A nursing facility in Iowa has amassed more than a half a million dollars in fines, and has been added to the Center for Medicare & Medicaid Services’ Special-Focus Facility List.

The QHC Fort Dodge Villa was placed on the list after being cited in October for 18 federal regulatory violations and four state violations, including problems that contributed to abuse, neglect and the death of a resident. 

The Fort Dodge home, also known as the Villa Care Center, has about 75 residents. Its parent company, QHC Management, operates eight nursing homes and two assisted living communities in Iowa, caring for approximately 500 residents.

“As a result of issues uncovered by state inspectors this past summer, the Fort Dodge home has been hit with federal fines for each day it has remained out of compliance with minimum health care standards. The daily fines, which once were accruing at almost $9,000 per day, so far total $685,740. State officials said Friday the final fine won’t be determined until the facility comes into substantial compliance with all government regulations,” the Iowa Capital Dispatch reported.

The Fort Dodge home is the second of two Special-Focus Facilities that are run by Clive, IA-based QHC Management, which is owned by Nancy Voyna, according to the Iowa Capital Dispatch. 
A representative of QHC Management told the McKnight’s Business Daily that Voyna was not available for comment.