Inspection Reports for Calvin Community AL

4210 Hickman Road, Des Moines, IA, 50310

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Inspection Report Summary

The most recent inspection on September 17, 2024, found no deficiencies during the recertification visit. Earlier inspections showed some issues, including missing tenant records and incomplete background checks for staff, as well as occupancy agreements lacking required information. The main themes of past deficiencies involved record retention and protection, staff screening, and documentation. Complaint investigations conducted in 2021 did not result in enforcement actions, and no fines or license actions were listed in the available reports. The facility appears to have addressed previous concerns, as recent findings show improvement.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

70% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2021
2024

Census

Latest occupancy rate 34 residents

Based on a September 2024 inspection.

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

Census over time

18 27 36 45 54 63 Oct 2019 Sep 2021 Sep 2024

Inspection Report

Renewal
Census: 34 Deficiencies: 0 Date: Sep 17, 2024

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

Findings
No regulatory insufficiencies were cited during the recertification visit.

Inspection Report

Renewal
Census: 29 Deficiencies: 2 Date: Sep 30, 2021

Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program. An onsite infection control survey and complaint investigations (#97031-C, 97581-C, and 98774-C) were also completed.

Complaint Details
Complaints #97031-C, 97581-C, and 98774-C were investigated during the visit.
Findings
The program failed to consistently retain tenant records for the required minimum of three years and failed to protect tenant records from loss, damage, and unauthorized use, affecting two former tenants. The closed files for these tenants could not be located despite a search.

Deficiencies (2)
The program failed to consistently ensure tenant records were retained for the required three years, affecting 2 of 2 former tenants (Tenant C1 and C2).
The program failed to consistently ensure tenant records were protected from loss, damage, and unauthorized use, affecting 2 of 2 former tenants (Tenant C1 and C2).
Report Facts
Number of tenants without cognitive disorder: 28 Number of tenants with cognitive disorder: 1 Total census: 29 Number of former tenants affected by deficiencies: 2

Inspection Report

Renewal
Census: 52 Deficiencies: 2 Date: Oct 22, 2019

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

Findings
The program failed to complete required criminal history, dependent adult abuse, and child abuse checks prior to employment for one of three staff reviewed. Additionally, the occupancy agreement did not include all required information for 52 tenants.

Deficiencies (2)
Failure to complete criminal history, dependent adult abuse, and child abuse checks prior to employment for Staff A.
Occupancy agreement did not include all required information for 52 tenants.
Report Facts
Number of tenants without cognitive disorder: 52 Number of tenants with cognitive disorder: 0 Total census of Assisted Living Program: 52 Staff reviewed for background checks: 3 Tenants affected by occupancy agreement deficiency: 52

Employees mentioned
NameTitleContext
Staff ANamed in deficiency for incomplete background checks
Juliana CornickAssistant Director of NursingSigned Plan of Correction letter

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