Inspection Reports for
Edencrest at Kettlestone
805 SE Tallgrass Ln, Waukee, IA 50263, United States, IA, 50263
Back to Facility Profile4 Reports
Inspection Report — Mar 18, 2026
Renewal
Date: Mar 18, 2026
Visit Reason
The visit was a recertification visit to determine compliance with certification of an Assisted Living Program for People with Dementia. The investigation also covered Incidents 130979-I and 130980-I, as well as a revisit of FC# 10923 related to Complaint 128788-C and Incident 130026-I.
Complaint Details
Complaint 128788-C, Incident 130026-I, Incident 130979-I, Incident 130980-I
Findings
No regulatory insufficiencies were cited during the investigation of Incidents 130979-I and 130980-I. The revisit related to Complaint 128788-C and Incident 130026-I was met with no regulatory insufficiencies cited.
Inspection Report — Aug 7, 2025
Complaint Investigation
Date: Aug 7, 2025
Visit Reason
The inspection was conducted to investigate regulatory insufficiencies related to incidents and complaints involving tenant care and safety at Edencrest at Kettlestone Memory Care.
Complaint Details
The investigation was triggered by complaints #128788-C and #129203-C and incidents 128141-I and 130026-I. The complaints were substantiated by findings of failure to perform required safety checks and inadequate tenant care.
Findings
The facility failed to provide adequate and appropriate care to two former tenants, Tenant C1 and Tenant C2, by not performing required hourly safety checks, resulting in a fall and an elopement incident. Staff responsible were suspended and did not return to work.
Violations (1)
Failure to provide adequate and appropriate care, treatment, and services to 2 of 3 former tenants (Tenants C1 and C2), including failure to perform required hourly safety checks.
Report Facts
Number of tenants with cognitive impairment: 6
Global Deterioration Scale (GDS) score: 4
Date of Tenant C1 fall: Jul 8, 2025
Date of Tenant C2 elopement: Apr 12, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Assigned to Tenant C1, failed to call for assistance and left tenant on floor | |
| Staff B | Contacted EMS for Tenant C1 | |
| Staff D | Last saw Tenant C2 before elopement | |
| Staff E | Documented safety checks for Tenant C2 but failed to complete hourly checks appropriately |
Inspection Report — Aug 4, 2025
Enforcement
Date: Aug 4, 2025
Visit Reason
This citation was issued following an investigation of two incidents identified as Investigation #128788-C and #130026-I occurring between 8/4/25 and 8/7/25.
Complaint Details
Investigation #128788-C and #130026-I
Findings
The program failed to provide adequate and appropriate care and services to two former tenants. Staff failed to perform required hourly safety checks, resulting in one tenant being left on the floor after a fall and another tenant eloping by removing window blocks and lowering himself from a second-story window.
Violations (1)
481-67.3(2) Tenant Rights: The program failed to provide adequate and appropriate care to Tenant C1 by not performing required hourly safety checks and leaving the tenant on the floor after a fall until day shift staff arrived. The program also failed to provide adequate care to Tenant C2 by not completing hourly safety checks, allowing the tenant to elope by removing window block inserts and lowering himself from a second-story window.
Report Facts
Fine amount: 3000
Inspection Report — Dec 10, 2024
Original Licensing
Date: Dec 10, 2024
Visit Reason
Initial visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the initial visit for certification compliance.
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