Deficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Renewal
Census: 29
Deficiencies: 0
May 7, 2025
Visit Reason
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: 18
Number of tenants with cognitive impairment: 11
Inspection Report
Renewal
Census: 30
Deficiencies: 5
Aug 17, 2023
Visit Reason
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: 30
Number of tenants without cognitive impairment: 21
Number of tenants with cognitive impairment: 9
Staff reviewed for nurse delegation training: 4
Staff reviewed for dependent adult abuse training: 7
Staff reviewed for dementia-specific training: 7
Hours 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 |
Inspection Report
Complaint Investigation
Census: 42
Deficiencies: 0
Aug 16, 2022
Visit Reason
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: 28
Number of tenants with cognitive disorder in General Population Program: 4
Number of tenants without cognitive disorder in Memory Care Unit: 0
Number of tenants with cognitive disorder in Memory Care Unit: 10
Total census of Assisted Living Program for People with Dementia: 42
Inspection Report
Renewal
Census: 46
Deficiencies: 0
Jun 28, 2021
Visit Reason
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: 32
Number of tenants with cognitive disorder in General Population Program: 5
Number of tenants without cognitive disorder in Memory Care Unit: 0
Number of tenants with cognitive disorder in Memory Care Unit: 9
Total census of Assisted Living Program for People with Dementia: 46
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 1
Feb 11, 2020
Visit Reason
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: 28
Number of tenants with cognitive disorder: 0
Number of tenants without cognitive disorder: 1
Number of tenants with cognitive disorder: 9
Total Census: 38
Inspection Report
Renewal
Census: 36
Deficiencies: 0
Jun 12, 2019
Visit Reason
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: 28
Number of tenants with cognitive disorder in general population: 0
Number of tenants without cognitive disorder in memory care unit: 0
Number of tenants with cognitive disorder in memory care unit: 8
Total census: 36
Inspection Report
Renewal
Census: 37
Deficiencies: 0
Jun 27, 2017
Visit Reason
Recertification visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia (ALP/D).
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 9
Total census of Assisted Living Program: 37
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 1
Jun 2, 2016
Visit Reason
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: 500
Reduced civil penalty amount: 325
Census: 24
Tenants without cognitive disorder: 22
Tenants with cognitive disorder: 2
Date 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 |
Inspection Report
Monitoring
Census: 23
Deficiencies: 0
Jun 30, 2015
Visit Reason
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: 20
Number of tenants with cognitive disorder: 3
Total Population of Program at time of on-site: 23
TOTAL census of Assisted Living Program: 23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed letter regarding the Final Recertification Monitoring Evaluation Report |
Inspection Report
Monitoring
Census: 22
Deficiencies: 0
Mar 12, 2013
Visit Reason
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: 20
Number of tenants with cognitive disorder: 2
Total Population of Program at time of on-site: 22
Community meeting attendance: 18
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Kix | RN | Monitor conducting the evaluation |
| Rose Boccella | Program Coordinator | Author of the cover letter for the report |
Inspection Report
Monitoring
Census: 24
Deficiencies: 0
Apr 20, 2011
Visit Reason
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: 23
Current number of tenants with cognitive disorder: 1
Total Population: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maribeth Freland | RN | Monitor conducting the evaluation |
Inspection Report
Monitoring
Census: 25
Deficiencies: 4
Jan 27, 2009
Visit Reason
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: 23
Current number of tenants with cognitive disorder: 2
Total 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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