Mary Weaver writes a regular column for the Jefferson Herald and Greene County News online, where this commentary first appeared. She is a former registered nurse and former public health nurse administrator, who currently chairs the Iowa Democratic Party’s Women’s Caucus. Mary resides on a farm near Rippey.
I am saddened, as well as shocked by the horror stories erupting statewide about the deplorable, life-threatening situations occurring in Iowa nursing homes. Stories of gangrene resulting in amputations, a story of a person choking in their own saliva, a story of a person freezing in the winter of 2023 when the alarm door triggered was never given a response.
In complete transparency regarding this subject, in part of my former work life, I was a surveyor for the Iowa Department of Inspections and Appeals. That involved inspecting State Certified Home Care agencies as well as nursing homes.
The long-term care or nursing home survey team consisted of three or four people, and the team was usually in a facility for three or four days. Policies were reviewed, charts were audited, comparing orders written to implementation, interviews with residents were conducted, the ombudsman assigned to the facility was visited, staffing ratios for Registered Nurses and Certified Nurses Aids were reviewed using established formulas. Temperature checks of food served were done at mealtime.
It took one day for the team to write the report of the findings, usually a Friday, and the following Monday we were sent to the next facility. Facilities were visited once each year, but unannounced, and if a complaint was received regarding a facility, it was immediately visited.
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