Inspection Reports for
Amelia Senior Living

57 W Ferndale Dr, Council Bluffs, IA 51503, United States, IA, 51503

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6 Reports

2022–2026

Inspection Report — Feb 17, 2026

Plan of Correction
Date: Feb 17, 2026

Visit Reason
Investigation of Incidents #131003-I, #130773-I, #130501-I, #130682-I, and #130769-I.

Complaint Details
Incidents #131003-I, #130773-I, #130501-I, #130682-I, and #130769-I
Findings
No regulatory insufficiencies were cited during the investigation of the listed incidents.

Inspection Report — Oct 7, 2025

Complaint Investigation
Date: Oct 7, 2025

Visit Reason
The inspection was conducted as part of an investigation of incidents #129698-I, 130024-I, 130449-I, 130424-I and Complaint #129344-C.

Complaint Details
The investigation was related to multiple incidents and a complaint. The deficiency was substantiated based on interviews and record reviews showing two staff members did not complete the required dementia training.
Findings
The facility failed to ensure that all personnel employed by or contracting with a dementia-specific program received the required minimum of eight hours of dementia-specific education and training within 30 days of employment. This deficiency was evidenced by two staff members not completing the required training.

Violations (1)
Failure to provide dementia-specific education and training to personnel within 30 days of employment as required.
Report Facts
Tenants without cognitive impairment: 31 Tenants with cognitive impairment: 7 Staff requiring dementia training: 2

Inspection Report — Jun 5, 2024

Recertification
Date: Jun 5, 2024

Visit Reason
The visit was conducted as a recertification inspection to determine compliance with certification of an Assisted Living Program for People with Dementia and to investigate Complaint #116407-C.

Complaint Details
The inspection included investigation of Complaint #116407-C, which resulted in cited regulatory insufficiencies. Complaints #118154-C and #119002-C were investigated with no regulatory insufficiencies cited.
Findings
The inspection found regulatory insufficiencies related to failure to report a tenant elopement, incomplete and unsigned service plans not based on evaluations, failure to complete required 90-day nurse reviews, and failure to ensure operating door alarms on exit doors in a dementia-specific program.

Violations (5)
Failure to report an elopement of Tenant #1 to the Department within required timeframes.
Service plans for 4 tenants were not consistently based on required health, functional, or cognitive evaluations.
Service plans for 4 tenants were not signed and dated as required.
Failure to complete 90-day nurse reviews for 4 tenants receiving health-related care.
Failure to ensure an operating door alarm on each exit door in the dementia-specific program, contributing to Tenant #1's elopement.
Report Facts
Number of tenants without cognitive impairment: 27 Number of tenants with cognitive impairment: 7 Date of Incident Report: May 15, 2024 Date of service plans: Jul 21, 2023 Date of cognitive evaluation: Sep 5, 2023 Date of service plan: Jul 26, 2023 Date of service plan: Aug 1, 2023 Date of elopement evaluation: May 1, 2024 Temperature: 70 Relative humidity: 46 Wind speed: 18 Wind gusts: 30 Age of Tenant #1: 81 Global Deterioration Scale (GDS) score: 5

Inspection Report — Jun 3, 2024

Renewal
Date: Jun 3, 2024

Visit Reason
Recertification visit to determine compliance with certification of an Assisted Living Program.

Findings
The program failed to consistently ensure an operating door alarm on each exit door in the dementia-specific program, resulting in an elopement incident. The program did not follow its policy requiring continual supervision when the alarm was disengaged.

Violations (1)
69.32(2) An operating alarm system was not consistently ensured on each exit door in the dementia-specific program. Staff disengaged the alarm without continual supervision, leading to a tenant elopement.
Report Facts
Fine amount: 2000

Inspection Report — Oct 18, 2023

Complaint Investigation
Date: Oct 18, 2023

Visit Reason
The inspection was conducted to investigate Complaint #111343-C and Incident #111952-I at Amelia Senior Living.

Complaint Details
Investigation of Complaint #111343-C and Incident #111952-I found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint and incident.

Report Facts
Number of tenants without cognitive disorder: 18 Number of tenants with cognitive disorder: 8

Inspection Report — Jul 19, 2022

Renewal
Date: Jul 19, 2022

Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification of an Assisted Living Program.

Complaint Details
No regulatory insufficiencies were cited during the investigation of Complaints #100936-C or #101304-C.
Findings
The inspection identified regulatory insufficiencies related to nurse delegation procedures, dependent adult abuse training, and evaluation of tenant functional, cognitive, and health status. No deficiencies were found during complaint investigations.

Violations (3)
Program's registered nurse failed to document a review within 60 days of hire ensuring staff were competent regarding 3 staff who required RN delegations.
Program failed to provide the required 2 hours of dependent adult abuse training within 6 months of employment for 2 of 4 staff reviewed.
Program failed to evaluate functional, cognitive, and health status as warranted by a change of condition and need for services for 3 of 4 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 27 Number of tenants with cognitive disorder: 12 Total Population of Program: 39 Staff reviewed for RN delegation documentation: 3 Staff reviewed for dependent adult abuse training: 4 Tenants reviewed for evaluation compliance: 4

Employees mentioned
NameTitleContext
Staff AStaff reviewed for RN delegation documentation and dependent adult abuse training deficiencies
Staff BStaff reviewed for RN delegation documentation deficiency
Staff CStaff reviewed for RN delegation documentation deficiency
Staff DStaff reviewed for dependent adult abuse training deficiency
Registered NurseProgram's registered nurseFailed to document review within 60 days of hire ensuring staff competency
Executive DirectorExecutive DirectorConfirmed findings related to dependent adult abuse training and tenant evaluations
Care Services ManagerCare Services Manager (CSM)Responsible for conducting audits and implementing plans of correction
Regional Director of Care ServicesRegional Director of Care Services (ROCS)Provided education regarding RN delegation and dependent adult abuse training requirements

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