Inspection Reports for Edencrest at Timberline

1401 Douglas Pkwy, Urbandale, IA, 50323

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Inspection Report Summary

The most recent inspection on October 9, 2025, identified a deficiency related to the care and service provided to a tenant using a WanderGuard device, specifically involving the tenant leaving the building unattended and staff not properly reapplying the device. This issue was found during an investigation of a specific incident and represents the only deficiency noted in that inspection. Earlier inspections were not available for comparison, so no broader pattern of deficiencies can be determined from the reports provided. No fines, enforcement actions, or license suspensions were listed in the available reports. Complaint investigations were limited to this incident, which was substantiated based on the cited deficiency.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

77% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Inspection Report

Original Licensing
Census: 65 Deficiencies: 1 Date: Oct 9, 2025

Visit Reason
The inspection was conducted as an initial certification visit to determine compliance with certification rules for an Assisted Living Program (ALP), including investigations of specific incidents.

Complaint Details
The deficiency was cited during the investigation of Incident #130517-I involving Tenant #4 who left the building unattended without her WanderGuard device, which staff failed to re-apply properly due to lack of training and communication.
Findings
No regulatory insufficiencies were cited during the initial certification visit or investigations of two incidents. However, a regulatory insufficiency was cited during the investigation of Incident #130517-I related to failure to provide appropriate care and services for a tenant using a WanderGuard device.

Deficiencies (1)
Failure to provide appropriate care and service for Tenant #4 who utilized a WanderGuard device, resulting in the tenant leaving the building unattended and staff not knowing how to re-apply the device.
Report Facts
Census - Tenants without cognitive impairment: 55 Census - Tenants with cognitive impairment: 10 Total census: 65 WanderGuard safety checks: 8 Global Deterioration Scale (GDS) score: 5 Previous GDS score: 3

Employees mentioned
NameTitleContext
Staff AInformed Staff B about Tenant #4 not wearing WanderGuard device and stayed with tenant outside until device was re-applied
Staff BReported lack of knowledge on how to re-apply WanderGuard device and notified RN about tenant situation
Staff CStayed with Tenant #4 until the WanderGuard device was re-attached
Regional Clinical Services Director/Registered Nurse (RN)Registered NurseDocumented change of condition for Tenant #4 and directed staff to stay with tenant until WanderGuard device was re-applied
Community Relations Director (CRD)Community Relations DirectorManager on duty during incident, removed WanderGuard device for tenant outing and left note for staff
Executive Director (ED)Executive DirectorInvolved in decision making regarding tenant care and WanderGuard device use

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