Inspection Reports for Hansen House

2331 Nash Boulevard, Council Bluffs, IA, 51501

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Inspection Report Summary

The most recent inspection on August 28, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a mixed record, with some substantiated complaints related to tenant care and documentation issues in 2021 and 2022, particularly involving monitoring and treatment of tenants with cognitive impairments. Prior reports also noted deficiencies in staff background checks, transportation licensing, and exit door alarm systems, but these were addressed in subsequent visits. Complaint investigations since 2021 have been unsubstantiated, and no fines or enforcement actions were listed in the available reports. The facility’s inspection history suggests improvement over time, with recent inspections showing no regulatory insufficiencies.

Deficiencies (last 9 years)

Deficiencies (over 9 years) 0.9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

80% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2013
2014
2016
2017
2018
2021
2022
2024
2025

Census

Latest occupancy rate 29 residents

Based on a August 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 10 20 30 40 Apr 2013 Aug 2016 Dec 2017 Jan 2021 Mar 2022 Aug 2025

Inspection Report

Complaint Investigation
Census: 29 Deficiencies: 0 Date: Aug 28, 2025

Visit Reason
The inspection was conducted to investigate complaints #128519-C and #129034-C at Hansen House, an assisted living program for people with dementia.

Complaint Details
Investigation of Complaints #128519-C and #129034-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.

Report Facts
Tenants with cognitive impairment: 29 Tenants without cognitive impairment: 0 Total census: 29

Inspection Report

Renewal
Census: 31 Deficiencies: 0 Date: Oct 10, 2024

Visit Reason
The recertification visit was conducted to determine compliance with certification rules for an Assisted Living Program for People with Dementia and to address Complaints #121277-C and #122959-C.

Findings
No regulatory insufficiencies were cited during the recertification visit.

Inspection Report

Complaint Investigation
Census: 33 Deficiencies: 3 Date: Mar 30, 2022

Visit Reason
The inspection was conducted during the investigation of Complaint #100909-C regarding concerns about tenant care and services at Hansen House Assisted Living Program for People with Dementia.

Complaint Details
The complaint involved concerns about Tenant C1's dental and foot care, including loss of teeth and toenails requiring debridement. The complaint was substantiated by interviews, record reviews, and observations showing inadequate care and documentation.
Findings
The program failed to consistently ensure tenants received adequate and appropriate care, treatment, and services, including proper documentation of personal and health-related care, monitoring of tenants as indicated in service plans, and maintenance of task sheets. Specific deficiencies were noted in care for tenants with cognitive impairments.

Deficiencies (3)
Failed to consistently ensure tenants received adequate and appropriate care, treatment, and services.
Failed to consistently document completion of personal and/or health-related care on task sheets for tenants unable to advocate for themselves.
Failed to include direction regarding tenants' need to be monitored/checked in tenant service plans.
Report Facts
Number of tenants with cognitive disorder: 33 Number of tenants without cognitive disorder: 0 Number of tenants affected by care deficiencies: 4 Number of tenants affected by documentation deficiencies: 4 Number of tenants affected by monitoring deficiencies: 1

Employees mentioned
NameTitleContext
Cassie ErwinResidence DirectorSigned Plan of Correction letter detailing corrective actions

Inspection Report

Complaint Investigation
Census: 33 Deficiencies: 1 Date: Nov 18, 2021

Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program. An onsite infection control survey and Complaint #100295-C were also completed.

Complaint Details
Complaint #100295-C was investigated. The complaint involved failure to timely assess Tenant C1's condition after a fall and failure to notify the Power of Attorney in a timely manner. The complaint was substantiated as evidenced by the findings.
Findings
The Program failed to consistently ensure tenants received appropriate and adequate treatment and services, specifically related to Tenant C1 who suffered a fall and head injury. The RN failed to timely assess the tenant's condition and notify the Power of Attorney as required.

Deficiencies (1)
Failure to consistently ensure tenants received appropriate and adequate treatment and services, affecting Tenant C1 after a fall and head injury.
Report Facts
Number of tenants without cognitive disorder: 1 Number of tenants with cognitive disorder: 32 Total census: 33 Resident age: 90 Incident date: Oct 2, 2021

Employees mentioned
NameTitleContext
RN ARegistered NurseNamed in findings related to failure to timely assess Tenant C1 and notify Power of Attorney
Staff AReported on Tenant C1 fall and initial care
Staff BReported on Tenant C1 condition and notification to RN
Staff CObserved Tenant C1 behavior and notified RN
Staff DProvided care and notified RN about Tenant C1 condition
Staff EObserved Tenant C1 and notified RN

Inspection Report

Census: 29 Deficiencies: 0 Date: Jan 19, 2021

Visit Reason
The inspection was conducted as an investigation of Incident #95064-I and included an on-site infection control survey.

Findings
No regulatory insufficiencies were cited during the investigation or the infection control survey.

Report Facts
Number of tenants without cognitive disorder: 1 Number of tenants with cognitive disorder: 28 Total census: 29

Inspection Report

Renewal
Census: 33 Deficiencies: 0 Date: Jul 31, 2018

Visit Reason
The visit was conducted as a recertification to determine compliance with certification for an Assisted Living Program for People with Dementia and included an investigation of a complaint (#76761-C).

Complaint Details
Investigation of Complaint #76761-C was conducted with no regulatory insufficiencies cited.
Findings
No regulatory insufficiencies were cited during the recertification visit or the complaint investigation.

Report Facts
Number of tenants without cognitive disorder: 2 Number of tenants with cognitive disorder: 31 TOTAL Census of Assisted Living Program for People with Dementia: 33 TOTAL Census in building #2331: 16 TOTAL Census in building #2311: 17

Inspection Report

Complaint Investigation
Census: 35 Deficiencies: 0 Date: Dec 14, 2017

Visit Reason
The inspection was conducted as an investigation of Complaint #69810-C at Hansen House, an assisted living program for people with dementia.

Complaint Details
Investigation of Complaint #69810-C found no regulatory insufficiencies.
Findings
There were no regulatory insufficiencies cited during the investigation of the complaint.

Report Facts
Census: 35 Census: 16 Census: 19

Inspection Report

Complaint Investigation
Census: 24 Deficiencies: 0 Date: Jan 24, 2017

Visit Reason
The inspection was conducted to investigate Incident #64947-I and Complaint #65068-C at Hansen House, focusing on concerns regarding service plans and level of care.

Complaint Details
The complaint investigation found that service plans and level of care concerns were not substantiated. The tenant involved exhibited behaviors resulting in injury to another tenant, but the program's staffing and responses were appropriate. No regulatory insufficiencies were cited.
Findings
No regulatory insufficiencies were cited during the investigation. Both concerns about service plans and level of care were found to be not substantiated based on interviews and record reviews.

Report Facts
Number of tenants with cognitive disorder: 24 Number of tenants without cognitive disorder: 0 Total census of Assisted Living Program: 24 Number of staff working at time of incident: 2 Number of tenants at time of incident: 8

Employees mentioned
NameTitleContext
Linda KellenBureau ChiefSigned findings letter regarding complaint investigation
Catie CampbellProgram CoordinatorSigned findings letter regarding complaint investigation

Inspection Report

Renewal
Census: 25 Deficiencies: 0 Date: Aug 23, 2016

Visit Reason
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 with cognitive disorder: 25 Number of tenants without cognitive disorder: 0 Total Population of Program at time of on-site: 25

Inspection Report

Monitoring
Census: 14 Deficiencies: 3 Date: Aug 5, 2014

Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals following a survey by DIA on August 5, 2014, to evaluate regulatory compliance in areas including Exit Door Alarm System, Transportation, and Record Checks at Hansen House Assisted Living.

Findings
The report identified regulatory insufficiencies in three areas: the exit door alarm system was not properly connected to all exit doors, the program lacked vehicles for tenant transportation and some drivers did not have the required licenses, and background checks for a staff member were incomplete at the time of employment. Each insufficiency requires a plan of correction.

Deficiencies (3)
An operating alarm system shall be connected to each exit door in a dementia-specific program.
The driver shall have a valid and appropriate Iowa driver's license or commercial driver's license as required by law for the vehicle being utilized for transport.
Prior to employment, the program shall request criminal history and abuse record checks for staff; the program did not have enough information to determine employment eligibility pending evaluation of criminal history.
Report Facts
Number of tenants with cognitive disorder: 14 Total census of Assisted Living Program: 14 Days to correct regulatory insufficiencies: 30 Days to submit Plan of Correction: 10

Employees mentioned
NameTitleContext
Bill McCartyResidence DirectorNamed in relation to findings on exit door alarm system and transportation
Staff #2Universal WorkerNamed in relation to record check deficiency

Inspection Report

Monitoring
Census: 7 Deficiencies: 1 Date: Apr 9, 2013

Visit Reason
The visit was a Final Initial Certification Monitoring Evaluation to review compliance with Iowa Administrative Code and to evaluate the Assisted Living Program at Hansen House Assisted Living.

Findings
The report found no regulatory insufficiencies during the certification period. A monitoring observation noted that a Certified Nursing Assistant had not completed a required criminal background and abuse check prior to employment, constituting a regulatory insufficiency.

Deficiencies (1)
A Certified Nursing Assistant was hired without completing a criminal background, child abuse, and dependent adult abuse check prior to employment.
Report Facts
Number of tenants with cognitive disorder: 7 Total census of Assisted Living Program: 7

Employees mentioned
NameTitleContext
Hal L. ChaseRN BSN MPHMonitor conducting the evaluation

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