Inspection Reports for Childserve Habilitation Center
5900 Pioneer Parkway, Johnston, IA, 501310707
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 22, 2025 found the facility in substantial compliance with no deficiencies noted. Earlier inspections showed a pattern of deficiencies related mainly to infection prevention practices and medication security, as well as issues with timely notifications to families and the long-term care ombudsman. Complaint investigations were mostly unsubstantiated, except for substantiated cases involving resident supervision and abuse reported in 2023, but no fines or enforcement actions were listed in the available reports. The facility addressed prior deficiencies through accepted plans of correction and demonstrated compliance in subsequent follow-ups. The overall trend suggests improvement in compliance and resolution of earlier issues over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
2.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
70 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 22, 2025
Visit Reason
A complaint investigation for Incident #2686607 was conducted from December 22, 2025 to December 23, 2025.
Complaint Details
Investigation was related to Incident #2686607 and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with no deficiencies noted.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: May 31, 2025
Visit Reason
The document serves as a Plan of Correction following a prior inspection, indicating acceptance of the facility's credible allegation of substantial compliance.
Findings
The facility will be certified in compliance with health requirements effective May 31, 2025, based on acceptance of the Plan of Correction and substantial compliance.
Inspection Report
Annual Inspection
Census: 70
Deficiencies: 2
Date: May 1, 2025
Visit Reason
The inspection was conducted as part of the facility's Annual Recertification Survey and investigation of a facility reported incident #12255-I.
Findings
The facility failed to secure prescribed medications properly, leaving medication cart keys unattended, and failed to implement adequate infection prevention and control practices, including improper use of PPE and hand hygiene by staff.
Deficiencies (2)
Facility failed to secure prescribed medications from unauthorized access; medication cart keys were left unattended.
Facility failed to implement infection prevention and control program; staff did not discard PPE immediately after use nor perform appropriate hand hygiene.
Report Facts
Census: 70
Dates of Survey: Survey conducted from 2025-04-28 to 2025-05-01
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Named in medication cart key security deficiency |
| Staff B | Registered Nurse (RN) | Demonstrated medication cart key access to controlled substances |
| Staff C | Housekeeping (HSKG) | Named in infection prevention and control deficiency for improper PPE and hand hygiene |
| Staff D | Housekeeping (HSKG) | Named in infection prevention and control deficiency for improper PPE and hand hygiene |
| Staff E | Facility Operations Manager (FOM) | Provided education on PPE and hand hygiene requirements |
| Inpatient Clinical Director (ICD) | Provided statements on medication key security and PPE usage |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 20, 2025
Visit Reason
A complaint investigation for complaints #126431-C was conducted on March 20, 2025.
Complaint Details
Complaint #126431-C was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 17, 2024
Visit Reason
A complaint investigation for complaints #124248-C was conducted on December 16, 2024 to December 17, 2024.
Complaint Details
Complaint investigation for complaints #124248-C; facility found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 2, 2024
Visit Reason
The document is a plan of correction submitted following a survey to address deficiencies and certify compliance of the facility.
Findings
Based on acceptance of the credible allegation of compliance and plan of correction, the facility will be certified in compliance effective August 2, 2024. No specific deficiencies or severity levels are detailed in the report.
Inspection Report
Annual Inspection
Census: 69
Deficiencies: 2
Date: Jul 3, 2024
Visit Reason
The inspection was conducted as the facility's Annual Recertification survey from June 30, 2024 to July 3, 2024.
Findings
The facility was found deficient for failing to notify the long-term care ombudsman of resident transfers to acute care hospitals for 6 residents, and for inadequate infection prevention practices during enteral tube feedings and tracheostomy suctioning for 2 residents.
Deficiencies (2)
Failure to notify the long-term care ombudsman for resident transfers to acute care hospitals for 6 residents.
Failure to provide appropriate infection prevention practices when providing enteral tube feedings and nasal and tracheostomy suctioning for 2 residents.
Report Facts
Residents reviewed for hospitalization: 6
Residents observed for infection prevention: 7
Facility census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | RN | Observed not wearing gloves during enteral tube feeding and nasal suctioning for Resident #57 |
| Staff B | CNA | Observed not wearing gloves during tracheostomy suctioning for Resident #60 |
| Administrator | Provided statements regarding EHR transition and infection control expectations |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Feb 24, 2024
Visit Reason
The document serves as a Plan of Correction following acceptance of the facility's credible allegation of substantial compliance.
Findings
The facility was certified in compliance effective February 24, 2024, based on acceptance of the Plan of Correction and credible allegation of substantial compliance.
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 3
Date: Jan 24, 2024
Visit Reason
The inspection was conducted as a result of investigation of complaint #117245-C and facility reported incident #118068-I from January 18 to January 24, 2024.
Complaint Details
Complaint #117245-C was not substantiated. Facility reported incident #118068-I was substantiated.
Findings
The facility failed to provide timely notification to the physician or family when changes occurred in the resident's physical or mental condition for 2 of 3 residents reviewed. Deficiencies were found related to notification of changes, comprehensive care plans, and resident records including identifiable information and medical records.
Deficiencies (3)
Failure to provide timely notification to the physician or family when changes occurred in the resident's physical or mental condition for 2 of 3 residents reviewed.
Failure to ensure physician's orders were followed for 2 of 3 residents reviewed.
Failure to provide a complete, accurate, and detailed record for the resident's physical condition to maintain the resident's highest practical well-being for 2 of 3 residents reviewed.
Report Facts
Census: 61
Residents reviewed: 3
Oxygen liters per minute: 10
Heart rate: 155
Seizure duration: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Documented nursing assessment for Resident #1 |
| Staff B | Registered Nurse (RN) | Entered nursing assessment for Resident #1 |
| Staff C | Respiratory Therapist (RT) | Reported oxygen levels for Resident #1 |
| Staff D | Registered Nurse (RN) | Notified physician and documented Resident #3's condition |
| Staff E | Respiratory Therapist (RT) | Reported oxygen documentation issues for Resident #2 |
| Staff F | Respiratory Therapist (RT) | Completed respiratory assessment for Resident #2 |
| Pediatric Long-Term Care Inpatient Clinical Manager (PLTCICM) | Provided statements regarding notification policies and documentation | |
| LNHA Mahakis | Vice President/Administrator | Signed the statement of deficiencies |
Inspection Report
Original Licensing
Deficiencies: 0
Date: Oct 14, 2023
Visit Reason
The visit was conducted for certification of the facility based on acceptance of a credible allegation of substantial compliance and Plan of Correction.
Findings
The facility was found to be in substantial compliance and will be certified effective October 14, 2023.
Inspection Report
Annual Inspection
Census: 61
Deficiencies: 3
Date: Sep 14, 2023
Visit Reason
The inspection was conducted as part of the facility's Annual Recertification survey and investigation of Complaints #112619-C and Facility Reported Incidents #112627-1, #115450-1 from September 11 to September 14, 2023.
Complaint Details
Complaint #112619-C and Facility Reported Incident #112627-1 were substantiated. The complaint involved alleged abuse of Resident #52 by a Respiratory Therapist who slapped and yelled at the resident. The facility failed to report the incident timely and failed to immediately protect the resident from further abuse.
Findings
The facility was found to have failed to ensure residents were free from abuse and neglect, specifically involving an incident where a Respiratory Therapist allegedly slapped a resident and yelled at her. The complaint and incident were substantiated. The facility also failed to report the alleged abuse within required timeframes and did not immediately implement measures to prevent further abuse.
Deficiencies (3)
Failure to ensure freedom from verbal and physical abuse by staff toward a resident.
Failure to report alleged physical and verbal abuse without bodily injury within 24 hours to the state agency.
Failure to immediately implement measures to prevent further potential abuse or mistreatment after allegations.
Report Facts
Census: 61
Complaint Number: 112619
Facility Reported Incident Numbers: 112627
Facility Reported Incident Numbers: 115450
Date of Incident: Apr 23, 2023
Date of Removal of Alleged Staff: Apr 26, 2023
Date of Plan of Correction Completion: Oct 14, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Respiratory Therapist | Alleged perpetrator who slapped and yelled at Resident #52. |
| Staff B | Certified Nurse Aid | Witnessed and reported the interaction between Staff A and Resident #52. |
| Director of Nursing | Director of Nursing | Interviewed regarding expectations for reporting alleged abuse. |
| Licensed Nursing Home Administrator | Licensed Nursing Home Administrator | Reported that Resident #52 looked sad after Staff A spoke to her and confirmed removal of Staff A. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: May 4, 2023
Visit Reason
The document reflects acceptance of a credible allegation of compliance and plan of correction for the facility, leading to certification in compliance effective May 4, 2023.
Findings
The facility was found to be in compliance based on the accepted plan of correction and credible allegation of compliance.
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 1
Date: Mar 31, 2023
Visit Reason
The inspection was conducted as a result of investigation of Complaints #109131-C, 111009-C, and Facility Reported Incident #111080-I. The facility reported incident #111080-I was substantiated.
Complaint Details
The visit was complaint-related, investigating Complaints #109131-C, 111009-C, and Facility Reported Incident #111080-I. Facility Reported Incident #111080-I was substantiated.
Findings
The facility failed to provide necessary nursing supervision for a dependent patient who fell out of a crib, resulting in a substantiated deficiency. The patient was assessed with no injuries, but the incident was described as negligent by the patient's physician and attributed to human error by staff.
Deficiencies (1)
Failure to provide necessary nursing supervision for a dependent patient who fell out of a crib.
Report Facts
Total Residents: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse (RN) | Named in relation to the incident where the patient fell out of the crib |
| Vice President of Inpatient Services | Interviewed regarding nursing supervision during the incident | |
| Director of Nursing | Director of Nursing (DON) | Interviewed confirming nursing supervision standards |
| Physician | Described the incident as negligent from the nurse's standpoint |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 12, 2022
Visit Reason
The inspection was conducted as the annual recertification health survey for the facility.
Findings
The facility was found to be in substantial compliance at the time of the annual recertification health survey conducted from 2022-01-09 to 2022-01-12.
Inspection Report
Abbreviated Survey
Census: 56
Deficiencies: 0
Date: Dec 9, 2020
Visit Reason
A focused COVID-19 infection survey was conducted to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 56
Inspection Report
Routine
Census: 61
Deficiencies: 0
Date: Nov 5, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals from 11/3 to 11/5/2020 to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 59
Deficiencies: 0
Date: Jun 22, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 59
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