Inspection Reports for Edencrest at The Legacy
2901 Cedar St, Norwalk, IA 50211, USA, IA, 50211
Back to Facility ProfileDeficiencies per Year
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Census Over Time
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 0
Oct 1, 2025
Visit Reason
Investigation of Complaint #129026-C and Incident #130128-I at the assisted living facility.
Findings
No regulatory insufficiencies were cited during the investigation.
Complaint Details
Investigation of Complaint #129026-C and Incident #130128-I found no regulatory insufficiencies.
Report Facts
Tenants without cognitive impairment: 20
Tenants with cognitive impairment: 8
Total census: 28
Inspection Report
Renewal
Census: 30
Deficiencies: 0
May 13, 2025
Visit Reason
The visit was conducted as a recertification inspection to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the investigation of Incident #125606-I or during the recertification visit.
Report Facts
Number of tenants without cognitive impairment: 17
Number of tenants with cognitive impairment: 13
Total census: 30
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 2
Jun 17, 2024
Visit Reason
The inspection was conducted to investigate Complaint #117491-C and Incident #116476-I at Edencrest at the Legacy, an assisted living program for people with dementia.
Findings
No regulatory insufficiencies were found related to Incident #116476-I. However, deficiencies were cited for failure to retain incident reports on premises for at least three years and failure to consistently ensure an operating door alarm on each exit door in the dementia-specific program.
Complaint Details
The complaint investigation found regulatory insufficiencies related to missing incident reports and inadequate door alarm systems. The incident investigation found no regulatory insufficiencies.
Deficiencies (2)
| Description |
|---|
| Failure to retain incident reports on premises for at least three years for 2 of 2 tenants reviewed (Tenants #1 and #2). |
| Failure to consistently ensure an operating door alarm on each exit door, potentially affecting 9 of 9 tenants with a Global Deterioration Scale score of four or more. |
Report Facts
Number of tenants without cognitive impairment: 19
Number of tenants with cognitive impairment: 9
Total census: 28
Tenants reviewed for incident report retention: 2
Tenants potentially affected by door alarm deficiency: 9
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Jun 15, 2023
Visit Reason
Investigation of Complaints #109183-C, #109335-C, and #112371-C at the Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Complaint Details
Investigation of Complaints #109183-C, #109335-C, and #112371-C found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 19
Number of tenants with cognitive disorder: 18
Total census: 37
Inspection Report
Renewal
Census: 40
Deficiencies: 0
Sep 8, 2022
Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program. Complaint #99784-C was also completed.
Findings
No regulatory insufficiencies were cited during the recertification visit and complaint investigation.
Complaint Details
Complaint #99784-C was investigated and completed with no regulatory insufficiencies cited.
Report Facts
Number of tenants without cognitive disorder in General Population: 24
Number of tenants with cognitive disorder in General Population: 6
Number of tenants without cognitive disorder in Memory Care Unit: 0
Number of tenants with cognitive disorder in Memory Care Unit: 10
Total Census of Assisted Living Program for People with Dementia: 40
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 1
Nov 18, 2021
Visit Reason
The inspection was conducted as a complaint investigation related to complaints #92413-C, #96020-C, and #92806-C concerning staffing and training issues at the assisted living program.
Findings
The program failed to consistently ensure all personnel, including contract/agency staff, received appropriate training to meet tenant needs. This affected 41 tenants and was documented by lack of training records for at least 20 contract staff.
Complaint Details
Complaints #92413-C, #96020-C, and #92806-C were investigated. The investigation dates were from 7/12/21 to 11/18/21. The complaint was substantiated as the program did not provide training documentation for contract staff and failed to ensure appropriate training.
Deficiencies (1)
| Description |
|---|
| The program failed to ensure all personnel employed or contracting with the program received appropriate training for assigned tasks and target population. |
Report Facts
Number of tenants: 40
Number of tenants affected: 41
Number of contract staff without training documentation: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shannon Giles | Director | Signed the Plan of Correction submitted for staffing deficiency |
Inspection Report
Complaint Investigation
Census: 21
Deficiencies: 0
Oct 29, 2018
Visit Reason
The inspection was conducted as an investigation of Complaint #79122 at the assisted living facility.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Complaint Details
Complaint #79122 was investigated and found to have no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder in General Population program: 15
Number of tenants with cognitive disorder in General Population program: 2
Total population of General Population program: 17
Number of tenants without cognitive disorder in Dementia-Specific program: 0
Number of tenants with cognitive disorder in Dementia-Specific program: 4
Total population of Dementia-Specific program: 4
Total census of Assisted Living Program: 21
Inspection Report
Original Licensing
Census: 19
Deficiencies: 0
Sep 12, 2018
Visit Reason
Initial certification inspection conducted to determine compliance with certification for an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the initial certification inspection.
Report Facts
Census count: 19
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 7
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