: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0641

Failure to: Ensure each resident receives an accurate assessment.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0644

Failure to: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0655

Failure to: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Aug 31, 2023

Complaint report

1 deficiency

Full report

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610

Failure to: Respond appropriately to all alleged violations.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Mar 6, 2023

Complaint report

4 deficiencies

to E

Full report

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0607

Failure to: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Infection Control Deficiency — F0882

Failure to: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0580

Failure to: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0658

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Aug 16, 2022

Standard report

18 deficiencies

$39,924 Fine

1 Payment Suspension

to K

Full report

Quality of Life and Care Deficiency — F0689

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity

Immediate jeopardy to resident health or safety

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0578

Failure to: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0623

Failure to: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0656

Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0657

Failure to: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Nursing and Physician Services Deficiency — F0727

Failure to: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Administration Deficiency — F0868

Failure to: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Infection Control Deficiency — F0881

Failure to: Implement a program that monitors antibiotic use.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Rights Deficiency — F0580

Failure to: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609

Failure to: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0625

Failure to: 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0644

Failure to: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0679

Failure to: Provide activities to meet all resident's needs.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0695

Failure to: Provide safe and appropriate respiratory care for a resident when needed.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Pharmacy Service Deficiency — F0758

Failure to: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0550

Failure to: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0636

Failure to: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0684

Failure to: Provide appropriate treatment and care according to orders, resident's preferences and goals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Jun 2, 2021

Standard report

9 deficiencies

$5,118 Fine

to F

Full report

Nursing and Physician Services Deficiency — F0727

Failure to: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Many people affected

Seriousness

Infection Control Deficiency — F0880

Failure to: Provide and implement an infection prevention and control program.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Some people affected

Seriousness

Resident Assessment and Care Planning Deficiency — F0657

Failure to: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0688

Failure to: 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.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0694

Failure to: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Resident Rights Deficiency — F0561

Failure to: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0677

Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Quality of Life and Care Deficiency — F0690

Failure to: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity

No actual harm, with a potential for more than minimal harm

Scope

Few people affected

Seriousness

Administration Deficiency — F0838

Failure to: 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.

Severity

No actual harm, with potential for minimal harm

Scope

Many people affected

Seriousness

Penalties

$130K

total fines

payment suspension

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.

Aug 16, 2022

$39,924 fine

1 Payment Suspension