12 Reports
Inspection Report — Dec 10, 2025
Renewal
Date: Dec 10, 2025
Visit Reason
The visit was a recertification visit to determine compliance with certification of an Assisted Living Program. Investigations #130650-C and #130833-I were also conducted during this visit.
Complaint Details
Investigations #130650-C and #130833-I were conducted during the visit.
Findings
The facility failed to follow established policies related to elopement/unsupervised absence and fall prevention. Deficiencies were cited involving failure to implement policies and procedures, failure to complete elopement drills, and failure to follow the fall prevention policy.
Violations (2)
481-57.12(135C) General Policies: The facility failed to follow established policies for elopement/unsupervised absence, including failure to complete elopement drills and failure to notify appropriate personnel during an elopement event.
481-57.12(135C) General Policies: The facility failed to follow the fall prevention policy, resulting in multiple residents experiencing falls and injuries without appropriate interventions documented in their service plans.
Inspection Report — Dec 9, 2025
Enforcement
Date: Dec 9, 2025
Visit Reason
Scheduled inspection with investigations of complaints #130650-C and #130833-I.
Complaint Details
Investigations #130650-C, #130833-I
Findings
The facility failed to follow established policies related to elopement, fall prevention, and service plan assessments. Multiple residents experienced falls or elopements without proper adherence to policies or updated service plans. Hospice information was missing from service plans for residents receiving hospice services.
Violations (3)
481-57.12(135C) The facility failed to follow established policies for elopement response, including not activating Code Silver and not conducting elopement drills. Staff delayed notifying appropriate personnel and searching for a missing resident.
The facility failed to follow the fall prevention policy by not including fall information and interventions in service plans for residents who experienced multiple falls or injuries.
The facility failed to follow the Assessment and Service Plans policy by not including hospice information in service plans for residents receiving hospice services.
Report Facts
Fine amount: 500
Inspection Report — Oct 1, 2025
Complaint Investigation
Date: Oct 1, 2025
Visit Reason
The inspection was conducted as an investigation of Complaint #129978-C regarding medication errors at Charter Senior Living of Northpark PI.
Complaint Details
Complaint #129978-C was investigated. The complaint was substantiated as medication errors were confirmed involving two residents with inadequate documentation and follow-up.
Findings
The facility failed to follow established medication management policies for 2 out of 5 residents reviewed, resulting in medication errors involving Residents #1 and #5 in June 2025. Documentation and reporting of these errors were incomplete or missing, and required notifications and safety checks were not performed as per policy.
Violations (1)
Failure to follow established medication management policy for medication errors involving two residents.
Report Facts
Residents reviewed: 5
Medication errors: 2
Dates of physician orders: Oct 1, 2025
Dates of physician orders: Sep 5, 2025
Inspection Report — Mar 19, 2025
Complaint Investigation
Date: Mar 19, 2025
Visit Reason
The inspection was conducted as an investigation of Complaint #126897-C regarding facility policies.
Complaint Details
Investigation of Complaint #126897-C. The deficiency was substantiated based on staff interview and record review.
Findings
The facility failed to have a discharge or transfer policy specific to Charter Senior Living of Northpark Place, instead using a corporate policy from Florida that did not include specifics for Iowa. This deficiency was confirmed by the Business Office Manager on 3/18/25.
Violations (1)
Facility failed to establish a discharge or transfer policy specific to Charter Senior Living of Northpark Place as required by 481-57.12(1)g General Policies.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager | Confirmed the finding regarding the discharge or transfer policy on 3/18/25 at 12:00 p.m. |
Inspection Report — Dec 26, 2024
Complaint Investigation
Date: Dec 26, 2024
Visit Reason
The survey was conducted to determine compliance with licensing rules for a Residential Care Facility and to investigate complaints 121880-C and 122451-C.
Complaint Details
The investigation of complaints 121880-C and 122451-C found no deficiencies.
Findings
No deficiencies were cited during the survey or the complaint investigations.
Inspection Report — Mar 9, 2023
Complaint Investigation
Date: Mar 9, 2023
Visit Reason
Investigation of Complaints #110092-C and #109468-C at Charter Senior Living of Northpark Place.
Complaint Details
Investigation of Complaints #110092-C and #109468-C resulted in no deficiencies cited.
Findings
No deficiencies were cited during the investigation of the complaints.
Inspection Report — Aug 16, 2022
Complaint Investigation
Date: Aug 16, 2022
Visit Reason
The inspection was conducted to investigate Complaint #104643-C and to determine compliance with licensing rules for a Residential Care Facility.
Complaint Details
Complaint #104643-C was investigated with no deficiencies cited during that investigation.
Findings
No deficiencies were cited during the complaint investigation. However, deficiencies were found related to employee background checks, medication aide certification, and authorization for insulin administration.
Violations (4)
Facility failed to comply with employee criminal record checks, child abuse checks, and dependent adult abuse checks prior to hire as required by Iowa Administrative Code 481-50.9(3).
Facility failed to ensure a medication aide course had been completed by 1 of 1 staff responsible for drug administration (Staff C).
Facility failed to ensure authorization for staff certified to inject insulin was kept in the file for 1 of 1 residents observed receiving insulin injection (Resident #4).
Facility failed to complete background checks prior to hire for 1 of 4 new employees reviewed (Staff D).
Report Facts
Deficiencies cited: 4
Insulin units administered: 4
Staff reviewed: 4
Staff responsible for drug administration reviewed: 1
Residents observed receiving insulin injection: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Medication Aide | Named in deficiency for lacking required medication aide course certification. |
| Staff D | Named in deficiency for lacking background checks prior to hire. | |
| Staff E | Observed administering insulin to Resident #4. | |
| Executive Director | Confirmed findings related to background checks and medication aide certification. | |
| Health Wellness Director | Confirmed findings and involved in corrective actions related to medication aide certification and insulin administration. |
Inspection Report — Aug 15, 2022
Enforcement
Date: Aug 15, 2022
Visit Reason
This citation was issued following a DD survey conducted on 8/15/22 and 8/16/22 at Charter Senior Living at Northpark Place. The facility was cited for failing to complete required employee background checks prior to hire.
Findings
The facility failed to ensure criminal record and dependent adult abuse background checks were completed prior to employment for one of four new employees reviewed. The Executive Director confirmed this finding.
Violations (2)
57.11(3) Personnel: The facility failed to ensure criminal record and dependent adult abuse checks were completed prior to hire as required by Iowa Administrative Code 481-50.9(3)b. One employee began work without these background checks completed.
50.9(3)b Criminal, dependent adult abuse, and child abuse record checks: The facility did not complete required background checks prior to hire for one of four new employees reviewed. Background checks completed prior to hire could not be located.
Report Facts
Fine amount: 500
Inspection Report — Dec 9, 2021
Complaint Investigation
Date: Dec 9, 2021
Visit Reason
The inspection was conducted as an investigation of Complaint 98726-C regarding medication administration and drug storage practices at Charter Senior Living of Northpark Place.
Complaint Details
Investigation of Complaint 98726-C revealed medication administration errors and missing signatures on pharmacy inspection reports. Complaint 100397-C was also investigated with no deficiencies cited.
Findings
The facility failed to ensure physicians' medication orders were correctly followed for multiple residents, with numerous medications not administered as ordered. Additionally, the facility failed to ensure quarterly pharmacy inspection reports were signed by the administrator as required dating back to February 2020.
Violations (2)
Failed to ensure physicians' orders were followed for 2 of 3 current and 2 of 3 former residents, with multiple medications not administered as ordered.
Failed to ensure quarterly pharmacy inspection reports were signed by the administrator as required dating back to February 2020.
Report Facts
Medication administration omissions: 40
Pharmacy inspection reports: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Executive Director | Confirmed findings of medication administration errors on 12/08/21 and 12/09/21. | |
| Health & Wellness Director | Completed medication reviews and verified medication lists with physicians and pharmacist; responsible for monitoring medication distribution and quarterly pharmacy reviews. | |
| Administrator | Responsible for signing quarterly pharmacy inspection reports and participating in monitoring process. |
Inspection Report — Jun 16, 2021
Complaint Investigation
Date: Jun 16, 2021
Visit Reason
The inspection was conducted as an investigation of Complaint #96940-C, focusing on infection control and other regulatory compliance issues at Charter Senior Living of Northpark PI.
Complaint Details
The complaint investigation was substantiated with findings including failure to complete an incident report for an employee trapped in the elevator and failure to maintain elevator safety and emergency preparedness.
Findings
No deficiencies were cited during the onsite infection control survey; however, deficiencies were found related to incident reporting, elevator safety and maintenance, resident care for nonambulatory residents, and emergency plan posting. The facility failed to complete an incident report for an employee trapped in the elevator, lacked a current elevator operating permit, and did not have the emergency plan prominently posted in common areas.
Violations (4)
Failure to complete an incident report for an employee trapped in the elevator.
Failure to ensure the elevator had a current operating permit to accommodate nonambulatory residents.
Failure to have a written emergency plan prominently posted in common areas of the building.
Failure to maintain the building, grounds, and elevator in a clean, orderly condition and good repair.
Report Facts
Complaint number: 96940
Incident date: Feb 19, 2021
Inspection date: Jun 16, 2021
Plan of correction completion dates: Various dates including 07-02-2021, 07-18-2021, 06-17-2021, 10-31-2021
Inspection Report — Feb 20, 2020
Routine
Date: Feb 20, 2020
Visit Reason
The inspection was conducted to determine compliance with licensing rules for a Residential Care Facility.
Findings
The facility failed to complete required employee background checks, physical examinations, tuberculosis testing, and quarterly drug storage inspections as mandated by Iowa Administrative Code rules. The administrator was no longer employed at the facility, and corrective plans were outlined to ensure future compliance.
Violations (4)
Failed to complete background record checks for 3 of 3 new employees reviewed (Administrator, Staff D, Staff E).
Failed to ensure a physical examination and baseline tuberculosis testing was completed for 1 of 3 new staff reviewed (Administrator).
Failed to ensure drug storage inspections were completed quarterly as required.
Failed to complete the two-step tuberculin skin test for 1 of 3 new employees reviewed (Administrator).
Report Facts
New employees reviewed: 3
Quarterly drug storage inspections: 3
Inspection Report — Feb 18, 2020
Enforcement
Date: Feb 18, 2020
Visit Reason
This citation was issued following a survey conducted from February 18 to 20, 2020, regarding compliance with employee background check requirements.
Findings
The facility failed to complete required criminal history and abuse record checks for three new employees, including the Administrator and two staff members.
Violations (1)
481-50.9(135C) and 481-57.11(3) Employee background checks: The facility did not perform criminal history and child and dependent adult abuse record checks for three new employees, including the Administrator and two staff members.
Report Facts
Fine amount: 500
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