Inspection Reports for Edencrest at Timberline
14001 Douglas Pkwy, Urbandale, IA 50323, USA, IA, 50323
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
11 residents
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 11
Deficiencies: 1
Oct 9, 2025
Visit Reason
The inspection was a recertification visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia (ALP/D).
Findings
The program failed to identify a tenant (Tenant #1) who exceeded the criteria for retention in the Assisted Living Program due to needing routine two-person assistance with transfers. Tenant #1 had significant decline and routinely required two staff for transfers, but the facility had not updated assessments or given formal notice regarding the need for a higher level of care.
Deficiencies (1)
| Description |
|---|
| Failed to identify a tenant as exceeding criteria for retention for an Assisted Living Program for People with Dementia due to need for routine two-person assistance with transfers. |
Report Facts
Total census: 11
Tenants without cognitive impairment: 1
Tenants with cognitive impairment: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding Tenant #1's need for two staff assistance with transfers | |
| Staff B | Interviewed regarding Tenant #1's need for two staff assistance with transfers | |
| Staff C | Interviewed regarding Tenant #1's need for two staff assistance with transfers | |
| Staff D | Interviewed regarding Tenant #1's need for two staff assistance with transfers | |
| Executive Director | Executive Director | Interviewed regarding Tenant #1's condition and care needs |
| Regional Clinical Services Director | Regional Clinical Services Director/Registered Nurse | Interviewed regarding Tenant #1's condition and care needs |
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 4
Jun 5, 2025
Visit Reason
The inspection was conducted following complaint investigations related to tenant care and staff training deficiencies at Edencrest at Timberline.
Findings
The facility failed to consistently ensure tenants received adequate and appropriate care, specifically failing to provide stand by assistance as required by a tenant's service plan, resulting in injury. Additionally, staff failed to complete required dependent adult abuse training, background checks, and dementia-specific continuing education.
Complaint Details
The visit was complaint-related, involving investigations #126927-I and 128350-C. The complaint was substantiated with findings of inadequate tenant care and staff training deficiencies.
Deficiencies (4)
| Description |
|---|
| Failed to consistently ensure tenants received adequate and appropriate care, resulting in injury to Tenant C1 due to lack of stand by assistance. |
| Failed to ensure staff received required Dependent Adult Abuse training as mandated by Iowa Code. |
| Failed to perform required background checks prior to employment for Staff A. |
| Failed to ensure staff received eight hours of dementia-specific continuing education annually. |
Report Facts
Total census: 8
Number of tenants without cognitive impairment: 1
Number of tenants with cognitive impairment: 7
Date of Incident Report: Feb 20, 2025
Date of tenant hospital admission: Feb 21, 2025
Staff A hire date: Dec 11, 2024
Staff A Dependent Adult Abuse training certificate date: May 28, 2019
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Failed to receive required dependent adult abuse training, background check, and dementia-specific education; involved in tenant care deficiency | |
| Staff B | Failed to provide stand by assistance as required by tenant service plan | |
| Regional Director of Clinical Services | Confirmed staff failures related to tenant care and training |
Inspection Report
Original Licensing
Census: 24
Deficiencies: 0
Nov 21, 2023
Visit Reason
Initial certification visit conducted to determine compliance with certification rules for an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the initial certification visit.
Report Facts
Number of tenants without cognitive impairment: 19
Number of tenants with cognitive impairment: 5
Total census: 24
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