Inspection Reports for
Homestead of Mason City
2501 W State St, Mason City, IA 50401, United States, IA, 50401
Back to Facility Profile7 Reports
Inspection Report — Jul 29, 2025
Complaint Investigation
Date: Jul 29, 2025
Visit Reason
The inspection was conducted to investigate Complaints #127561-C and to perform a recertification visit to determine compliance with certification rules for an Assisted Living Program.
Complaint Details
Investigation of Complaints #127561-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation and recertification visit.
Report Facts
Number of tenants without cognitive impairment: 19
Number of tenants with cognitive impairment: 11
Inspection Report — Jul 17, 2024
Complaint Investigation
Date: Jul 17, 2024
Visit Reason
The inspection was conducted to investigate complaints #116231-C, #115586-C, #115572-C, and incident #115703-I related to medication management and other regulatory concerns at Homestead Assisted Living.
Complaint Details
The investigation involved complaints #116231-C, #115586-C, #115572-C and incident #115703-I. The medication tampering was substantiated during the investigation.
Findings
No regulatory insufficiencies were found for complaints #116231-C and #115586-C. However, a deficiency was cited for failure to follow the Medication Management policy involving altered medication packaging discovered during the investigation of incident #115703-I and complaint #115572-C.
Violations (1)
Failure to follow the established Medication Management policy involving altered medication packaging where 137 of 180 tablets of Hydrocodone/Acetaminophen were replaced with over-the-counter Acetaminophen and resealed.
Report Facts
Number of tenants without cognitive impairment: 17
Number of tenants with cognitive impairment: 7
Tablets of Hydrocodone/Acetaminophen replaced: 137
Total tablets in bubble packs: 180
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Montgomery | Executive Director | Confirmed findings of medication tampering on 7/17/24 |
Inspection Report — Aug 1, 2023
Complaint Investigation
Date: Aug 1, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to multiple complaint numbers (#114386-A, #114391-M, #114389-A, and #114408-C) concerning regulatory insufficiencies at Homestead Assisted Living.
Complaint Details
No regulatory insufficiencies were cited during the investigation of Complaint #112611-C. Regulatory insufficiencies were cited during the investigation of Complaints #114386-A, #114391-M, #114389-A, and #114408-C.
Findings
The investigation found regulatory insufficiencies including failure to update individualized service plans to reflect tenants' needs and preferences, specifically for Tenant #1 who had cognitive impairments and safety concerns. No deficiencies were cited for Complaint #112611-C.
Violations (1)
Failure to update service plans to identify individual needs and preferences for assistance, as evidenced by Tenant #1's service plan not reflecting recent changes and safety concerns.
Report Facts
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 3
Inspection Report — Apr 5, 2023
Renewal
Date: Apr 5, 2023
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification of an Assisted Living Program and to investigate Complaints #109159-C and #109198-C.
Complaint Details
The inspection included investigation of Complaints #109159-C and #109198-C.
Findings
The program failed to follow policies and procedures for medication administration and documentation, with multiple instances of missed documentation. Additionally, the program did not provide required dementia-specific education and training for personnel, both initially and annually, as mandated by regulations.
Violations (3)
Failure to follow policies and procedures for medication administration and documentation, including 34 missed documentation instances in October, 6 in November, and 12 in December.
Failure to provide 8 hours of dementia-specific education within 30 days of employment for 6 staff members.
Failure to provide 8 hours of dementia-specific continuing education annually for 3 staff members, with partial completion noted.
Report Facts
Medication documentation failures: 34
Medication documentation failures: 6
Medication documentation failures: 12
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 3
Staff reviewed for dementia-specific training within 30 days: 6
Staff reviewed for annual dementia training: 3
Inspection Report — Jun 29, 2022
Complaint Investigation
Date: Jun 29, 2022
Visit Reason
Investigation of Incident 98796-C at Homestead Assisted Living.
Complaint Details
Investigation of Incident 98796-C; no regulatory insufficiencies were cited.
Findings
No regulatory insufficiencies were cited during the investigation of Incident 98796-C.
Report Facts
Number of tenants without cognitive disorder: 19
Number of tenants with cognitive disorder: 8
Inspection Report — May 18, 2021
Renewal
Date: May 18, 2021
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program, including an onsite infection control survey from 5-13-21 to 5-18-21.
Findings
The inspection found several regulatory insufficiencies related to nurse delegation procedures, staff training, record checks, tenant documentation, and service plans. No regulatory insufficiencies were cited during the infection control survey portion. Deficiencies included failure to provide services in accordance with training, incomplete nurse delegation training, incomplete background checks, inconsistent documentation of nurses' notes, and inadequate service plans reflecting tenant needs.
Violations (5)
Failure to provide services in accordance with training for blood glucose monitoring and insulin administration.
Incomplete nurse delegation training on activities of daily living including dressing/undressing and anti-embolism hose for direct care staff.
Failure to complete background checks prior to employment for staff.
Failure to consistently document nurses' notes by exception for tenants.
Failure to develop individualized service plans reflecting tenant needs and preferences for assistance.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 14
Number of direct care staff reviewed for nurse delegation training: 5
Number of staff reviewed for background checks: 6
Number of tenants reviewed for nurses' notes documentation: 3
Number of tenants reviewed for service plans: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Observed assisting Tenant #4 with blood glucose monitoring and insulin administration; nurse delegation training documents reviewed | |
| Staff B | Direct care staff with incomplete nurse delegation training | |
| Staff D | Direct care staff with incomplete nurse delegation training | |
| Staff E | Direct care staff with incomplete nurse delegation training | |
| Staff F | Direct care staff with incomplete nurse delegation training | |
| Staff G | Direct care staff with incomplete nurse delegation training | |
| Staff A | Staff with incomplete background checks prior to employment | |
| Executive Director | Interviewed regarding background checks and service plans | |
| Regional Nurse | Responsible for monitoring documentation consistency and auditing employee files |
Inspection Report — Dec 23, 2019
Complaint Investigation
Date: Dec 23, 2019
Visit Reason
The inspection was conducted as an investigation of Incident #86488-I related to regulatory insufficiencies in tenant documentation at Homestead Assisted Living.
Complaint Details
Investigation of Incident #86488-I found regulatory insufficiencies in tenant documentation. The findings were substantiated by review and interview on 12-23-19.
Findings
The program failed to maintain required tenant documents including signed authorizations for emergency medical care and advance health care directives for one tenant. The Licensed Practical Nurse confirmed these findings on 12-23-19.
Violations (2)
Failure to ensure a signed authorization for emergency medical care in tenant files.
Failure to include advance health care directives in tenant files as applicable.
Report Facts
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 3
Date survey completed: Dec 23, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | Confirmed findings on 12-23-19 at 2:17 p.m. |
Viewing
Loading inspection reports...
