Inspection Reports for Amelia Senior Living
57 W Ferndale Dr, Council Bluffs, IA 51503, United States, IA, 51503
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Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 1
Oct 7, 2025
Visit Reason
The inspection was conducted as part of an investigation of incidents #129698-I, 130024-I, 130449-I, 130424-I and Complaint #129344-C.
Findings
The facility failed to ensure that all personnel employed by or contracting with a dementia-specific program received the required minimum of eight hours of dementia-specific education and training within 30 days of employment. This deficiency was evidenced by two staff members not completing the required training.
Complaint Details
The investigation was related to multiple incidents and a complaint. The deficiency was substantiated based on interviews and record reviews showing two staff members did not complete the required dementia training.
Deficiencies (1)
| Description |
|---|
| Failure to provide dementia-specific education and training to personnel within 30 days of employment as required. |
Report Facts
Tenants without cognitive impairment: 31
Tenants with cognitive impairment: 7
Total census: 38
Staff requiring dementia training: 2
Inspection Report
Recertification
Census: 34
Deficiencies: 5
Jun 5, 2024
Visit Reason
The visit was conducted as a recertification inspection to determine compliance with certification of an Assisted Living Program for People with Dementia and to investigate Complaint #116407-C.
Findings
The inspection found regulatory insufficiencies related to failure to report a tenant elopement, incomplete and unsigned service plans not based on evaluations, failure to complete required 90-day nurse reviews, and failure to ensure operating door alarms on exit doors in a dementia-specific program.
Complaint Details
The inspection included investigation of Complaint #116407-C, which resulted in cited regulatory insufficiencies. Complaints #118154-C and #119002-C were investigated with no regulatory insufficiencies cited.
Deficiencies (5)
| Description |
|---|
| Failure to report an elopement of Tenant #1 to the Department within required timeframes. |
| Service plans for 4 tenants were not consistently based on required health, functional, or cognitive evaluations. |
| Service plans for 4 tenants were not signed and dated as required. |
| Failure to complete 90-day nurse reviews for 4 tenants receiving health-related care. |
| Failure to ensure an operating door alarm on each exit door in the dementia-specific program, contributing to Tenant #1's elopement. |
Report Facts
Number of tenants without cognitive impairment: 27
Number of tenants with cognitive impairment: 7
Total census: 34
Date of Incident Report: May 15, 2024
Date of service plans: Jul 21, 2023
Date of cognitive evaluation: Sep 5, 2023
Date of service plan: Jul 26, 2023
Date of service plan: Aug 1, 2023
Date of elopement evaluation: May 1, 2024
Temperature: 70
Relative humidity: 46
Wind speed: 18
Wind gusts: 30
Age of Tenant #1: 81
Global Deterioration Scale (GDS) score: 5
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 0
Oct 18, 2023
Visit Reason
The inspection was conducted to investigate Complaint #111343-C and Incident #111952-I at Amelia Senior Living.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint and incident.
Complaint Details
Investigation of Complaint #111343-C and Incident #111952-I found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 18
Number of tenants with cognitive disorder: 8
Total census: 26
Inspection Report
Renewal
Census: 39
Deficiencies: 3
Jul 19, 2022
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification of an Assisted Living Program.
Findings
The inspection identified regulatory insufficiencies related to nurse delegation procedures, dependent adult abuse training, and evaluation of tenant functional, cognitive, and health status. No deficiencies were found during complaint investigations.
Complaint Details
No regulatory insufficiencies were cited during the investigation of Complaints #100936-C or #101304-C.
Deficiencies (3)
| Description |
|---|
| Program's registered nurse failed to document a review within 60 days of hire ensuring staff were competent regarding 3 staff who required RN delegations. |
| Program failed to provide the required 2 hours of dependent adult abuse training within 6 months of employment for 2 of 4 staff reviewed. |
| Program failed to evaluate functional, cognitive, and health status as warranted by a change of condition and need for services for 3 of 4 tenants reviewed. |
Report Facts
Number of tenants without cognitive disorder: 27
Number of tenants with cognitive disorder: 12
Total Population of Program: 39
Staff reviewed for RN delegation documentation: 3
Staff reviewed for dependent adult abuse training: 4
Tenants reviewed for evaluation compliance: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Staff reviewed for RN delegation documentation and dependent adult abuse training deficiencies | |
| Staff B | Staff reviewed for RN delegation documentation deficiency | |
| Staff C | Staff reviewed for RN delegation documentation deficiency | |
| Staff D | Staff reviewed for dependent adult abuse training deficiency | |
| Registered Nurse | Program's registered nurse | Failed to document review within 60 days of hire ensuring staff competency |
| Executive Director | Executive Director | Confirmed findings related to dependent adult abuse training and tenant evaluations |
| Care Services Manager | Care Services Manager (CSM) | Responsible for conducting audits and implementing plans of correction |
| Regional Director of Care Services | Regional Director of Care Services (ROCS) | Provided education regarding RN delegation and dependent adult abuse training requirements |
Inspection Report
Renewal
Census: 49
Deficiencies: 1
Aug 20, 2019
Visit Reason
The visit was conducted as a recertification monitoring evaluation to determine compliance with certification for an Assisted Living Program for People with Dementia.
Findings
The program failed to ensure staff received Dependent Adult Abuse training within six months, affecting 2 of 4 staff reviewed. Both staff completed training on 8/20/19, but the training did not meet the six-month requirement.
Deficiencies (1)
| Description |
|---|
| Program failed to ensure staff received Dependent Adult Abuse Training within six months. |
Report Facts
Number of tenants without cognitive disorder: 39
Number of tenants with cognitive disorder: 10
Total Census of Assisted Living Program: 49
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tanya Brannan | Executive Director | Named in the Plan of Correction letter and responsible for oversight of training compliance. |
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Oct 11, 2017
Visit Reason
Investigation of Incident #70766-I at Amelia Place Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the investigation.
Complaint Details
Investigation of Incident #70766-I was conducted and found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 32
Number of tenants with cognitive disorder: 16
Total Population of Program at time of on-site: 48
TOTAL census of Assisted Living Program: 48
Inspection Report
Renewal
Census: 46
Deficiencies: 0
Aug 2, 2017
Visit Reason
Recertification visit conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive disorder: 32
Number of tenants with cognitive disorder: 14
Total Population of Program at time of on-site: 46
TOTAL census of Assisted Living Program: 46
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 2
Nov 18, 2015
Visit Reason
The inspection was conducted as a Final Initial Certification Revisit and Complaint/Incident Investigation at Amelia Place following complaints and incidents reported. The visit was to assess regulatory compliance, specifically related to service plans and tenant safety.
Findings
The Program failed to comply with regulatory requirements related to service plans, including incomplete implementation of the Plan of Correction and inadequate documentation of functional and cognitive evaluations. A tenant elopement incident was investigated, revealing deficiencies in service plan development and monitoring.
Complaint Details
Complaint 55961-C resulted in no regulatory insufficiencies. The investigation of Incident 56339-I and the revisit for Initial Certification identified regulatory insufficiencies related to service plans and tenant safety.
Deficiencies (2)
| Description |
|---|
| Failure to implement all items indicated in the Plan of Correction effective 10-1-15, including service plans based on evaluations. |
| Service plans were not developed and/or updated based on evaluations, including after an incident involving tenant elopement. |
Report Facts
Civil penalty amount: 500
Civil penalty reduction amount: 325
Number of tenants without cognitive disorder: 23
Number of tenants with cognitive disorder: 11
Total population at time of on-site: 34
Inspection dates: November 9, 10, 16, 17, and 18, 2015
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Benson | Executive Director | Named in relation to Plan of Correction and response to findings |
| Rose Boccella | Program Coordinator | Contact person for the Department of Inspections and Appeals |
| Jim Friberg | Bureau Chief, Adult Services Bureau | Signed demand letter |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 7
Jul 21, 2015
Visit Reason
The inspection was conducted as a Final Complaint Investigation and Initial Certification Monitoring Evaluation following a complaint regarding medication administration at Amelia Place. The investigation also included an Initial Certification visit to assess regulatory insufficiencies.
Findings
The complaint allegation of medication administration was found to be unsubstantiated. However, regulatory insufficiencies were identified related to dependent adult abuse training, tenant evaluations, admission/retention criteria, service plans, food service training, dementia-specific education for personnel, and structural requirements.
Complaint Details
Complaint #53812-C alleged medication administration issues. The findings were unsubstantiated based on tenant files, staff interviews, and policy review.
Deficiencies (7)
| Description |
|---|
| Staff had not received two hours of training related to identification and reporting of dependent adult abuse within six months of initial employment. |
| Evaluations of tenants within 30 days of occupancy and with significant change were not completed as required. |
| The program failed to discharge tenants who exceeded criteria for admission and retention, including tenants requiring routine two-person assistance with standing, transfer, or evacuation. |
| Service plans were not developed or updated based on functional, cognitive, and health evaluations within required timeframes. |
| Staff did not have orientation or annual in-service training on sanitation and safe food handling prior to handling food. |
| Staff did not receive a minimum of eight hours of dementia-specific education and training within 30 days of hire. |
| Buildings and grounds were not well-maintained, clean, safe, and sanitary; unsecured dementia-specific program products were observed. |
Report Facts
Number of tenants without cognitive disorder: 22
Number of tenants with cognitive disorder: 18
Total population on-site: 40
Date survey completed: Jul 22, 2015
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Author of complaint investigation letter |
| Kim Meredith | Executive Director | Signed Plan of Correction response |
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