Inspection Reports for
MorningStar Assisted Living & Memory Care at Jordan Creek

IA, 50266

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7 Reports

2020–2025

Inspection Report — Dec 31, 2025

Renewal
Date: Dec 31, 2025

Visit Reason
The visit was a recertification visit to determine compliance with certification rules for an Assisted Living Program. The investigation also included Complaint #103246-C.

Complaint Details
Complaint #103246-C
Findings
No regulatory insufficiencies were cited during the investigation of Complaint #103246-C. Several regulatory insufficiencies were cited during the recertification visit related to service plans and documentation.

Violations (4)
481-69.26(1) Service Plans: The program failed to update the service plan to reflect significant changes to hospice services for 2 of 5 tenants reviewed. The plans did not identify hospice services or providers for these tenants.
481-69.26(3)a Service Plans: The program failed to ensure service plans related to significant changes were signed and dated by all parties for 1 of 5 tenants reviewed. The service plan for Tenant #1 lacked a written signature of the resident or responsible party.
481-69.26(3)e Service Plans: The program failed to ensure service plans were signed and dated by all parties at least annually for 3 of 5 tenants reviewed. Several service plans included only handwritten notations instead of signatures.
481-69.26(4)a Service Plans: The program failed to individualize the service plan and accurately address needs for 1 of 5 tenants reviewed. Tenant #1's service plan did not reflect the discontinuation of insulin injections.

Inspection Report — Jun 11, 2025

Complaint Investigation
Date: Jun 11, 2025

Visit Reason
The inspection was conducted to investigate incidents #128958-I, 128589-C, and 125310-C at the assisted living facility.

Complaint Details
Investigation of incidents #128958-I, 128589-C, and 125310-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the reported incidents.

Report Facts
Number of tenants without cognitive impairment: 52 Number of tenants with cognitive impairment: 2

Inspection Report — Aug 29, 2024

Complaint Investigation
Date: Aug 29, 2024

Visit Reason
The inspection was conducted as part of an investigation of Complaint #122948-C regarding medication administration policies and procedures at the assisted living facility.

Complaint Details
The visit was triggered by Complaint #122948-C. The complaint was substantiated based on findings of medication errors and falsification of medication records by Staff D.
Findings
The investigation found that staff failed to follow established medication policies for one tenant with diabetes, resulting in a medication error where insulin was administered despite a low blood sugar reading. The staff member also falsified the electronic Medication Administration Record (eMAR). The facility confirmed these findings and outlined corrective actions including retraining staff and policy reinforcement.

Violations (1)
Staff failed to follow established medication policies regarding insulin administration for a tenant with diabetes, including administering insulin when blood sugar was low and falsifying the medication record.
Report Facts
Number of tenants without cognitive impairment: 44 Number of tenants with cognitive impairment: 4 Units of Novolog insulin administered: 20 Units of Lantus insulin administered: 50 Blood sugar reading: 51

Employees mentioned
NameTitleContext
Staff DFormer Medication Manager and Assisted Living CoordinatorNamed in medication error and falsification of medication record
Wellness DirectorReported the medication error and participated in investigation
AdministratorAdministratorConfirmed the findings of the investigation

Inspection Report — Nov 21, 2023

Renewal
Date: Nov 21, 2023

Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program.

Findings
The inspection identified regulatory insufficiencies related to employment background checks, employment prohibitions regarding criminal history, and individualized service plans for tenants. The Executive Director confirmed these findings during the inspection.

Violations (3)
Failure to complete child and dependent adult abuse background check prior to employment for 1 of 7 staff reviewed.
Failure to request and evaluate criminal charges from the Department of Health and Human Services prior to employment for 2 of 2 staff reviewed with criminal history.
Failure to develop individualized service plans including identified needs and preferences for 3 of 4 tenants reviewed.
Report Facts
Number of tenants without cognitive impairment: 47 Number of tenants with cognitive impairment: 0 Staff reviewed for background check compliance: 7 Staff with criminal history requiring evaluation: 2 Tenants reviewed for individualized service plans: 4 Tenants with deficient service plans: 3

Employees mentioned
NameTitleContext
Staff AStaff member hired 4/21/21 with incomplete background checks.
Staff BStaff member hired 10/31/22 with criminal charge and no evaluation completed.
Staff CStaff member hired 6/1/23 with criminal charge and no evaluation completed.
Executive DirectorExecutive DirectorConfirmed findings during the inspection and responsible for corrective actions.

Inspection Report — Jul 26, 2023

Complaint Investigation
Date: Jul 26, 2023

Visit Reason
The inspection was conducted as an investigation of complaints #114387-C, #113760-C, and incident #114396-I at the assisted living program.

Complaint Details
Investigation of Complaints #114387-C, #113760-C, and Incident #114396-I found no regulatory insufficiencies.
Findings
There were no regulatory insufficiencies cited during the investigation of the complaints and incident.

Report Facts
Number of tenants without cognitive disorder: 39 Number of tenants with cognitive disorder: 7

Inspection Report — Sep 15, 2021

Complaint Investigation
Date: Sep 15, 2021

Visit Reason
Investigation of complaint #97769-C at Morningstar at Jordan Creek Assisted Living facility.

Complaint Details
Complaint #97769-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 disorders: 29 Number of tenants with cognitive disorders: 5 Total tenants: 34

Inspection Report — Oct 29, 2020

Recertification
Date: Oct 29, 2020

Visit Reason
The visit was a recertification inspection to determine compliance with certification for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the onsite infection control survey. However, deficiencies were found related to background record checks and service plans not being signed and dated by all parties.

Violations (2)
Background checks were not completed within 30 days prior to hire for a rehired staff member.
Service plans were not signed and dated by all parties for 2 of 3 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 31 Number of tenants with cognitive disorder: 1 Days background check validity: 30 Number of tenants with unsigned service plans: 2

Employees mentioned
NameTitleContext
Staff BRehired staff member whose background check was not completed within 30 days prior to hire.
Executive DirectorConfirmed background checks were not completed again when staff returned in June.
Wellness DirectorConfirmed the program failed to obtain signatures of all parties on updated service plans.

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