Inspection Reports for
Forest Plaza AL
635 Hwy. 9 East, Forest City, IA, 504361028
Back to Facility Profile4 Reports
Inspection Report — May 27, 2025
Renewal
Date: May 27, 2025
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive impairment: 15
Number of tenants with cognitive impairment: 1
Inspection Report — Aug 29, 2023
Complaint Investigation
Date: Aug 29, 2023
Visit Reason
Investigation of Complaint #110251-C at Forest Plaza Assisted Living.
Complaint Details
Complaint #110251-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 1
Inspection Report — Jun 30, 2022
Renewal
Date: Jun 30, 2022
Visit Reason
The recertification visit was conducted to determine compliance with certification of an Assisted Living Program.
Findings
The program failed to evaluate a tenant's functional, cognitive, and health status as warranted by a significant change of condition and failed to develop service plans based on evaluations to meet identified needs for 1 of 3 tenants reviewed.
Violations (2)
Failed to evaluate a tenant's functional, cognitive, and health status as warranted by a significant change of condition.
Failed to develop service plans based on evaluations conducted to meet the identified needs for 1 of 3 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 30
Number of tenants with cognitive disorder: 0
Total Population of Program: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Confirmed findings on 6-30-22 at 12:23 p.m. |
Inspection Report — Nov 19, 2019
Renewal
Date: Nov 19, 2019
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification for the Assisted Living Program. However, deficiencies were found related to staffing and nurse review procedures, including failure to complete timely nurse reviews and ensure staff competency within 60 days of employment.
Violations (2)
The program's registered nurse failed to complete a review to ensure staff were sufficiently trained and competent within 60 days of employment.
The program failed to consistently ensure nurse reviews were completed at least every 90 days for tenants, affecting 2 of 4 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 42
Number of tenants with cognitive disorder: 0
Staff affected by nurse delegation review deficiency: 2
Tenants affected by nurse review deficiency: 2
Date of Director of Nursing employment start: Aug 12, 2019
Date of nurse review completion for Tenant #1: Aug 30, 2019
Date of nurse review completion for Tenant #4: Oct 18, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rick Burke | Manager | Signed as Laboratory Director's or Provider/Supplier Representative's signature on the report. |
| Director of Nursing | Began employment on 8/12/19 and confirmed lack of awareness of required staff reviews. | |
| Registered Nurse Manager | Interviewed on 11/19/19, explained she had started in August and was attempting to catch up on nurse reviews. |
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