Inspection Reports for
Lakeside Village
2067 IA-4, Panora, IA 50216, United States, IA, 50216
Back to Facility Profile9 Reports
Inspection Report — Sep 8, 2025
Complaint Investigation
Date: Sep 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation following Incident #129917-I involving a tenant elopement and staff failure to respond properly to door alarms.
Complaint Details
The complaint investigation was triggered by Incident #129917-I involving a tenant elopement. The investigation found the complaint substantiated as staff failed to respond immediately to door alarms, allowing a tenant with dementia to leave the facility unsupervised.
Findings
The program failed to implement and follow policies and procedures regarding staff response to door alarms, resulting in a tenant with severe cognitive impairment leaving the facility unsupervised. Staff did not hear or respond immediately to door alarms as required by policy and training.
Violations (1)
Failure to implement and follow policies and procedures regarding staff response to door alarms, leading to a tenant elopement.
Report Facts
Tenants without cognitive impairment: 31
Tenants with cognitive impairment: 7
Temperature: 87
Distance from facility: 0.1
Speed limit: 55
Inspection Report — Sep 2, 2025
Enforcement
Date: Sep 2, 2025
Visit Reason
This citation resulted from an investigation of Incident #129917-I concerning a tenant elopement and staff response to door alarms.
Complaint Details
Investigation #129917-I
Findings
The program failed to follow its policies and procedures regarding staff response to door alarms, resulting in a tenant leaving the facility unsupervised. Staff did not immediately respond to the door alarm as required by policy and training.
Violations (1)
481-67.2(3) The program failed to implement and follow policies and procedures regarding staff response to door alarms. Staff did not immediately respond to the door alarm when Tenant #1 exited the memory care parking lot.
Report Facts
Fine amount: 3000
Inspection Report — Oct 31, 2024
Renewal
Date: Oct 31, 2024
Visit Reason
The visit was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program for People with Dementia.
Complaint Details
There were no regulatory insufficiencies cited during the investigation of Incidents 121601-I and 122624-I or Complaints 124371-C and 121275-C.
Findings
The program failed to ensure the door alarm response policy was followed at all times, as evidenced by observations and interviews revealing issues with the ARIAL alarm system and staff response to door alarms.
Violations (1)
The program failed to ensure the door alarm response policy was followed at all times, including issues with the ARIAL alarm system and staff response to alarms.
Report Facts
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 9
Inspection Report — Jan 3, 2024
Complaint Investigation
Date: Jan 3, 2024
Visit Reason
The inspection was conducted as a complaint investigation triggered by Complaint #117535-C to assess regulatory compliance related to building and grounds maintenance.
Complaint Details
The investigation of Complaint #117535-C resulted in the cited regulatory insufficiency related to structural requirements and maintenance.
Findings
The program failed to consistently ensure the building and grounds were well-maintained, clean, safe, and sanitary, affecting all tenants (census 52). Specific deficiencies included missing siding, loose soffits, missing fascia board trim, water damage with mold appearance, rotted deck support posts, a non-functional industrial washer, and numerous missing dryer vent covers leading to bird infestations.
Violations (1)
Buildings and grounds were not well-maintained and safe, including missing siding, loose soffits, missing fascia board trim, water damage with mold appearance, rotted deck support posts, non-functional washer, and missing dryer vent covers.
Report Facts
Number of tenants without cognitive impairment: 42
Number of tenants with cognitive impairment: 10
Dryer vent covers missing - North side: 1
Dryer vent covers missing - South side: 5
Dryer vent covers missing - West side: 17
Duration dryer vent plugged: 7
Duration washer out of order: 24
Inspection Report — Apr 5, 2023
Complaint Investigation
Date: Apr 5, 2023
Visit Reason
The inspection was conducted as an investigation of Complaint #105627-C regarding regulatory insufficiency related to service plans for tenants.
Complaint Details
Investigation of Complaint #105627-C found regulatory insufficiency related to service plans and nurse reviews for chronic conditions. The complaint was substantiated by findings on Tenant C-1.
Findings
The program failed to ensure a nurse review was completed following a significant change in a tenant's chronic condition for 1 of 4 tenants reviewed, specifically Tenant C-1. The nurse review was not completed timely after emergency room visits and medication changes.
Violations (1)
Failure to ensure a nurse review was completed following a significant change in a tenant's chronic condition.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 53
Number of tenants with cognitive disorder in General Population Program: 0
Total Population of General Population Program: 53
Number of tenants without cognitive disorder in Dementia-Specific Program: 1
Number of tenants with cognitive disorder in Dementia-Specific Program: 13
Total Population of Dementia-Specific Program: 14
Resident age: 68
Medication dosage: 500
Medication frequency: 4
Medication duration: 7
Medication dosage: 60
Date of tenant admission: Aug 31, 2021
Date of nurse review: Jul 3, 2022
Date of tenant discharge: Nov 26, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mala Y Kammer | Director | Signed the report as Laboratory Director/Provider/Supplier Representative |
Inspection Report — Jun 1, 2022
Renewal
Date: Jun 1, 2022
Visit Reason
The inspection was conducted as part of the recertification (renewal) of the Assisted Living Program at Lakeside Village.
Complaint Details
There were no regulatory insufficiencies cited during the investigation of Complaint #104663-C and/or Complaint #104850-C.
Findings
The facility was found to have a regulatory insufficiency related to dementia-specific education for personnel. Specifically, 3 of 4 new hires did not complete the required minimum of eight hours of dementia-specific training within 30 days of employment.
Violations (1)
Failure to ensure all personnel employed by a dementia-specific program received the minimum of eight hours of dementia-specific education and training within 30 days of employment on 3 of 4 new hire files reviewed.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 36
Number of tenants with cognitive disorder in General Population Program: 0
Total Population of General Population Program: 36
Number of tenants without cognitive disorder in Dementia-Specific Program: 2
Number of tenants with cognitive disorder in Dementia-Specific Program: 12
Total Population of Dementia-Specific Program: 12
Dementia-specific training hours completed by Staff B within first 30 days: 6.6
Dementia-specific training hours completed by Staff D within first 30 days: 4.25
Dementia-specific training hours completed by Staff E within first 30 days: 4.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in deficiency for incomplete dementia-specific training | |
| Staff D | Named in deficiency for incomplete dementia-specific training | |
| Staff E | Named in deficiency for incomplete dementia-specific training | |
| Staff A | Administrator | Confirmed findings of incomplete dementia-specific training |
Inspection Report — Oct 14, 2021
Complaint Investigation
Date: Oct 14, 2021
Visit Reason
The inspection was conducted to investigate complaint #97236 and included an infection control review.
Complaint Details
Complaint #97236 was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of complaint #97236 or during the infection control review.
Report Facts
Number of tenants without cognitive disorders: 41
Number of tenants with cognitive disorders: 0
Number of tenants without cognitive disorders: 0
Number of tenants with cognitive disorders: 10
Total tenants: 51
Inspection Report — Jan 7, 2021
Plan of Correction
Date: Jan 7, 2021
Visit Reason
The document is a plan of correction related to an onsite infection control survey and investigation of complaints at an assisted living program.
Findings
No regulatory insufficiencies were cited during the onsite infection control survey or during the investigation of complaints 91282-C, 91510-C, 95001-C, and 95068-C.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 36
Number of tenants with cognitive disorder in General Population Program: 0
Total Population of General Population Program: 36
Number of tenants without cognitive disorder in Dementia-Specific Program: 2
Number of tenants with cognitive disorder in Dementia-Specific Program: 11
Total Population of Dementia-Specific Program: 13
Inspection Report — Dec 3, 2019
Renewal
Date: Dec 3, 2019
Visit Reason
Recertification conducted to determine compliance with certification for an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the recertification inspection.
Report Facts
Number of tenants without cognitive disorder in General Population: 47
Number of tenants with cognitive disorder in General Population: 0
Number of tenants without cognitive disorder in Memory Care Unit: 6
Number of tenants with cognitive disorder in Memory Care Unit: 7
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