Inspection Reports for
Cornerstone AL
302 2nd Street NE, Mason City, IA, 504013412
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Inspection Report — Oct 22, 2025
Complaint Investigation
Date: Oct 22, 2025
Visit Reason
Investigation of Complaint #130117-C at Cornerstone Assisted Living.
Complaint Details
Complaint #130117-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Tenants without cognitive impairment: 29
Tenants with cognitive impairment: 1
Inspection Report — Jul 29, 2025
Renewal
Date: Jul 29, 2025
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive impairment: 25
Number of tenants with cognitive impairment: 2
Inspection Report — Oct 17, 2023
Complaint Investigation
Date: Oct 17, 2023
Visit Reason
The inspection was conducted to investigate Complaint #112938-C at Cornerstone Assisted Living.
Complaint Details
Complaint #112938-C was investigated and found to have no regulatory insufficiencies.
Findings
There were no regulatory insufficiencies cited during the investigation of the complaint.
Report Facts
Number of tenants without cognitive disorder: 33
Number of tenants with cognitive disorder: 0
Inspection Report — Jan 11, 2023
Renewal
Date: Jan 11, 2023
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program.
Findings
The program failed to ensure documentation of nurse delegation within 30 days of employment for some staff and failed to follow medication administration procedures as delegated by the RN. Additionally, the program did not store single-serve milk and juice as required by food service regulations and lacked licensure for the kitchen used for food delivery.
Violations (3)
Failed to ensure documentation demonstrated staff were delegated by the Program's registered nurse within 30 days of employment for 2 out of 6 staff reviewed.
Program staff failed to follow medication administration procedures as delegated by the RN for 1 out of 3 tenants observed during a medication pass.
Program failed to only store single-serve milk and juice as a kitchen that was not licensed under a food establishment license.
Report Facts
Number of tenants without cognitive impairment: 33
Number of tenants with cognitive impairment: 1
Staff reviewed for nurse delegation documentation: 6
Staff with missing or incomplete nurse delegation documentation: 2
Tenants observed during medication pass: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erica Davis | RN Director Assisted Living | Signed as Laboratory Director's or Provider/Supplier Representative's Signature and named in findings confirmation. |
| Staff B | Resident Aide with incomplete RN delegation documentation and involved in medication pass observation. | |
| Staff C | Resident Aide with no RN delegation documentation in personnel file. | |
| Staff A | Observed administering medication during medication pass. |
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