Inspection Reports for Edencrest at Kettlestone

805 SE Tallgrass Lane, Waukee, IA, 50263

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Inspection Report Summary

The most recent inspection on December 10, 2024, identified deficiencies related to incomplete criminal background checks for some staff during the initial certification visit. Earlier inspections were not available for comparison, but this inspection noted no regulatory insufficiencies from multiple complaint investigations. The main issues involved procedural lapses in employment screening rather than resident care or safety. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. Since this was the initial certification inspection, no trend can be established at this time.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

55% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024

Inspection Report

Original Licensing
Census: 29 Deficiencies: 2 Date: Dec 10, 2024

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

Complaint Details
No regulatory insufficiencies were cited during the investigation of Complaints #124964-C, 124963-C, 125026-C, 125040-C and 125116-C.
Findings
No regulatory insufficiencies were cited during the investigation of multiple complaints. However, regulatory insufficiencies were cited during the initial certification visit related to failure to consistently perform criminal background checks prior to employment and failure to ensure background checks were completed within 30 days of employment for certain staff.

Deficiencies (2)
Failed to consistently perform criminal background checks prior to employment for 1 of 4 staff reviewed (Staff A).
Failed to ensure record checks were complete within 30 days of employment for 1 of 4 staff reviewed (Staff B).
Report Facts
Number of tenants without cognitive impairment: 28 Number of tenants with cognitive impairment: 1 Total census: 29 Staff reviewed: 4

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