A Council Bluffs care facility has been fined nearly $62,000 by the federal Centers for Medicare and Medicaid Services, after a resident allegedly contracted gangrene following a fall and broken leg, and died. The Des Moines Register says the Regency Rehab and Skilled Nursing Center was also cited for 23 other violations during the past 12 months, including failing to follow physicians’ orders, but no fines were imposed for those alleged violations.

According to the report, the resident who died at the care facilty, had suffered a broken leg in September. A doctor gave the Regency staff instructions to keep an immobilizing device on the resident’s leg, to allow the bone to heal. He told inspectors that he assumed Regency staff would know to remove the device temporarily, to assess the resident’s skin and bathe the leg, as required.

The staff however, apparently failed to remove the device, and also applied ice to an open wound on the resident’s heel, constricting the blood vessels, and slowing the flow of blood to that area.  In October, the resident was admitted to a hospital, with the foot apparently consumed by gangrene. State records said the foot was nearly black, due to “Negligence/no blood flow.”  The resident died on October 27th.

Other, recent sanctions against Iowa Nursing Homes, include the Friendship Home in Audubon being fined $8,000 by the State, after a resident fell to the floor in a lounge area, and was knocked unconscious. The resident allegedly suffered a fractured hip, facial injuries and bruises to the head. State records say the resident died shortly after undergoing surgery to repair the hip.

An independent review of last year’s prolonged Missouri River flooding says there was little more the U-S Army Corps of Engineers could have done to avoid the widespread, expensive damage. Among those on the review team, Cara McCarthy is senior forecast hydrologist with the Natural Resources Conservation Service in Portland, Oregon. McCarthy says they looked through a mountain of information.She says, “First of all, it’s just finding out about the flooding, looking at the numbers and finding out the extremes and then finding out, not just the water amount, but the damage amounts, talking to people and hearing what happened to them.” McCarthy says members of the Corps of Engineers started to react early in the spring as soon as they saw the massive inflows of snow melt and rain move into the reservoir system.

“By May 1, they recognized that they had a lot of water to get rid of, so they had actually started to get rid of water in the beginning of April,” McCarthy says. “Even if they had released more water in April than they did, they couldn’t have evacuated all that water. It was just a tremendous amount of water that came down.” While she admits it’s difficult to strike a perfect balance, she says the report recommends the Corps find a way to set aside more upstream flood control storage space to avoid a repeat. “That’s really what was needed this year,” McCarthy says. “If you do have that, you have less water in the reservoir so you have less water for recreation and less water for downstream water uses and for irrigation, so this is the problem the whole Missouri River system needs to look at.” Road repairs from the flooding in Iowa alone exceed 50-million dollars. The Corps estimates almost 600-million dollars in damage was done just to levees along the river.

(Matt Kelley/Radio Iowa)

Police in Atlantic say a 15-year old female was cited last Friday for allegedly assaulting another juvenile. Jordan Nielsen, of Atlantic, was arrested on a charge of Serious Assault. The teen was later released to her parent, and cited into juvenile court.

The Atlantic Police Department reports also, the arrest Sunday, of 26-year old Tyler Gordan Bills, of Atlantic, on a charge of OWI/1st offense. Bills was brought to the Cass County Jail and held pending a court appearance.