The most recent inspection on May 7, 2025, found no deficiencies during the recertification visit. Earlier inspections showed a mix of results, with some visits citing deficiencies related primarily to staff training, tenant service plan updates, and medication administration. Complaint investigations were mostly unsubstantiated, except for one in 2016 where the program failed to follow elopement policies, resulting in a tenant leaving the facility without staff knowledge. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history suggests improvement over time, with recent inspections showing fewer or no deficiencies compared to earlier reports.
Deficiencies (last 12 years)
Deficiencies (over 12 years)0.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Iowa average
Iowa average: 4.4 deficiencies/year
Deficiencies per year
86420
2009
2011
2013
2015
2016
2017
2019
2020
2021
2022
2023
2025
Census
Latest occupancy rate29 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The visit was conducted as a recertification to determine compliance with an Assisted Living Program for People with Dementia and to investigate Incident #127266-I.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive impairment: 18Number of tenants with cognitive impairment: 11
The inspection was a recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
The inspection identified multiple regulatory deficiencies including failure to provide required staff training within specified timeframes, failure to evaluate and update tenant service plans following significant health changes, and failure to provide dementia-specific education within 30 days of employment.
Deficiencies (5)
Description
Program's Registered Nurse failed to provide training within 30 days of hire to ensure staff were competent to meet tenant needs.
Program failed to provide 2 hours of dependent adult abuse training within 6 months of employment for some staff.
Program failed to evaluate functional, cognitive, and health status as needed for a tenant with significant health change.
Program failed to update service plans based on required evaluations for a tenant with significant health change.
Program failed to provide 8 hours of dementia-specific education and training within 30 days of employment for some staff.
Report Facts
Total census: 30Number of tenants without cognitive impairment: 21Number of tenants with cognitive impairment: 9Staff reviewed for nurse delegation training: 4Staff reviewed for dependent adult abuse training: 7Staff reviewed for dementia-specific training: 7Hours of dementia training required: 8
Employees Mentioned
Name
Title
Context
Holly Smith
Registered Nurse
Confirmed findings related to staff training and tenant evaluations
Staff B
Caregiver staff reviewed for nurse delegation, dependent adult abuse, and dementia training deficiencies
Staff C
Caregiver staff reviewed for nurse delegation and dependent adult abuse training deficiencies
Staff F
Caregiver staff reviewed for nurse delegation and dementia training deficiencies; no longer employed as of 8/21/23
Staff A
Staff reviewed for dependent adult abuse training deficiency; no longer employed as of 8/29/23
Staff D
Staff reviewed for dementia training deficiency
Staff E
Staff reviewed for dementia training deficiency; no longer employed as of 9/1/23
Investigation of complaints #100550-C and #101438-C regarding the Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Complaint Details
Investigation of Complaint #100550-C and #101438-C found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 28Number of tenants with cognitive disorder in General Population Program: 4Number of tenants without cognitive disorder in Memory Care Unit: 0Number of tenants with cognitive disorder in Memory Care Unit: 10Total census of Assisted Living Program for People with Dementia: 42
Recertification visit conducted to determine compliance with certification of an Assisted Living Program and investigation of Complaint #96085-C and onsite infection control survey.
Findings
No regulatory insufficiencies were cited during the recertification visit, complaint investigation, or infection control survey.
Complaint Details
Complaint #96085-C was investigated with no regulatory insufficiencies cited.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 32Number of tenants with cognitive disorder in General Population Program: 5Number of tenants without cognitive disorder in Memory Care Unit: 0Number of tenants with cognitive disorder in Memory Care Unit: 9Total census of Assisted Living Program for People with Dementia: 46
The investigation of Complaint #87571-C resulted in a regulatory insufficiency related to nurse review and medication administration for tenants receiving assistance with medications and treatments.
Findings
The program failed to ensure health care professionals' orders were current for tenants receiving medication assistance, with discrepancies found in medication orders, administration records, and documentation for multiple tenants. Several medication orders lacked proper signatures, dates, or were inconsistent with clinical summaries and MARs.
Complaint Details
Complaint #87571-C was investigated, resulting in a regulatory insufficiency related to nurse review and medication administration.
Deficiencies (1)
Description
Failure to ensure health care professionals' orders were current for tenants receiving medication assistance, including discrepancies in medication orders and administration documentation.
Report Facts
Number of tenants without cognitive disorder: 28Number of tenants with cognitive disorder: 0Number of tenants without cognitive disorder: 1Number of tenants with cognitive disorder: 9Total Census: 38
Recertification visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program for People with Dementia.
Report Facts
Number of tenants without cognitive disorder in general population: 28Number of tenants with cognitive disorder in general population: 0Number of tenants without cognitive disorder in memory care unit: 0Number of tenants with cognitive disorder in memory care unit: 8Total census: 36
The inspection was conducted as a complaint investigation following an incident involving a 94-year-old tenant who eloped from the assisted living program. The investigation focused on regulatory insufficiencies related to program policies and procedures.
Findings
The investigation found regulatory insufficiency in the program's policies and procedures, specifically the failure to follow the elopement policy and door alarm procedures. The tenant eloped without staff knowledge, and staff did not thoroughly check the areas triggered by the door alarm.
Complaint Details
The complaint investigation was substantiated, noting that a 94-year-old tenant with dementia eloped from the program and staff failed to follow the program's policies and procedures related to elopement and door alarms.
Deficiencies (1)
Description
Program policies and procedures were not followed regarding elopement and door alarm checks, leading to a regulatory insufficiency.
Report Facts
Civil penalty amount: 500Reduced civil penalty amount: 325Census: 24Tenants without cognitive disorder: 22Tenants with cognitive disorder: 2Date of tenant elopement incident: May 25, 2016
Employees Mentioned
Name
Title
Context
Rose Boccella
Program Coordinator
Author of the demand letter and contact for the complaint investigation
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification of an Assisted Living Program at Arlington Place of Grundy Center.
Findings
No regulatory insufficiencies were found during this evaluation. The review of recertification documents was completed and accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans were received.
Report Facts
Number of tenants without cognitive disorder: 20Number of tenants with cognitive disorder: 3Total Population of Program at time of on-site: 23TOTAL census of Assisted Living Program: 23
Employees Mentioned
Name
Title
Context
Rose Boccella
Program Coordinator
Signed letter regarding the Final Recertification Monitoring Evaluation Report
The visit was a final recertification monitoring evaluation conducted to assess compliance with Iowa Administrative Code chapters 481—67 and 481—69 for the Assisted Living Program at Arlington Place of Grundy Center.
Findings
No regulatory insufficiencies were found during this evaluation. The program census was 22 residents, and tenant/family satisfaction was positive with no reported issues. The program history showed no prior regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 20Number of tenants with cognitive disorder: 2Total Population of Program at time of on-site: 22Community meeting attendance: 18
The visit was a final recertification monitoring evaluation conducted to assess compliance with Iowa Code and Administrative Code for the Assisted Living Program at Arlington Place.
Findings
No regulatory insufficiencies were found during the evaluation. The program received positive tenant/family satisfaction feedback and no deficiencies were identified during the onsite recertification visit.
Report Facts
Current number of tenants without cognitive disorder: 23Current number of tenants with cognitive disorder: 1Total Population: 24
An onsite monitoring evaluation was conducted as part of the Recertification Monitoring Evaluation to review the facility's compliance and the effectiveness of the Plan of Correction.
Findings
The program had no substantiated regulatory insufficiencies during the recertification period but was found to have regulatory insufficiencies related to inconsistent completion of functional and cognitive evaluations, incomplete tenant and staff signatures on service plans, and failure to update service plans timely with changes in health status.
Deficiencies (4)
Description
The program did not consistently complete functional and cognitive evaluations within 30 days as required and with a change in health status to determine tenant eligibility and service modifications.
The program did not obtain signatures of the tenant and three staff on service plans.
The program did not update the service plan with a change in health status.
The program did not complete a service plan within 30 days of admission.
Report Facts
Current number of tenants without cognitive disorder: 23Current number of tenants with cognitive disorder: 2Total Population: 25
Employees Mentioned
Name
Title
Context
Hal L. Chase
RN BSN MPH
Monitor conducting the onsite monitoring evaluation
Vickie Clingan
RN
Monitor conducting the onsite monitoring evaluation
Janet Sandell
Administrator
Administrator of Arlington Place of Grundy Center
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