Virginia Olthoff

This photo of Virginia Olthoff was taken in 2005, about three years after she moved to the Timely Mission Nursing Home in Buffalo Center. Olthoff's death led to the nursing home being cited by the state. 

BUFFALO CENTER | The federal government has fined a Buffalo Center nursing home $77,462 over deficiencies in care for residents, including a woman who died there in February.

On Friday the Centers for Medicare & Medicaid Services (CMS) notified the nursing home about the fine for deficiencies in pain management and quality of care. 

Officials with the Iowa Department of Inspections and Appeals who surveyed Timely Mission on June 6 found conditions in the facility constituted "immediate jeopardy" to resident health and safety, according to the letter from CMS. 

State officials calculated a fine of $29,250 based on their survey, but that penalty will not be imposed due to the federal fine. 

The nursing home has 60 days to appeal the federal fine. If Timely Mission officials waive their right to an appeal hearing, the fine will be reduced by 35 percent, according to CMS. 

Lorie Bierle, president of Timely Mission, told the Globe Gazette Monday she has no comment at this time. 

The state citation states before Olthoff was taken to Mercy Medical Center--North Iowa on Feb. 27, she was crying, moaning, screaming and bleating, but was given only a nonprescription pain reliever.

Officials also say Olthoff may not have had water several days before being admitted to the hospital. 

Timely Mission Nursing Home

The Timely Mission Nursing Home in Buffalo Center is facing a possible fine of nearly $30,000 from the state.  

The citation states although Timely Mission staffers couldn't get a blood pressure reading or feel her pulse, they waited nearly three hours before requesting an ambulance to take her to the hospital.

Olthoff died after being returned to Timely Mission the same day she was admitted to the hospital.

The state report also alleged a lack of proper assessment and care of another resident who died at the home. This resident, like Olthoff, had lost a significant amount of weight and became unresponsive. 

The state also alleged the lack of proper assessment and care of a woman who was diagnosed at a local hospital with infectious colitis, a painful inflammation of the colon.

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