Inspection Reports for Happy Siesta Healthcare Center
423 Roosevelt St., Remsen, IA, 510500380
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 27, 2025, was a complaint investigation that found the facility to be in substantial compliance with no deficiencies. Earlier inspections showed a mixed record, with some deficiencies noted during the June 12, 2025 annual inspection related to timely physician notification, psychotropic medication interventions, incident assessments, and food safety standards. Prior complaint investigations were mostly unsubstantiated, though earlier reports included a substantiated incident in April 2024 involving inadequate nursing supervision and wheelchair securement that resulted in serious injury, as well as an Immediate Jeopardy situation in July 2023 concerning resident elopement risk that was resolved after corrective actions. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s recent inspections suggest some improvement following earlier issues, with the most current findings showing compliance.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
50 residents
Based on a June 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 27, 2025
Visit Reason
A complaint investigation for complaint #2602805-C was conducted.
Complaint Details
Complaint #2602805-C was investigated and found to be unsubstantiated as the facility was in substantial compliance.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 2, 2025
Visit Reason
The document serves as a Plan of Correction following acceptance of a credible allegation of substantial compliance by the facility.
Findings
The facility was certified in compliance effective June 25, 2025, based on acceptance of the credible allegation and Plan of Correction. No specific deficiencies or severity levels are detailed in the report.
Inspection Report
Annual Inspection
Census: 50
Deficiencies: 4
Date: Jun 12, 2025
Visit Reason
The inspection visit was the facility's annual recertification survey conducted from June 9, 2025 to June 12, 2025.
Findings
The facility failed to notify the physician in a timely manner of a change in condition for 1 of 15 residents reviewed, failed to ensure staff implemented resident-specific interventions for psychotropic medications for 1 of 6 residents reviewed, failed to complete assessment after incidents for 1 of 2 residents reviewed, and failed to prepare and serve food with professional standards for food safety.
Deficiencies (4)
Facility failed to notify the physician in a timely manner of a change in condition for 1 of 15 residents reviewed.
Facility failed to ensure staff implemented resident specific interventions for psychotropic medications for 1 of 6 residents reviewed.
Facility failed to complete assessment after incidents for 1 of 2 residents reviewed.
Facility failed to prepare and serve food with professional standards for food safety.
Report Facts
Residents reviewed: 15
Residents reviewed: 6
Residents reviewed: 2
Census: 50
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 1, 2025
Visit Reason
Investigation of complaint #124435-C conducted from March 31, 2025 to April 1, 2025.
Complaint Details
Complaint #124435-C was investigated and found to be not substantiated.
Findings
The complaint investigation resulted in no deficiencies and the complaint was not substantiated.
Report Facts
Complaint number: 124435
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Sep 26, 2024
Visit Reason
Investigation of complaint #123573-C conducted from September 24, 2024 to September 26, 2024.
Complaint Details
Complaint #123573-C was investigated and found to be not substantiated.
Findings
The complaint investigation resulted in no deficiencies and the complaint was not substantiated.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 20, 2024
Visit Reason
A recertification survey was completed from June 17, 2024 to June 20, 2024 to assess compliance with regulatory requirements.
Findings
The recertification survey resulted in no deficiencies being identified at the facility.
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 1
Date: Apr 17, 2024
Visit Reason
Investigation of a facility reported incident involving a fall of Resident #1 during a facility-sponsored bus ride on 3/8/24, resulting in serious injury.
Complaint Details
Facility reported incident #120029-I was substantiated. Resident #1 fell backwards in his wheelchair during a bus ride due to improper securement, resulting in serious injury including a C2 fracture requiring surgery.
Findings
The facility failed to provide adequate nursing supervision and proper wheelchair securement for Resident #1, who fell backwards in his wheelchair during a bus ride, sustaining head lacerations and a C2 cervical fracture requiring surgery and a halo brace. The investigation revealed improper use of Q'straint securements and lack of front seat belt application by staff.
Deficiencies (1)
Failure to provide adequate nursing supervision and accident prevention resulting in Resident #1's fall and injury during a bus ride.
Report Facts
Census: 54
Incident date: Mar 8, 2024
Pain score: 10
Methocarbamol dosage: 500
CT scan date: Mar 29, 2024
Surgery date: Mar 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Activity Director | Driver of the van during the incident; admitted to forgetting to apply front seat belt and Q'straints improperly. |
| Staff B | Activity Assistant | Rode as extra staff on the van during the incident; reported lack of training on van safety. |
| Staff C | Maintenance Director | Conducted safety inspection of the van post-incident and identified need to move Q'straint mounts. |
| Staff D | Registered Nurse | Nurse on duty who assessed Resident #1 after the incident and reported Staff A's comment about not charting the incident. |
| Staff E | RN/Director of Nursing | Responded to incident, communicated with Resident #1's wife, and took Staff A to office after incident. |
| Staff F | Registered Nurse | Reported difficulty assessing Resident #1's pain and administered pain management. |
| Administrator | Reported no prior van policies before incident, confirmed Staff A's termination, and described facility's corrective actions. |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 28, 2023
Visit Reason
This document is a statement of deficiencies and plan of correction following an onsite revisit to verify compliance.
Findings
Based on the onsite revisit completed August 28, 2023, the facility will be certified in compliance effective July 14, 2023.
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Jul 13, 2023
Visit Reason
The inspection was conducted as an investigation of complaint #113979-I from July 10, 2023 to July 13, 2023, regarding a substantiated incident involving resident elopement risk and failure to ensure residents at risk could not exit the facility unattended.
Complaint Details
The facility reported incident #113979-I was substantiated. The Immediate Jeopardy began on June 27, 2023 and was removed on July 11, 2023 after corrective actions were implemented.
Findings
The facility failed to ensure residents at risk for elopement were properly supervised and secured, resulting in an Immediate Jeopardy situation. Multiple deficiencies were found related to door security, staff training, and alarm system management, which were subsequently addressed by the facility through education, security adjustments, and policy enforcement.
Deficiencies (1)
Facility failed to ensure residents at risk for elopement were unable to exit the facility unattended.
Report Facts
Census: 52
Dates of investigation: Investigation conducted from July 10, 2023 to July 13, 2023
Correction date: Correction date noted as 7-14-2023
Alarm reactivation delay: 15
Alarm reactivation delay previous: 30
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 18, 2023
Visit Reason
An annual recertification survey was conducted from 05/16/2023 to 05/18/2023.
Findings
The facility was found to be in substantial compliance.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Apr 14, 2022
Visit Reason
The document serves as a statement of deficiencies and plan of correction related to the facility's certification compliance.
Findings
The facility was certified in compliance based on acceptance of a credible allegation of compliance and plan of correction effective April 14, 2022.
Inspection Report
Annual Inspection
Census: 51
Deficiencies: 2
Date: Mar 21, 2022
Visit Reason
The inspection was conducted as the facility's annual recertification survey from 3/21/22 to 3/24/22.
Findings
The facility failed to update residents' care plans to include opioid medication usage and failed to maintain a clean kitchen with proper hygienic practices. Specific deficiencies included incomplete care plans for opioid use and unsanitary conditions in the kitchen such as white particles in drawers, uncovered containers, and improper mask and glove use by staff.
Deficiencies (2)
Facility failed to update the resident's care plan to include the use of opioids.
Facility failed to maintain a clean kitchen and ensure hygienic practices.
Report Facts
Census: 51
Resident count reviewed: 13
Residents with opioid care plan deficiency: 2
Doses of PRN tramadol: 16
Scheduled doses of tramadol: 22
PRN doses of tramadol: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Dietary Aide | Named in finding for lowering face mask exposing nose and mouth during meal service |
| Staff B | Cook | Named in finding for improper glove use and hand hygiene; resigned on 4/4/2022 |
| Staff C | Occupational Therapist | Named in finding for entering kitchen without wearing hairnet |
| Administrator | Conducted audit on 3/23/22 and provided interview | |
| Dietary Manager | Dietary Manager | Interviewed on 3/24/22 regarding kitchen cleanliness and policies |
| Assistant Director of Nursing | Assistant Director of Nursing | Assisted Administrator in audit on 3/23/22 |
Inspection Report
Routine
Census: 42
Deficiencies: 0
Date: Nov 3, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 11/2-3/20 to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 42
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 0
Date: Oct 15, 2020
Visit Reason
An investigation of complaint #93013-C was completed October 13-15, 2020. A COVID-19 Focused Infection Control Survey was conducted in conjunction with the complaint investigation.
Complaint Details
Complaint #93013-C was investigated and found not substantiated.
Findings
Complaint #93013-C was not substantiated. The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 51
Deficiencies: 0
Date: Sep 3, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on September 2-3, 2020 to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Abbreviated Survey
Census: 49
Deficiencies: 0
Date: Jun 19, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 6/19/20 to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 2
Date: Mar 12, 2020
Visit Reason
A recertification survey and investigation of complaint #84189-C was conducted from 3/9/20 to 3/12/20 to investigate allegations of abuse, neglect, exploitation, or mistreatment between two residents.
Complaint Details
Complaint #84189-C was investigated and found not substantiated. The facility failed to report an altercation between two residents as required by regulation.
Findings
The facility failed to report an altercation between two residents in a timely manner and failed to ensure food was stored under sanitary conditions by not dating food when opened. The complaint was not substantiated.
Deficiencies (2)
Facility failed to report an altercation between two residents.
Facility failed to ensure food was stored under sanitary conditions by not dating food when opened.
Report Facts
Census: 57
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Certified Nurses' Aide (CNA) | Observed and intervened in resident altercation |
| Staff A | Certified Nurses' Aide (CNA) | Reported resident aggressive behavior |
| Director of Nursing | Director of Nursing (DON) | Completed investigation and reported lack of notification |
| Dietary Manager | Dietary Manager | Interviewed regarding food storage and dating |
| Administrator | Administrator | Involved in decision making about reporting incident |
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