Inspection Reports for
Homestead of Albia
6592 165th Street, Albia, IA, 52531
Back to Facility Profile7 Reports
Inspection Report — Dec 16, 2025
Renewal
Date: Dec 16, 2025
Visit Reason
The visit was a recertification (renewal) visit and included an investigation of Complaint #130990-C.
Complaint Details
Complaint #130990-C
Findings
No regulatory insufficiencies were cited during the investigation of Complaint #130990-C.
Inspection Report — Aug 18, 2025
Renewal
Date: Aug 18, 2025
Visit Reason
The visit was a recertification inspection to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit or during the investigations of Complaints #128258-C, #128509-C, and #129338-C.
Report Facts
Number of tenants without cognitive impairment: 27
Number of tenants with cognitive impairment: 3
Inspection Report — Mar 20, 2025
Complaint Investigation
Date: Mar 20, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations of suspected drug diversion involving Staff E and PRN hydrocodone, as well as concerns about bed bugs and evaluation compliance for tenants.
Complaint Details
The complaint involved suspected drug diversion by Staff E related to PRN hydrocodone administration to Tenant #4 and two former tenants. The investigation found multiple documentation discrepancies and failure to investigate by management. Additionally, complaints about bed bugs and evaluation lapses were investigated.
Findings
The program failed to follow medication policies regarding suspected drug diversion for one current and two former tenants, failed to complete required evaluations after significant tenant changes, and did not promptly address ongoing bed bug infestations in tenant rooms.
Violations (3)
Failed to follow established medication policy regarding suspected drug diversion for Tenant #4 and two former tenants, including improper documentation and investigation.
Failed to ensure evaluations were completed with significant change for Tenant #4 after hospitalization.
Failed to take prompt action regarding bed bugs found in the rooms of three tenants, resulting in ongoing infestations and tenant discomfort.
Report Facts
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 3
PRN hydrocodone administrations by Staff E in November 2024: 23
PRN hydrocodone administrations by Staff E in December 2024: 25
PRN hydrocodone administrations by Staff E in October 2024: 36
PRN hydrocodone administrations by Staff E in November 2024: 26
PRN hydrocodone administrations by Staff E in December 2024: 14
PRN hydrocodone administrations by Staff E in January 2025: 23
PRN hydrocodone administrations by Staff E in February 2025: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Named in medication diversion and documentation discrepancies | |
| Staff A | Reported concerns about Staff E's medication administration | |
| Staff B | Reported concerns about Staff E's medication administration | |
| Staff D | Reported concerns about Staff E's medication administration | |
| Executive Director | Executive Director | Interviewed regarding drug diversion and bed bug issues |
| LPN | Licensed Practical Nurse | Interviewed regarding medication administration and bed bug issues |
| Regional Registered Nurse | Registered Nurse | Interviewed regarding evaluation requirements |
| Regional Vice President | Vice President | Interviewed regarding evaluation requirements |
| Staff C | Reported bed bug sightings |
Inspection Report — Nov 2, 2023
Annual Inspection
Date: Nov 2, 2023
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program and included investigation into Complaints #111855-C, #114021-C, and #114217-C.
Complaint Details
The visit included investigation into Complaints #111855-C, #114021-C, and #114217-C.
Findings
The inspection identified multiple regulatory deficiencies including failure to follow policies on sexual relationships between residents with cognitive impairment, failure to treat tenants with respect and dignity, incomplete criminal background checks for staff, failure to evaluate tenants after significant health changes, and failure to update service plans when changes were needed.
Violations (5)
Failed to follow the policy on sexual relationships between residents with cognitive impairment affecting 1 of 5 discharged tenants (Tenant C5).
Failed to ensure employees treated 6 of 9 current tenants with respect, including inappropriate comments and neglect by staff.
Failed to complete a criminal background check for 1 of 6 staff reviewed (Staff A) prior to hiring.
Failed to evaluate 1 of 5 current tenants (Tenant #2) after developing a wound on her foot.
Failed to update the service plan of 1 of 5 discharged tenants (Tenant C5) when changes were needed.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 3
Errors on Mini Mental Questionnaire: 9
Staff reviewed for background check: 6
Staff with incomplete background check: 1
Tenants reviewed for evaluation: 5
Tenants reviewed for service plan updates: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in findings related to failure to complete criminal background check prior to hiring and involved in incidents with Tenant C5. | |
| Staff B | Witnessed incidents involving Tenant C5 and other tenants. | |
| Staff C | Reported observations regarding Tenant C5. | |
| Staff D | Named in multiple findings related to inappropriate treatment of tenants and was terminated on 11/6/23. | |
| Staff E | Named in findings related to inadequate assistance to Tenant #8. | |
| Administrator | Provided confirmation of findings and awareness of policies. |
Inspection Report — Dec 21, 2022
Complaint Investigation
Date: Dec 21, 2022
Visit Reason
The inspection was conducted as an investigation into complaints #104732-C and #104822-C regarding regulatory insufficiencies at the assisted living program.
Complaint Details
The visit was triggered by complaints #104732-C and #104822-C. The findings included failure to evaluate tenant needs, medication administration errors, and untimely service plan updates. The Administrator confirmed these findings during the investigation.
Findings
The program failed to evaluate the needs of a tenant following surgery, failed to administer medication as prescribed to a discharged tenant, and did not complete service plans in a timely manner for both discharged and current tenants. These deficiencies were confirmed by the Administrator during the inspection.
Violations (3)
Failed to evaluate the needs of Tenant #3 following shoulder surgery on 11/16/22, with delayed update to service plan.
Failed to administer medication as prescribed to Tenant C1, including holding Trazodone without physician orders.
Did not complete service plans in a timely manner for Tenant C4 and Tenant #1, including failure to update service plan within 30 days of occupancy.
Report Facts
Number of tenants without cognitive disorder: 18
Number of tenants with cognitive disorder: 2
Discharged tenants reviewed: 5
Current tenants reviewed: 4
Inspection Report — Sep 9, 2021
Renewal
Date: Sep 9, 2021
Visit Reason
The visit was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program, including investigation into Complaint #92295-C and an onsite infection control survey.
Complaint Details
The complaint investigation (#92295-C) found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation or infection control survey. However, regulatory insufficiencies were cited during the recertification visit related to program policies and procedures, service plans, and occupancy agreements.
Violations (3)
The program failed to consistently implement established policies and procedures, affecting 1 of 4 sample tenants, including failure to complete fall risk assessments and incident reports.
The program failed to develop service plans based on identified individual needs for 4 of 4 sample tenants, including incomplete or outdated service plans and evaluations.
The program failed to ensure occupancy agreements were signed prior to admission for 1 tenant admitted since June 2021.
Report Facts
Number of tenants without cognitive disorder: 19
Number of tenants with cognitive disorder: 1
Sample tenants affected by policy/procedure deficiency: 1
Sample tenants affected by service plan deficiency: 4
Tenant affected by occupancy agreement deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Atwell | Executive Director, Resident Care Coordinator | Named in email correspondence regarding plan of correction and involved in interview and findings |
Inspection Report — Oct 31, 2019
Complaint Investigation
Date: Oct 31, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to regulatory insufficiencies cited during the investigation of Complaint 86008-I.
Complaint Details
The complaint investigation involved Tenant #1 who wore a wanderguard and exited the building after pressing the door alarm. Staff did not respond properly or conduct a search, and the tenant was found outside after about 40 minutes. The facility's elopement policy was not followed as confirmed by the manager.
Findings
The program staff failed to consistently respond appropriately to a door alarm, resulting in a tenant with cognitive impairment exiting the building unnoticed for approximately 40 minutes. The facility did not follow its elopement policy, and staff failed to ensure tenant safety as required.
Violations (1)
Program staff failed to consistently respond appropriately to the door alarm, affecting tenant safety.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 3
Global Deterioration Scale score: 4
Date of Incident Report: Aug 31, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Atwell | Signed the plan of correction | |
| Catie Campbell | Program Coordinator | Contact person listed on the plan of correction |
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