Inspection Reports for Cedar Ridge Village
8950 Coachlight Drive, West Des Moines, IA, 50266
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 26, 2024, identified deficiencies related to fall procedures, employee background checks, and respite care duration. Earlier inspections also noted issues with staff background checks and tenant service planning, including assessments and individualized plans. Inspectors cited recurring themes around compliance with procedural requirements for tenant care and employee screening. There were no complaint investigations reported in the available records. The pattern of findings suggests ongoing challenges with procedural adherence, with similar types of deficiencies appearing over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
35 residents
Based on a June 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 35
Deficiencies: 3
Date: Jun 26, 2024
Visit Reason
The inspection was a recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
The program failed to follow established procedures regarding falls for 2 of 4 tenants reviewed, resulting in unnecessary calls to 911. Additionally, the program failed to complete required criminal history and abuse checks for one employee prior to hiring, and retained a tenant on respite care for over 60 days, exceeding allowed limits.
Deficiencies (3)
Failed to follow established procedures regarding falls for 2 of 4 tenants reviewed, resulting in unnecessary calls to 911.
Failed to complete a check of the abuse and criminal history of 1 of 7 employees reviewed prior to hiring.
Retained 1 of 1 tenants on respite care for a period over 60 days in a calendar year.
Report Facts
Number of tenants without cognitive impairment: 35
Number of tenants with cognitive impairment: 0
Total census: 35
Number of employees reviewed: 7
Number of tenants reviewed for falls: 4
Number of tenants on respite care: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Failed to have required criminal history and abuse checks prior to hiring | |
| Director of Nursing | Confirmed staff practice of calling 911 rather than following falls policy and confirmed respite care length of stay violation |
Inspection Report
Original Licensing
Census: 4
Deficiencies: 4
Date: Jul 15, 2021
Visit Reason
The inspection was conducted as an initial certification visit to determine compliance with certification of an Assisted Living Program.
Findings
The program failed to evaluate tenants' functional, cognitive, and health status with significant changes, failed to develop and update service plans based on required assessments for 3 of 4 tenants, and failed to indicate tenants' identified needs and preferences for assistance on service plans. Additionally, the program failed to request a child and dependent adult abuse record check for one staff member prior to employment.
Deficiencies (4)
Failed to evaluate a tenant's functional, cognitive, and health status as needed with a significant change in health status to determine any changes to services needed (2 of 4 tenants).
Failed to develop service plans based on required assessments and designed to meet the specific service needs of individual tenants (3 of 4 tenants).
Failed to indicate tenant's identified needs and preferences for assistance on service plans (3 of 4 tenants).
Failed to request a child and dependent adult abuse record check from the department of human services for 1 of 8 staff reviewed prior to employment.
Report Facts
Number of tenants without cognitive disorder: 4
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 4
PRN medication administration count: 19
PRN medication administration count: 8
Staff reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Staff member for whom child and dependent adult abuse record check was not requested prior to employment | |
| Director of Nursing | Confirmed findings related to tenant evaluations and service plans | |
| Administrator | Confirmed findings related to staff background checks |
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