Inspection Reports for
Copperwood at Prairie Trail
2855 SW Vintage Parkway, Ankeny, IA, 50023
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
105% worse than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Original Licensing
Census: 34
Deficiencies: 9
Date: Feb 4, 2025
Visit Reason
The inspection was conducted as an initial certification visit to determine compliance with certification rules for an Assisted Living Program.
Findings
The inspection identified multiple regulatory deficiencies including failure to retain incident reports for the required three years, inconsistent adherence to incident reporting policies, incomplete occupancy agreements missing required information, incomplete pre-occupancy evaluations, failure to develop and update service plans timely, lack of tenant preferences for nursing facility care in service plans, and failure to complete required 90-day nurse reviews.
Deficiencies (9)
Incident reporting policy did not include the required three-year retention period for incident reports.
Program failed to consistently follow policies and procedures regarding incident reports.
Occupancy agreements signed by tenants did not include all required information as per Iowa Administrative Code chapter 231C.5.
Occupancy agreements failed to include required information such as telephone numbers for complaint filing, long-term care ombudsman, dependent adult abuse reporting, and tenant landlord law statement.
Pre-occupancy evaluations were incomplete and did not thoroughly evaluate tenants' current health status.
Service plans were not consistently developed prior to signing the occupancy agreement.
Service plans were not updated, signed, and dated within 30 days of tenant occupancy as required.
Tenant service plans failed to include preferences for nursing facility care.
Program failed to consistently complete 90-day nurse reviews for tenants receiving health-related care.
Report Facts
Number of tenants without cognitive impairment: 33
Number of tenants with cognitive impairment: 1
Total census: 34
Number of tenants reviewed for occupancy agreement deficiencies: 4
Number of tenants reviewed for evaluation deficiencies: 4
Number of tenants reviewed for service plan deficiencies: 4
Number of tenants missing nursing facility preference in service plans: 3
Number of tenants missing 90-day nurse reviews: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Delegating Nurse | Provided information about incident reports and confirmed no 90-day nurse reviews had been completed for Tenant #2. | |
| Director | Acknowledged program policies and deficiencies related to incident reporting and occupancy agreements. | |
| Administrative Staff | Acknowledged findings related to incomplete evaluations and service plans. |
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