Inspection Reports for
Center Point Heights
800 Mustang Lane, Center Point, IA, 52213
Back to Facility Profile3 Reports
Inspection Report — Feb 23, 2026
Renewal
Date: Feb 23, 2026
Visit Reason
The visit was a recertification visit to determine compliance with certification of an Assisted Living Program. The investigation of Incident #130400-I was also conducted but no regulatory insufficiencies were identified related to it.
Complaint Details
Incident #130400-I was investigated with no regulatory insufficiencies identified.
Findings
Multiple regulatory insufficiencies were cited related to medication administration, staffing communication, background checks, tenant evaluations, and service plans. The program failed to administer medications as ordered, ensure staff communicated changes in tenant status, complete required background checks prior to employment, complete evaluations with significant changes, and update service plans based on evaluations.
Violations (5)
481-67.5(2)f(4) Medications: The program failed to administer medications as ordered for Tenant #1, with multiple instances of medications not available to administer as prescribed.
481-67.9(4)g Staffing: The program failed to ensure staff communicated in writing occurrences that differed from tenants' normal health, functional, and cognitive status for Tenants #2 and #3, including lack of staff to nurse communication sheets.
481-67.19(3) Record Checks: The program failed to complete child and dependent adult abuse record checks prior to employment for 9 of 9 staff reviewed hired in 2025 and 2026.
481-69.22(3) Evaluation of Tenant: The program failed to complete cognitive and health evaluations as needed with significant change for Tenants #1, #2, and #3.
481-69.26(1) Service Plans: The program failed to update service plans as needed, failed to have service plans based on evaluations, and failed to have service plans that reflected the service needs of Tenants #1, #2, and #3.
Inspection Report — Jul 16, 2025
Complaint Investigation
Date: Jul 16, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to medication administration and service plan deficiencies at Center Point Heights Assisted Living Program.
Complaint Details
The complaint investigation was related to medication administration timing issues and service plan updates. There were no regulatory insufficiencies cited related to a prior investigation Incident #129764-I. The complaint #127204-C was substantiated with findings of medication administration delays and outdated service plans.
Findings
The investigation found that medications were not administered at the prescribed times for 8 of 8 tenants reviewed, with multiple medication variances documented in audit reports from March, June, and July 2025. Additionally, service plans for two tenants were not updated to reflect their current care needs, particularly regarding transfer assistance.
Violations (2)
Failure to administer medications at the times indicated on the medication administration records for 8 tenants.
Failure to update service plans to reflect the service needs of tenants, specifically related to transfer assistance for Tenant #4 and Tenant #5.
Report Facts
Medications not administered within one hour: 70
Medications not administered within one hour: 100
Medications not administered within one hour: 10
Medications not administered within one hour: 20
Medications not administered within one hour: 40
Medications not administered within one hour: 70
Medications not administered within one hour: 15
Medications not administered within one hour: 40
Medications not administered within one hour: 30
Medications not administered within one hour: 80
Medications not administered within one hour: 15
Medications not administered within one hour: 10
Medications not administered within one hour: 100
Medications not administered within one hour: 20
Medications not administered within one hour: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Interviewed regarding medication administration timing and weekend staffing. | |
| Executive Director | Interviewed regarding medication administration, staffing, and service plans. | |
| Director of Nursing | Interviewed regarding staffing and medication administration expectations. | |
| Staff A | Interviewed regarding transfer assistance for Tenant #4 and Tenant #5. | |
| Staff B | Interviewed regarding transfer assistance for Tenant #4. |
Inspection Report — May 14, 2024
Original Licensing
Date: May 14, 2024
Visit Reason
Initial certification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the initial certification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 1
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