11 Reports
Inspection Report — Mar 2, 2026
Complaint Investigation
Date: Mar 2, 2026
Visit Reason
Investigations #131013-C and #131120-C were completed from 2026-03-02 to 2026-03-04. Investigation #131013-C resulted in no deficiency cited. Investigation #131120-C resulted in deficiencies cited related to general policies, orientation and service plans, and resident activities program.
Complaint Details
Investigations #131013-C and #131120-C were conducted. Investigation #131013-C resulted in no deficiencies. Investigation #131120-C found deficiencies as detailed.
Findings
Investigation #131013-C found no deficiencies. Investigation #131120-C found multiple deficiencies including failure to follow established policies for post-fall assessments and medication administration documentation, failure to include measurable goals and documentation procedures in service plans for residents, failure to update service plans as resident needs changed, and failure to include measurable activity goals in resident activities programs.
Violations (5)
481-57.12(135C) General Policies: The facility failed to complete post-fall assessments within 24 hours as required and failed to document medication administration accurately for Resident #4. Multiple incidents of residents found on the floor were not followed up per policy.
481-57.22(3)a Orientation and Service Plan: Service plans for Residents #1, #2, #3, and #4 lacked measurable goals and objectives.
481-57.22(3)b Orientation and Service Plan: Service plans for Residents #1, #2, #3, and #4 lacked documentation procedures for each goal.
481-57.22(3)c Orientation and Service Plan: The facility failed to update service plans for Residents #1 and #2 as their needs changed following multiple incidents of falls and other events.
481-57.23(1)b Resident Activities Program: Service plans for Residents #1, #2, #3, and #4 failed to include measurable activity goals.
Inspection Report — Jul 18, 2024
Routine
Date: Jul 18, 2024
Visit Reason
The inspection was conducted to determine compliance with licensing rules for a Residential Care Facility with a special classification for Memory Care.
Findings
The facility was found deficient in multiple areas including failure to complete assessments prior to admission for memory care residents, inadequate staff training on memory care needs, lack of physical examinations prior to admission, failure to maintain current primary care provider orders, incomplete incident reporting, and failure to develop initial and ongoing service plans for residents.
Violations (7)
Failed to complete an assessment prior to admission to the memory care unit for 2 of 3 residents reviewed.
Failed to ensure 3 of 7 employees completed six hours of special training prior to assignment to the memory care unit.
Failed to obtain a physical examination prior to admission for 3 of 3 residents reviewed.
Failed to obtain primary care provider orders on a quarterly basis for 5 of 7 residents reviewed.
Failed to complete incident reports when 1 of 4 tenants reviewed displayed unusual behaviors.
Failed to develop an initial service plan within 48 hours of admission for 2 of 3 current residents and 1 discharged resident reviewed.
Failed to develop a service plan within 30 days of admission for 3 of 4 current residents and 1 discharged resident reviewed.
Report Facts
Residents reviewed: 7
Residents admitted since May 2024: 3
Residents reviewed for service plans: 4
Discharged residents reviewed: 1
Hours of special training required: 6
Inspection Report — Nov 21, 2023
Plan of Correction
Date: Nov 21, 2023
Visit Reason
The document is a plan of correction responding to deficiencies cited in a prior inspection related to medication orders, medical examinations, and service plans for residents.
Findings
The report identifies deficiencies in medication orders, medical examinations, and service plans, noting failures in ensuring proper orders, timely medical reviews, and updated service plans for residents. The plan outlines corrective actions including staff training, audits, and re-training of nurses.
Violations (3)
Orders for medications and treatments shall be correctly and timely ordered by qualified personnel.
The person in charge shall immediately notify the physician of any accident, injury or adverse change in the resident's condition that has the potential for requiring physician intervention.
Service plans shall be prepared within 30 days of admission and reviewed and updated as needed.
Report Facts
Completion Date: 11/21/2023
Implementation Date: 10/17/2023
Compliance Date: 02/28/2024
Inspection Report — Oct 2, 2023
Enforcement
Date: Oct 2, 2023
Visit Reason
This citation was issued following a survey conducted from 10/2/2023 to 11/21/2023 regarding failure to notify primary care providers of changes in residents' conditions requiring medical intervention.
Findings
The facility failed to notify primary care providers of significant changes in condition for three residents, resulting in delayed medical treatment and hospitalizations. The Regional Nurse Specialist confirmed these findings on 10/4/2023.
Violations (1)
481-57.16(135C) Medical examinations: The facility failed to notify the primary care provider of changes in condition for Resident C2, Resident C1, and Resident #1, which resulted in delayed medical treatment and hospitalizations for cellulitis, respiratory distress, and wound care issues.
Report Facts
Fine amount: 8000
Inspection Report — Jun 22, 2023
Complaint Investigation
Date: Jun 22, 2023
Visit Reason
The inspection was conducted as an investigation of complaints and incidents identified by Incident #108990-I, Incident #113636-I, and Complaint #111816-C.
Complaint Details
Investigation of Incident #108990-I, Incident #113636-I, and Complaint #111816-C found no deficiencies.
Findings
No deficiencies were cited during the investigation of the incidents and complaint.
Inspection Report — Sep 15, 2022
Complaint Investigation
Date: Sep 15, 2022
Visit Reason
Investigation into Complaint #105353-C and Incident #106837-I at Corridor Crossing Place.
Complaint Details
Investigation was related to Complaint #105353-C and Incident #106837-I; no deficiencies were found.
Findings
No deficiencies were cited during the investigation.
Inspection Report — Mar 29, 2022
Complaint Investigation
Date: Mar 29, 2022
Visit Reason
Investigation into Complaint #101532-C at Corridor Crossing Place.
Complaint Details
Investigation into Complaint #101532-C found no deficiencies.
Findings
No deficiencies were cited during the investigation.
Inspection Report — Jan 5, 2022
Annual Inspection
Date: Jan 5, 2022
Visit Reason
The survey was conducted to determine compliance with licensing rules for a Residential Care Facility with a special classification for Memory Care, including an onsite infection control survey.
Findings
No deficiencies were cited during the survey or the infection control survey.
Inspection Report — Sep 8, 2020
Complaint Investigation
Date: Sep 8, 2020
Visit Reason
The inspection was conducted as an investigation of complaints and incidents related to supervision and safety at Corridor Crossing Place, Cedar Rapids, Iowa, specifically investigations 92736-C, 92760-C, and 92740-I.
Complaint Details
The visit was complaint-related with substantiated findings for Incident #92740-I and Complaints #92760-C and #92736-C, all related to supervision and safety.
Findings
The facility failed to provide proper supervision levels for one of three residents reviewed, resulting in a resident fall with serious injuries and subsequent death. The investigation found inadequate documentation and training regarding supervision and wheelchair brake use, with multiple staff interviews confirming inconsistent practices.
Violations (1)
Failure to provide and document proper supervision levels for residents requiring more than general supervision, leading to a resident fall and injury.
Report Facts
Incident Report Date: Aug 4, 2020
Resident Death Date: Aug 12, 2020
Incident Investigation Dates: Aug 17, 2020
Inspection Date: Sep 8, 2020
Service Plan Date: Jul 1, 2020
Plan of Correction Compliance Date: Jan 8, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Urbanek | Nurse Manager | Named in plan of correction and interview confirming findings |
| Staff A | Interviewed staff involved in medication administration and resident supervision | |
| Staff B | Interviewed staff involved in resident supervision and fall incident | |
| Staff D | Interviewed staff regarding resident mobility and supervision | |
| Staff E | Interviewed staff regarding resident activities and supervision | |
| Staff F | Interviewed staff regarding wheelchair use and resident supervision | |
| Staff G | Interviewed staff regarding wheelchair brake engagement | |
| Staff H | Interviewed staff regarding wheelchair use and resident safety |
Inspection Report — Aug 26, 2020
Complaint Investigation
Date: Aug 26, 2020
Visit Reason
The inspection was conducted as a complaint investigation related to medication management and other concerns at Corridor Crossing Place.
Complaint Details
Complaint investigation #90635-C found medication management deficiency substantiated; supervision and evaluation/service plan complaints were not substantiated.
Findings
The investigation substantiated a deficiency in medication management where staff failed to properly observe residents swallowing their medications, leaving pills unattended, and not following physician orders for self-administration. Other complaint areas such as supervision and evaluation/service plan were not substantiated.
Violations (1)
Failure to ensure drug administration was properly carried out for 3 of 9 residents reviewed, including not observing residents swallow medications and leaving pills unattended.
Report Facts
Residents reviewed: 9
Residents with medication administration issues: 3
Dates of physician orders: Jul 10, 2020
Dates of physician orders: Jul 15, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Urbanek | Nurse Manager | Named in plan of correction and confirmation of medication administration procedures |
Inspection Report — Aug 17, 2020
Enforcement
Date: Aug 17, 2020
Visit Reason
This citation was issued following a survey conducted from 8/17/20 to 9/8/20 regarding a serious incident involving Resident #2 who fell and sustained fatal injuries. The citation addresses failure to provide proper supervision and documentation of supervision levels for Resident #2.
Findings
The facility failed to provide adequate supervision and documentation for Resident #2, who was able to get up from her wheelchair unassisted and subsequently fell, resulting in fatal injuries. Staff were unaware of the resident's ability to stand and walk, and the service plan did not address the risk of the resident getting up unexpectedly or the status of wheelchair brakes.
Violations (1)
57.11(5)d 481-57.11(135C) Personnel: The facility failed to document and provide proper supervision levels for Resident #2, who was able to get up from her wheelchair unassisted and fell, sustaining fatal injuries. Staff were unaware of the resident's mobility and did not ensure wheelchair brakes were locked or monitor the resident closely during medication administration.
Report Facts
Fine amount: 7750
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