Inspection Reports for Bavarian Meadows

632 - L14, Remsen, IA, 51050

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Inspection Report Summary

The most recent inspection on August 25, 2025, found no deficiencies during the complaint investigation and recertification visit. Earlier inspections generally showed compliance with certification rules, with the exception of some deficiencies noted in 2017 related to individualized service plans and background checks, and several issues in 2013 involving nurse reviews, tenant evaluations, medication administration, and food service documentation. Complaint investigations were unsubstantiated, and no enforcement actions or fines were listed in the available reports. Prior reports indicated the facility addressed earlier deficiencies through accepted plans of correction. The inspection history suggests improvement over time, with recent visits showing no regulatory insufficiencies.

Deficiencies (last 8 years)

Deficiencies (over 8 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

8 6 4 2 0
2011
2013
2015
2017
2019
2020
2023
2025

Census

Latest occupancy rate 19 residents

Based on a August 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

12 16 20 24 28 32 Jun 2011 Oct 2015 Nov 2019 Jan 2023 Aug 2025

Inspection Report

Complaint Investigation
Census: 19 Deficiencies: 0 Date: Aug 25, 2025

Visit Reason
The inspection was conducted to investigate Complaint #128686-C and to perform a recertification visit to determine compliance with certification of an Assisted Living Program.

Complaint Details
Complaint #128686-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation and recertification visit.

Report Facts
Number of tenants without cognitive impairment: 18 Number of tenants with cognitive impairment: 1 Total census: 19

Inspection Report

Renewal
Census: 23 Deficiencies: 0 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
No regulatory insufficiencies were cited during the recertification visit, indicating compliance with certification rules for the Assisted Living Program.

Report Facts
Number of tenants without cognitive impairment: 22 Number of tenants with cognitive impairment: 1 Total census: 23

Inspection Report

Routine
Census: 19 Deficiencies: 0 Date: Aug 27, 2020

Visit Reason
The inspection was conducted as an onsite infection control survey for an assisted living program.

Findings
There were no regulatory insufficiencies cited during the onsite infection control survey.

Report Facts
Number of tenants without cognitive disorder: 17 Number of tenants with cognitive disorder: 2

Inspection Report

Renewal
Census: 23 Deficiencies: 0 Date: Nov 5, 2019

Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the recertification inspection for the Assisted Living Program.

Report Facts
Number of tenants without cognitive disorder: 20 Number of tenants with cognitive disorder: 3

Inspection Report

Renewal
Census: 23 Deficiencies: 2 Date: Oct 11, 2017

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

Findings
The program failed to consistently develop individualized service plans reflecting tenant needs and failed to obtain completed criminal history background checks prior to employment for one staff member. Specific deficiencies were noted in service plans for Tenant #1 and background checks for Staff A.

Deficiencies (2)
Program failed to consistently develop service plans to reflect identified tenant needs, affecting 1 of 2 tenants reviewed (Tenant #1).
Program failed to obtain a completed criminal history background check prior to employment for 1 of 4 staff reviewed (Staff A).
Report Facts
Number of tenants without cognitive disorder: 19 Number of tenants with cognitive disorder: 4 Total population of program at time of on-site: 23 Number of tenants reviewed for service plans: 2 Number of staff reviewed for background checks: 4

Inspection Report

Monitoring
Census: 23 Deficiencies: 0 Date: Oct 12, 2015

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

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

Report Facts
Number of tenants without cognitive disorder: 22 Number of tenants with cognitive disorder: 1 Total Population of Program at time of on-site: 23 TOTAL census of Assisted Living Program: 23

Employees mentioned
NameTitleContext
Rose BoccellaProgram CoordinatorSigned letter regarding the Final Recertification Monitoring Evaluation Report

Inspection Report

Monitoring
Census: 21 Deficiencies: 5 Date: Apr 22, 2013

Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals to review the Plan of Correction and evaluate compliance with regulatory requirements for Bavarian Meadows Assisted Living.

Findings
The report found several regulatory insufficiencies related to nurse reviews, tenant evaluations, service plans, medication administration, and food service documentation. The Plan of Correction submitted was accepted by the Department of Inspections and Appeals.

Deficiencies (5)
Failure to complete required nurse reviews every 90 days for tenants receiving medication administration.
Failure to complete a Global Deterioration Scale (GDS) evaluation for tenants with cognitive decline as required.
Service plans not based on clinical evaluations and lacking documentation for deviations from planned services.
Medication Administration Records (MAR) lacked documentation for administration and reasons for missed medications; failure to accurately transcribe physician orders.
Menus had not been reviewed or signed by a dietitian and it was unclear if they met 100% of daily nutritional requirements.
Report Facts
Total census: 21 Number of tenants without cognitive disorder: 19 Number of tenants with cognitive disorder: 2

Inspection Report

Monitoring
Census: 25 Deficiencies: 0 Date: Jun 15, 2011

Visit Reason
An on-site monitoring evaluation was conducted at Bavarian Meadows Assisted Living on June 15, 2011, as part of the final recertification monitoring evaluation process.

Findings
No regulatory insufficiencies were found during this evaluation. Tenants reported satisfaction with the program, housekeeping, nursing services, and food quality. The program did not receive any regulatory insufficiencies during this certification period.

Report Facts
Current number of tenants without cognitive disorder: 24 Current number of tenants with cognitive disorder: 1 Total Population: 25 Tenants attending community meeting: 16

Employees mentioned
NameTitleContext
Hal L. ChaseMPH BSNMonitor conducting the evaluation
Sandra ReuterAdministratorAdministrator of Bavarian Meadows Assisted Living
Jim BerkleyProgram CoordinatorSigned the final report letter

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