Inspection Reports for
Whispering Willow AL
601 Dawn Avenue, Fredericksburg, IA, 506301033
Back to Facility Profile3 Reports
Inspection Report — Jul 1, 2024
Complaint Investigation
Date: Jul 1, 2024
Visit Reason
The inspection was conducted to investigate complaints #118864-C and #117755-C, and to perform a recertification visit to determine compliance with certification rules for an Assisted Living Program for People with Dementia.
Complaint Details
The complaint investigations involved allegations of abuse and improper handling of tenant falls. Tenant #1 was observed being pushed down on the shoulders and yelled at by staff, with bruises noted. Tenant C1 was found on the floor with bruises and a rug burn, and staff failed to follow fall policy procedures. The Community Director confirmed the findings and reported disciplinary actions.
Findings
No regulatory insufficiencies were cited during the complaint investigations and recertification visit. However, one deficiency was cited related to program policies and procedures where staff failed to follow established policies during two separate incidents involving two tenants.
Violations (1)
Staff failed to follow established policies during two separate incidents involving two tenants, including improper handling of tenant falls and abuse reporting.
Report Facts
Number of tenants without cognitive impairment: 8
Number of tenants with cognitive impairment: 16
Inspection Report — Jun 23, 2022
Renewal
Date: Jun 23, 2022
Visit Reason
The inspection was a recertification visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia.
Findings
The program failed to evaluate a tenant's functional, cognitive, and health status as warranted by a significant change of condition, failed to update service plans to meet identified needs, failed to reflect person-centered planned and spontaneous activities in service plans, and failed to provide required dementia-specific education within 30 days of employment for some staff.
Violations (4)
Failed to evaluate a tenant's functional, cognitive, and health status as warranted by a significant change of condition for 1 of 1 tenants reviewed.
Failed to update service plans as warranted to meet the identified needs for 1 of 3 tenants reviewed.
Failed to reflect person-centered planned and spontaneous activities on the service plans for 3 of 3 tenants reviewed unable to plan their own activities.
Failed to provide 8 hours of dementia-specific education and training within 30 days of employment for 3 of 6 staff reviewed.
Report Facts
Staff reviewed for dementia training: 6
Staff lacking required dementia training within 30 days: 3
Inspection Report — Aug 27, 2020
Routine
Date: Aug 27, 2020
Visit Reason
The onsite infection control survey was conducted to assess regulatory compliance related to infection control practices at Whispering Willow Assisted Living.
Findings
No regulatory insufficiencies were cited during the infection control survey completed on 08/27/2020.
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