Inspection Reports for
Homestead of Oskaloosa
2102 South Market Street, Oskaloosa, IA, 52577
Back to Facility Profile5 Reports
Inspection Report — Dec 10, 2025
Renewal
Date: Dec 10, 2025
Visit Reason
The visit was a recertification visit to determine compliance with certification of an Assisted Living Program. It also involved investigation of Complaint #130950-C and Incident #130944-C.
Complaint Details
Complaint #130950-C and Incident #130944-C were investigated during the recertification visit.
Findings
Multiple regulatory insufficiencies were cited related to program policies and procedures, evaluation of tenants, and service plans. The facility failed to follow established policies for incident reporting, complete evaluations timely, and update service plans as needed.
Violations (3)
481-67.2(3) Program Policies and Procedures: The program failed to follow established policy and procedure regarding incident reports. An incident report was not completed for a tenant's fall and being found unresponsive.
401-69.22(3) Evaluation of Tenant: The program failed to complete evaluations as needed with significant change for multiple tenants. Evaluations were not completed timely or as required for discharged and current tenants.
481-69.26(1) Service Plans: The program failed to update service plans as needed to reflect the service needs of tenants. Several tenants' service plans were not updated to reflect current needs based on evaluations.
Inspection Report — Feb 6, 2025
Complaint Investigation
Date: Feb 6, 2025
Visit Reason
Investigation into Complaint #125916-C at Homestead of Oskaloosa.
Complaint Details
Investigation into Complaint #125916-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Tenants without cognitive impairment: 62
Tenants with cognitive impairment: 2
Inspection Report — Jul 17, 2023
Renewal
Date: Jul 17, 2023
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program and included an investigation into Incident #112197-I.
Complaint Details
The inspection included an investigation into Incident #112197-I involving Tenant C1's elopement and supervision failures.
Findings
The program failed to properly supervise one discharged tenant (Tenant C1) who eloped from the facility, and failed to update the tenant's service plan to reflect significant changes in care needs. Additionally, the program failed to request a Department of Human Services evaluation for an employee with a history of child abuse. Several regulatory insufficiencies related to tenant rights, record checks, and service plan updates were cited.
Violations (3)
Failure to properly supervise 1 of 1 discharged tenants (Tenant C1) who eloped from the facility.
Failure to have the Department of Human Services perform an evaluation on an employee's child abuse history to determine employment eligibility for 1 of 7 staff reviewed (Staff F).
Failure to update 1 of 1 discharged tenant's service plans to meet his needs, including additions of Gentamicin flushes, suprapubic catheter, increased blood sugars, and hourly checks.
Report Facts
Number of tenants without cognitive disorder: 62
Number of tenants with cognitive disorder: 3
Blood sugar reading: 576
Blood sugar reading: 443
Blood sugar reading: 466
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff F | Employee with a history of child abuse for whom the program failed to request a DHS evaluation. | |
| Staff G | Staff member involved in supervision checks and last known to be with Tenant C1 before elopement. | |
| Staff H | Staff member who found Tenant C1 outside and informed Staff G. | |
| Executive Director | Reviewed camera footage and confirmed findings related to Tenant C1's elopement and supervision. | |
| Resident Care Coordinator | Noted Tenant C1's increased confusion and supervision needs. | |
| Director, RN | Confirmed findings related to Tenant C1's service plan and supervision. |
Inspection Report — Jul 12, 2023
Renewal
Date: Jul 12, 2023
Visit Reason
The visit was a recertification and investigation of Adult Services at Homestead of Oskaloosa from 7/12/23 to 8/8/23.
Findings
The program failed to properly supervise one discharged tenant who eloped from the facility at night without staff awareness. The tenant was found outside confused and without proper clothing, leading to increased supervision requirements.
Violations (1)
481-67.3(2) Tenant rights: The program failed to properly supervise one discharged tenant who eloped at 2:10 a.m. and was found outside confused and inadequately clothed. Staff documentation and supervision checks were inconsistent and insufficient to prevent the elopement.
Report Facts
Fine amount: 2500
Inspection Report — Mar 11, 2020
Original Licensing
Date: Mar 11, 2020
Visit Reason
Initial certification conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the initial certification inspection.
Report Facts
Number of tenants without cognitive disorder: 62
Number of tenants with cognitive disorder: 0
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