Inspection Reports for Edencrest at Kettlestone
805 SE Tallgrass Ln, Waukee, IA 50263, USA, IA, 50263
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Complaint Investigation
Census: 6
Deficiencies: 1
Aug 7, 2025
Visit Reason
The inspection was conducted to investigate regulatory insufficiencies related to incidents and complaints involving tenant care and safety at Edencrest at Kettlestone Memory Care.
Findings
The facility failed to provide adequate and appropriate care to two former tenants, Tenant C1 and Tenant C2, by not performing required hourly safety checks, resulting in a fall and an elopement incident. Staff responsible were suspended and did not return to work.
Complaint Details
The investigation was triggered by complaints #128788-C and #129203-C and incidents 128141-I and 130026-I. The complaints were substantiated by findings of failure to perform required safety checks and inadequate tenant care.
Deficiencies (1)
| Description |
|---|
| Failure to provide adequate and appropriate care, treatment, and services to 2 of 3 former tenants (Tenants C1 and C2), including failure to perform required hourly safety checks. |
Report Facts
Number of tenants with cognitive impairment: 6
Total census: 6
Global Deterioration Scale (GDS) score: 4
Date of Tenant C1 fall: Jul 8, 2025
Date of Tenant C2 elopement: Apr 12, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Assigned to Tenant C1, failed to call for assistance and left tenant on floor | |
| Staff B | Contacted EMS for Tenant C1 | |
| Staff D | Last saw Tenant C2 before elopement | |
| Staff E | Documented safety checks for Tenant C2 but failed to complete hourly checks appropriately |
Inspection Report
Original Licensing
Census: 4
Deficiencies: 0
Dec 10, 2024
Visit Reason
Initial visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the initial visit for certification compliance.
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