Inspection Reports for
Forest Plaza AL
635 Hwy. 9 East, Forest City, IA, 504361028
Back to Facility ProfileDeficiencies (last 11 years)
Deficiencies (over 11 years)
0.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
16 residents
Based on a May 2025 inspection.
Occupancy over time
Inspection Report
Renewal
Census: 16
Deficiencies: 0
Date: May 27, 2025
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive impairment: 15
Number of tenants with cognitive impairment: 1
Total census: 16
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 0
Date: Aug 29, 2023
Visit Reason
Investigation of Complaint #110251-C at Forest Plaza Assisted Living.
Complaint Details
Complaint #110251-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 1
Total census: 27
Inspection Report
Renewal
Census: 30
Deficiencies: 2
Date: Jun 30, 2022
Visit Reason
The recertification visit was conducted to determine compliance with certification of an Assisted Living Program.
Findings
The program failed to evaluate a tenant's functional, cognitive, and health status as warranted by a significant change of condition and failed to develop service plans based on evaluations to meet identified needs for 1 of 3 tenants reviewed.
Deficiencies (2)
Failed to evaluate a tenant's functional, cognitive, and health status as warranted by a significant change of condition.
Failed to develop service plans based on evaluations conducted to meet the identified needs for 1 of 3 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 30
Number of tenants with cognitive disorder: 0
Total Population of Program: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Confirmed findings on 6-30-22 at 12:23 p.m. |
Inspection Report
Renewal
Census: 42
Deficiencies: 2
Date: Nov 19, 2019
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification for the Assisted Living Program. However, deficiencies were found related to staffing and nurse review procedures, including failure to complete timely nurse reviews and ensure staff competency within 60 days of employment.
Deficiencies (2)
The program's registered nurse failed to complete a review to ensure staff were sufficiently trained and competent within 60 days of employment.
The program failed to consistently ensure nurse reviews were completed at least every 90 days for tenants, affecting 2 of 4 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 42
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 42
Staff affected by nurse delegation review deficiency: 2
Tenants affected by nurse review deficiency: 2
Date of Director of Nursing employment start: Aug 12, 2019
Date of nurse review completion for Tenant #1: Aug 30, 2019
Date of nurse review completion for Tenant #4: Oct 18, 2018
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rick Burke | Manager | Signed as Laboratory Director's or Provider/Supplier Representative's signature on the report. |
| Director of Nursing | Began employment on 8/12/19 and confirmed lack of awareness of required staff reviews. | |
| Registered Nurse Manager | Interviewed on 11/19/19, explained she had started in August and was attempting to catch up on nurse reviews. |
Inspection Report
Renewal
Census: 40
Deficiencies: 0
Date: Nov 8, 2017
Visit Reason
Recertification conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification inspection.
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 3
Date: Oct 8, 2015
Visit Reason
The inspection was conducted as a Final Complaint Investigation and Recertification Monitoring Evaluation following allegations related to structure/life safety, medication management, and tenant rights/personal care at Forest Plaza Assisted Living.
Complaint Details
Complaint #54370-C involved allegations of structure/life safety, medication management, and tenant rights/personal care. All allegations were found to be not substantiated based on observations, staff interviews, community meetings, and document reviews.
Findings
All allegations were found to be not substantiated. However, regulatory insufficiencies were identified in the areas of record checks, service plans, and food service, requiring a Plan of Correction.
Deficiencies (3)
One out of nine staff did not have a criminal history check or a child and dependent adult abuse record check on file prior to employment.
One out of four tenants reviewed did not have all assessed needs indicated within the service plan.
Three out of nine staff reviewed did not have orientation on sanitation and safe food handling before serving food to tenants.
Report Facts
Number of tenants without cognitive disorder: 33
Number of tenants with cognitive disorder: 1
Total population of program on-site: 34
Staff reviewed without criminal history check: 1
Tenants reviewed without complete service plans: 1
Staff reviewed without sanitation and safe food handling orientation: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff G | Personnel record revealed missing criminal history and abuse record checks and missing food handling orientation | |
| Staff B | Personnel record revealed missing food handling orientation | |
| Staff C | Personnel record revealed missing food handling orientation |
Inspection Report
Monitoring
Census: 28
Deficiencies: 0
Date: Aug 19, 2013
Visit Reason
The visit was a final recertification monitoring evaluation conducted to assess compliance with Iowa Code and Administrative Code requirements for the Forest Plaza Assisted Living facility.
Findings
No regulatory insufficiencies were found during the evaluation. Tenant satisfaction was positive, housekeeping and nursing services met expectations, and the facility was clean and safe.
Report Facts
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 28
Tenants attending community meeting: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lonny Smith | Administrator | Administrator of Forest Plaza Assisted Living named in report |
| Hal L. Chase | RN BSN MPH | Monitor conducting the evaluation |
| Rose Boccella | Program Coordinator | Author of the cover letter for the report |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 1
Date: Aug 29, 2011
Visit Reason
The inspection was conducted as a Final Complaint & Recertification Monitoring Evaluation in response to a complaint alleging the program failed to give a tenant medication for dementia for ten days, resulting in hospitalization.
Complaint Details
Complaint 35257-C alleged the program failed to give a tenant medication for dementia for ten days, resulting in hospitalization. The complaint was substantiated based on monitoring observations and review of medication administration records.
Findings
The program did not ensure the prescription medications were available and administered consistently as ordered by the physician, leading to a regulatory insufficiency related to medication administration and monitoring.
Deficiencies (1)
Failure to ensure prescription medications were available and administered consistently as ordered by the physician.
Report Facts
Current number of tenants without cognitive disorder: 29
Current number of tenants with cognitive disorder: 2
Total Population: 31
Days medication not given: 10
Hospitalization duration: 3
Medication dosage: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the evaluation |
Inspection Report
Monitoring
Census: 31
Deficiencies: 1
Date: Dec 23, 2009
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to assess compliance with Iowa Administrative Code for assisted living programs, including monitoring, civil penalties, and complaints.
Findings
The program was found to have a regulatory insufficiency related to failure to notify the Department of Inspections and Appeals within 24 hours of a tenant sustaining a substantial injury. A $500 civil penalty was assessed, but the Plan of Correction was accepted.
Deficiencies (1)
The program did not notify the Department of Inspections and Appeals within twenty-four hours of any accident causing substantial injury or death, or any fire or natural disaster occurring at or near the assisted living program.
Report Facts
Civil penalty amount: 500
Tenant census: 31
Tenant census: 0
Tenant meeting attendance: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lonny Smith | Administrator | Administrator of Forest Plaza Assisted Living named in report |
| Hal L. Chase | RN BSN MPH | Monitor conducting the evaluation |
| Ann Martin | Bureau Chief | Signed the demand letter |
| Connie Schaffer | Certification Coordinator | Contact person for certification questions |
Inspection Report
Monitoring
Census: 35
Deficiencies: 1
Date: Oct 29, 2007
Visit Reason
The visit was a final recertification monitoring evaluation conducted to assess compliance with assisted living program regulations at Forest Plaza Assisted Living.
Complaint Details
There were no substantiated complaints during this certification period.
Findings
The evaluation found that tenants were generally satisfied with the program, staff, and services. However, a regulatory insufficiency was identified related to the lack of documented evidence of staff training and staffing plans.
Deficiencies (1)
The program did not have training and staffing plans on file and did not maintain documentation of training received by program personnel.
Report Facts
Current number of tenants without cognitive disorder: 32
Current number of tenants with cognitive disorder: 3
Total Population: 35
Tenant meeting attendance: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lonny Smith | Program Administrator | Named as program administrator |
| Hal Chase | RN BSN MPH | Monitor conducting the evaluation |
| Michael Streepy | RN | Monitor conducting the evaluation |
Inspection Report
Monitoring
Census: 34
Deficiencies: 0
Date: Sep 29, 2005
Visit Reason
An on-site monitoring evaluation was conducted at Forest Plaza Assisted Living as part of the re-certification monitoring process.
Complaint Details
There were no substantiated complaints during this certification period.
Findings
There were no regulatory insufficiencies noted during this on-site recertification visit. Tenant and family satisfaction was generally positive with minor issues raised regarding food quality and staff training.
Report Facts
Current number of tenants without cognitive disorder: 32
Current number of tenants with cognitive disorder: 2
Total Population: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lonny Smith | Administrator | Administrator of Forest Plaza Assisted Living |
| Mary Oliver | LISW | Monitor conducting the evaluation |
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