Inspection Reports for Addington Place of Clinton

The visit was a follow-up inspection related to a previous regulatory insufficiency cited on 11/4/24 regarding employment record checks.

The program failed to ensure that evaluations by the Department of Health and Human Services were completed for staff with criminal histories prior to employment. Specifically, two staff members (Staff A and Staff C) were employed without completed evaluations as required.

The visit was a revisit conducted to determine progress in correcting regulatory insufficiencies cited during the recertification visit completed on 2024-05-16.

No regulatory insufficiencies were cited during the investigation of Complaint #122851-C, Incident #122709-I, or the revisit of #122196-M. However, a regulatory insufficiency was cited for failure to ensure evaluations were completed by the Department of Health and Human Services for 4 staff with criminal or founded child abuse history.

No regulatory insufficiencies were cited during the investigation of Complaint #122851-C, Incident #122709-I, or the revisit of #122196-M.

The inspection was conducted as an investigation of Mandatory Report #122196-M concerning the care and safety of tenants at the assisted living program.

The investigation found that staff failed to provide services in accordance with nurse delegated training, resulting in a tenant eloping through an unlocked courtyard door. Additionally, staff failed to complete required safety checks and dependent adult abuse training documentation was missing for one staff member.

The visit was triggered by a complaint (Mandatory Report #122196-M) regarding the safety and care of Tenant #1 who eloped from the facility through an unlocked courtyard door. The complaint was substantiated based on findings of staff negligence and failure to follow training protocols.

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

Two regulatory insufficiencies were cited: failure to provide adequate care for one tenant with dementia, evidenced by unaddressed weight loss and inadequate meal service; and failure to complete employee background checks prior to hire for three employees.

The inspection was conducted as a complaint investigation related to Complaint #107142-C, with prior complaints #109394-C, #106894-C and Incident #104713-I also reviewed.

No regulatory insufficiencies were found for complaints #109394-C, #106894-C, or Incident #104713-I. Deficiencies were cited for Complaint #107142-C including failure to have an activity calendar available to all tenants, and failure to maintain one tenant's apartment carpeting in a safe and well-maintained condition.

The visit was complaint-related for Complaint #107142-C. No regulatory insufficiencies were cited for Complaints #109394-C, #106894-C or Incident #104713-I.

The inspection was conducted to investigate multiple complaints and an incident (104472-M) related to the assisted living program for people with dementia.

No regulatory insufficiencies were found related to the complaints investigated, but a regulatory insufficiency was cited for failure to provide appropriate training to one contracted employee (Staff A) as evidenced by an incident involving improper toileting assistance.

The investigation included complaints 104480-A, 104479-A, 104476-A, 104477-A, 104621-A which found no regulatory insufficiencies. The incident 104472-M was substantiated with a finding of failure to train contracted staff.

The inspection was conducted as an investigation into Complaints #104609-C and #103783-C regarding tenant care and services at Prairie Hills at Clinton.

The investigation found multiple deficiencies including inadequate care and services related to tenant belongings, insufficient staffing to meet tenant needs, retention of tenants requiring two-person assistance, retention of tenants displaying unmanageable aggression, and failure to update service plans as needed.

The visit was triggered by complaints #104609-C and #103783-C. The investigation substantiated issues with tenant care, staffing, and service plan compliance.

The inspection was conducted as a recertification visit and investigation of incidents and complaints (#97330-C, #97708-I, #101239-C) to determine if the assisted living program is in substantial compliance with certification rules for an Assisted Living Program for People with Dementia.

The program was found to have multiple regulatory insufficiencies including failure to complete incident reports, inadequate tenant care and treatment, medication administration issues, insufficient staffing, lack of dementia-specific education for personnel, failure to ensure alarm system functionality, and deficient record checks. Several tenants experienced unsafe conditions and inadequate care. A plan of correction was submitted to address these deficiencies.

The visit was complaint-related involving investigation of incidents and complaints #97330-C, #97708-I, and #101239-C. No regulatory insufficiencies were cited regarding Complaint #97330-C or the onsite infection control survey. The investigation focused on incidents involving tenants #5 and #6, including failure to complete incident reports and inadequate care.

The inspection was conducted as an incident and complaint visit to investigate regulatory insufficiencies related to tenant rights, staffing, service plans, and life safety at Prairie Hills at Clinton.

The inspection found multiple regulatory insufficiencies including failure to ensure adequate staffing on the locked memory care unit, inadequate documentation of visual checks for tenants at risk of falls, incomplete and outdated service plans for tenants, and a non-functioning operating alarm system connected to exit doors in the dementia-specific program.

The visit was triggered by complaints and incidents including multiple falls and inadequate care for tenants with dementia. No regulatory insufficiencies were cited during the investigation of Incident #83495-I, but deficiencies were cited during the investigation of Complaint #84025-C.

The recertification visit was conducted to determine compliance with certification for a Dedicated Dementia Specific Assisted Living Program.

The program failed to develop individualized service plans reflecting tenants' identified needs and preferences for assistance, resulting in regulatory insufficiency related to service plans for three tenants reviewed.

The inspection was conducted as an investigation of incident #75358-I and complaints #76310-C, #76307-C, and #76315-C at the assisted living program for people with dementia.

No regulatory insufficiencies were cited during the investigation of the incident and complaints.

Investigation of incident #75358-I and complaints #76310-C, #76307-C, and #76315-C found no regulatory insufficiencies.

The inspection was conducted as an investigation of two incidents, #69076-I and #68778-I, related to the assisted living program.

No regulatory insufficiencies were cited during the investigation of the two incidents.

Investigation of Incident #69076-I and Incident #68778-I found no regulatory insufficiencies.

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

No regulatory insufficiencies were cited regarding the investigation of Incident #64132-I. However, deficiencies were found related to record checks, service plans, and dementia-specific education for personnel.

The inspection was conducted as a complaint and incident investigation related to multiple complaint intake numbers regarding regulatory insufficiencies and allegations of dependent adult abuse at Prairie Hills at Clinton.

The investigation found regulatory insufficiencies related to program policies and procedures, staffing, nurse review, and structural requirements. Specific incidents involved failure to follow policies on incident reports and medication administration, inadequate staffing, failure to assess and document health status, and unsafe structural conditions allowing a tenant to elope.

The complaint investigation involved allegations of dependent adult abuse and regulatory insufficiencies related to incidents involving tenants #1, #2, #3, #4, and #5. Findings for all allegations were unsubstantiated except for regulatory insufficiencies cited during the investigation.

The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were found during this evaluation. The review of recertification documents was completed and accepted, including the State Fire Marshal's inspection and Facility Engineer's approval of evacuation plans.

The inspection was conducted as a complaint/incident investigation regarding allegations that the assisted living program did not serve tenants enough food during meals, did not serve palatable meals, and did not offer alternate food items or refused to give alternate food items when requested.

The investigation found no regulatory insufficiencies. Observations noted that meals were served restaurant style with appropriate portions and palatable food. Tenant interviews indicated general satisfaction with food quantity and quality. Food temperature logs showed all hot foods exceeded required temperatures prior to serving. No deficiencies were cited.

The complaint alleged insufficient food servings, unpalatable meals, and lack of alternate food options. The monitor observed meal services on March 11 and 12, 2013, interviewed 15 tenants, and reviewed food temperature logs and menus. Tenants generally reported satisfaction with food quality and quantity. No regulatory insufficiencies were identified.

The inspection was conducted as an amended final recertification and complaint/incident investigation following a report of missing Vicodin tablets from a tenant's prescription bottle.

The investigation found a discrepancy of 81 missing Vicodin tablets from Tenant #2's medication, with no regulatory insufficiencies noted related to medication administration. A life safety deficiency was identified due to an unsecured courtyard door alarm system in the dementia-specific program.

The complaint involved one tenant missing 81 tablets of Vicodin from a locked cupboard accessible only by staff. The program conducted a timely investigation and reported the missing medications to the Department of Inspections and Appeals. No regulatory insufficiency was found related to medication management.

The inspection was conducted as a complaint/incident investigation following allegations related to tenant incidents and regulatory insufficiencies at Prairie Hills at Clinton.

The investigation reviewed tenant files and incident reports, finding multiple incidents involving tenant falls and injuries. The program had regulatory insufficiencies in evaluating tenants' functional, cognitive, and health status within required timeframes. However, no regulatory insufficiencies were noted regarding incident reporting documentation.

The complaint investigation was substantiated with findings of regulatory insufficiency related to tenant evaluations. Incident reports were reviewed and found to be consistently documented with no noted regulatory insufficiencies.

A complaint investigation on-site visit was conducted at Prairie Hills Assisted Living on December 21 and 22, 2010, to investigate allegations and review regulatory compliance including a complaint and incident investigation.

The investigation found regulatory insufficiencies related to individualized service plans, medication administration, and staffing training and delegation. An incident allegation of inappropriate staff interaction was determined not to be abuse. The program did not receive any regulatory insufficiencies during the certification period.

Complaint Intake #31879-I and 31857-C involved allegations of medication administration errors and an incident where a staff member was observed slapping a tenant and making inappropriate comments. The incident was investigated and found not to be abuse but unprofessional conduct.

The visit was a Final Recertification Monitoring Evaluation conducted to assess regulatory insufficiencies in tenant evaluation, service plan, medication, food service, and life safety at Prairie Hills Assisted Living in Clinton, IA.

The report found multiple regulatory insufficiencies including inconsistent tenant evaluations, incomplete cognitive assessments, inadequate service plan updates, medication administration issues, lack of food service training, and safety concerns regarding building security. A $500 civil penalty was assessed and the Plan of Correction was accepted.