Inspection Reports for
Cobblestone Court Assisted Living
3187 140th Street, Sumner, IA, 50674
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
0.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
50% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Renewal
Census: 30
Deficiencies: 0
Date: Oct 15, 2025
Visit Reason
The visit was a recertification inspection to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 1
Date: Jun 11, 2024
Visit Reason
The inspection was conducted following a complaint investigation related to an allegation of an inappropriate relationship between Tenant #1 and Staff A at Cobblestone Court Assisted Living.
Complaint Details
The complaint was substantiated based on family reports, video footage, and staff interviews confirming inappropriate relationship and unauthorized visits by Staff A to Tenant #1's apartment.
Findings
The investigation found that Staff A repeatedly entered Tenant #1's apartment during night shifts without calls for assistance, violating program policies. Staff A was terminated due to substantiated allegations of inappropriate relationship and unauthorized visits.
Deficiencies (1)
Program failed to ensure staff followed policy and procedure related to tenant interaction, specifically regarding inappropriate relationship and unauthorized apartment visits by Staff A.
Report Facts
Total census: 33
Incident report date: Oct 30, 2023
Staff A hire date: Oct 20, 2021
Staff A termination date: Oct 31, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in finding related to inappropriate relationship and unauthorized apartment visits; terminated employment. | |
| Staff B | Registered Nurse | Provided statements and reviewed video footage related to the complaint. |
| Administrator | Interviewed regarding complaint and policy adherence; signed termination letter. |
Inspection Report
Renewal
Census: 35
Deficiencies: 0
Date: Aug 22, 2023
Visit Reason
The visit was conducted as a recertification to determine compliance with certification rules for an Assisted Living Program and included an investigation of Complaint #113850-C.
Complaint Details
Complaint #113850-C was investigated and no regulatory insufficiencies were found.
Findings
No regulatory insufficiencies were cited during the recertification visit or the complaint investigation.
Report Facts
Number of tenants without cognitive impairment: 35
Number of tenants with cognitive impairment: 0
Total census: 35
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 0
Date: Dec 19, 2022
Visit Reason
The inspection was conducted as an investigation of Complaint #104838-C at the assisted living facility.
Complaint Details
Complaint #104838-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation at the facility.
Inspection Report
Renewal
Census: 29
Deficiencies: 1
Date: Jun 15, 2021
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the infection control survey, but a deficiency was found related to failure to request child and dependent adult abuse record checks prior to employment for 6 of 6 staff reviewed.
Deficiencies (1)
Failure to request the department of human services perform a child and dependent adult abuse record check prior to staffs' employment for 6 of 6 staff reviewed.
Report Facts
Number of tenants without cognitive disorder: 29
Number of tenants with cognitive disorder: 0
Staff reviewed for background check deficiency: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Boeckman | Administrator Assistant | Responsible for running SING background checks before finalizing hiring process |
| Ginny Boeckman | Administrator | Reviews new employee files to ensure SING background checks have been run |
Inspection Report
Renewal
Census: 32
Deficiencies: 1
Date: May 15, 2019
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program.
Findings
The facility was found to have a regulatory insufficiency related to dependent adult abuse (DAA) training for staff, specifically that one of two staff employed six months or longer lacked documented DAA training as required by Iowa Code section 235B.16.
Deficiencies (1)
Dependent adult abuse training was not completed as required for one staff member employed six months or longer.
Report Facts
Number of tenants without cognitive disorder: 32
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 32
Inspection Report
Original Licensing
Census: 20
Deficiencies: 1
Date: Jun 1, 2017
Visit Reason
The inspection visit was conducted as an initial certification visit to determine compliance with certification for an Assisted Living Program.
Findings
The inspection found regulatory insufficiencies related to service plans, specifically that service plans for tenants did not fully reflect their identified needs and medical orders, including history of urinary tract infections and medication administration.
Deficiencies (1)
The service plans were not individualized and did not indicate the tenant's identified needs and preferences for assistance, including failure to reflect history of urinary tract infections and medication orders.
Report Facts
Number of tenants without cognitive disorder: 20
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Westendorf | RN | Laboratory Director signing the report |
| Ginny Buckman | Administrator | Administrator signing the report |
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