Inspection Reports for
Elm Crest Retirement Community

2108 12th Street, Harlan, IA, 515372023

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3 Reports

2021–2024

Inspection Report — Apr 4, 2024

Renewal
Date: Apr 4, 2024

Visit Reason
The inspection was a recertification visit conducted to determine compliance with certification for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.

Report Facts
Number of tenants without cognitive impairment: 24 Number of tenants with cognitive impairment: 1

Inspection Report — Mar 30, 2023

Complaint Investigation
Date: Mar 30, 2023

Visit Reason
Investigation of Complaint #104550-C at Elm Crest Retirement Community.

Complaint Details
Complaint #104550-C was investigated and found to have no regulatory insufficiencies.
Findings
There were no regulatory insufficiencies cited during the investigation of the complaint.

Report Facts
Number of tenants without cognitive disorder: 23 Number of tenants with cognitive disorder: 3 Total Population of Program at time of on-site: 26

Inspection Report — Oct 21, 2021

Renewal
Date: Oct 21, 2021

Visit Reason
The inspection was conducted as a recertification survey of the Assisted Living Program to evaluate compliance with regulatory requirements.

Findings
The program had no regulatory insufficiencies during the onsite infection control survey, but deficiencies were cited related to evaluation of tenants, service plans, and nurse reviews. The program failed to consistently complete cognitive, health, and functional evaluations, develop service plans based on evaluations, and complete nurse reviews following significant changes in tenant conditions.

Violations (3)
Failed to consistently complete cognitive, health, and functional evaluations as warranted by significant change.
Failed to develop service plans based on evaluations as warranted by significant change.
Failed to complete nurse reviews following significant changes in tenant conditions.
Report Facts
Number of tenants without cognitive disorder: 26 Number of tenants with cognitive disorder: 1 Total Population of Program at time of on-site: 27 Tenants reviewed: 3 Tenants affected by evaluation deficiency: 2 Tenants affected by service plan deficiency: 1 Tenants affected by nurse review deficiency: 2

Employees mentioned
NameTitleContext
Timothy J NauslarAdministratorSigned the statement of deficiencies and plan of correction
Kathy GoedeProgram ManagerSigned the plan of correction

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