Inspection Reports for Homestead of Albia
6592 165th Street, Albia, IA, 52531
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 18, 2025, found no deficiencies during the recertification visit or complaint investigations. Earlier inspections showed a pattern of deficiencies related mainly to medication management, tenant evaluations after health changes, and service plan updates. Prior reports also noted issues with staff background checks, tenant safety protocols, and pest control. Complaint investigations were mostly unsubstantiated, except for a substantiated case in March 2025 involving medication policy violations, incomplete evaluations, and delayed bed bug remediation. The facility’s record shows improvement over time, with the latest inspection free of cited deficiencies.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
1.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
30 residents
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 30
Deficiencies: 0
Date: Aug 18, 2025
Visit Reason
The visit was a recertification inspection to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit or during the investigations of Complaints #128258-C, #128509-C, and #129338-C.
Report Facts
Number of tenants without cognitive impairment: 27
Number of tenants with cognitive impairment: 3
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 3
Date: Mar 20, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by allegations of suspected drug diversion involving Staff E and PRN hydrocodone, as well as concerns about bed bugs and evaluation compliance for tenants.
Complaint Details
The complaint involved suspected drug diversion by Staff E related to PRN hydrocodone administration to Tenant #4 and two former tenants. The investigation found multiple documentation discrepancies and failure to investigate by management. Additionally, complaints about bed bugs and evaluation lapses were investigated.
Findings
The program failed to follow medication policies regarding suspected drug diversion for one current and two former tenants, failed to complete required evaluations after significant tenant changes, and did not promptly address ongoing bed bug infestations in tenant rooms.
Deficiencies (3)
Failed to follow established medication policy regarding suspected drug diversion for Tenant #4 and two former tenants, including improper documentation and investigation.
Failed to ensure evaluations were completed with significant change for Tenant #4 after hospitalization.
Failed to take prompt action regarding bed bugs found in the rooms of three tenants, resulting in ongoing infestations and tenant discomfort.
Report Facts
Total census: 29
Number of tenants without cognitive impairment: 26
Number of tenants with cognitive impairment: 3
PRN hydrocodone administrations by Staff E in November 2024: 23
PRN hydrocodone administrations by Staff E in December 2024: 25
PRN hydrocodone administrations by Staff E in October 2024: 36
PRN hydrocodone administrations by Staff E in November 2024: 26
PRN hydrocodone administrations by Staff E in December 2024: 14
PRN hydrocodone administrations by Staff E in January 2025: 23
PRN hydrocodone administrations by Staff E in February 2025: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Named in medication diversion and documentation discrepancies | |
| Staff A | Reported concerns about Staff E's medication administration | |
| Staff B | Reported concerns about Staff E's medication administration | |
| Staff D | Reported concerns about Staff E's medication administration | |
| Executive Director | Executive Director | Interviewed regarding drug diversion and bed bug issues |
| LPN | Licensed Practical Nurse | Interviewed regarding medication administration and bed bug issues |
| Regional Registered Nurse | Registered Nurse | Interviewed regarding evaluation requirements |
| Regional Vice President | Vice President | Interviewed regarding evaluation requirements |
| Staff C | Reported bed bug sightings |
Inspection Report
Annual Inspection
Census: 20
Deficiencies: 5
Date: Nov 2, 2023
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program and included investigation into Complaints #111855-C, #114021-C, and #114217-C.
Complaint Details
The visit included investigation into Complaints #111855-C, #114021-C, and #114217-C.
Findings
The inspection identified multiple regulatory deficiencies including failure to follow policies on sexual relationships between residents with cognitive impairment, failure to treat tenants with respect and dignity, incomplete criminal background checks for staff, failure to evaluate tenants after significant health changes, and failure to update service plans when changes were needed.
Deficiencies (5)
Failed to follow the policy on sexual relationships between residents with cognitive impairment affecting 1 of 5 discharged tenants (Tenant C5).
Failed to ensure employees treated 6 of 9 current tenants with respect, including inappropriate comments and neglect by staff.
Failed to complete a criminal background check for 1 of 6 staff reviewed (Staff A) prior to hiring.
Failed to evaluate 1 of 5 current tenants (Tenant #2) after developing a wound on her foot.
Failed to update the service plan of 1 of 5 discharged tenants (Tenant C5) when changes were needed.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 3
Total census: 20
Errors on Mini Mental Questionnaire: 9
Staff reviewed for background check: 6
Staff with incomplete background check: 1
Tenants reviewed for evaluation: 5
Tenants reviewed for service plan updates: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in findings related to failure to complete criminal background check prior to hiring and involved in incidents with Tenant C5. | |
| Staff B | Witnessed incidents involving Tenant C5 and other tenants. | |
| Staff C | Reported observations regarding Tenant C5. | |
| Staff D | Named in multiple findings related to inappropriate treatment of tenants and was terminated on 11/6/23. | |
| Staff E | Named in findings related to inadequate assistance to Tenant #8. | |
| Administrator | Provided confirmation of findings and awareness of policies. |
Inspection Report
Complaint Investigation
Census: 20
Deficiencies: 3
Date: Dec 21, 2022
Visit Reason
The inspection was conducted as an investigation into complaints #104732-C and #104822-C regarding regulatory insufficiencies at the assisted living program.
Complaint Details
The visit was triggered by complaints #104732-C and #104822-C. The findings included failure to evaluate tenant needs, medication administration errors, and untimely service plan updates. The Administrator confirmed these findings during the investigation.
Findings
The program failed to evaluate the needs of a tenant following surgery, failed to administer medication as prescribed to a discharged tenant, and did not complete service plans in a timely manner for both discharged and current tenants. These deficiencies were confirmed by the Administrator during the inspection.
Deficiencies (3)
Failed to evaluate the needs of Tenant #3 following shoulder surgery on 11/16/22, with delayed update to service plan.
Failed to administer medication as prescribed to Tenant C1, including holding Trazodone without physician orders.
Did not complete service plans in a timely manner for Tenant C4 and Tenant #1, including failure to update service plan within 30 days of occupancy.
Report Facts
Number of tenants without cognitive disorder: 18
Number of tenants with cognitive disorder: 2
Total census: 20
Discharged tenants reviewed: 5
Current tenants reviewed: 4
Inspection Report
Renewal
Census: 20
Deficiencies: 3
Date: Sep 9, 2021
Visit Reason
The visit was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program, including investigation into Complaint #92295-C and an onsite infection control survey.
Complaint Details
The complaint investigation (#92295-C) found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation or infection control survey. However, regulatory insufficiencies were cited during the recertification visit related to program policies and procedures, service plans, and occupancy agreements.
Deficiencies (3)
The program failed to consistently implement established policies and procedures, affecting 1 of 4 sample tenants, including failure to complete fall risk assessments and incident reports.
The program failed to develop service plans based on identified individual needs for 4 of 4 sample tenants, including incomplete or outdated service plans and evaluations.
The program failed to ensure occupancy agreements were signed prior to admission for 1 tenant admitted since June 2021.
Report Facts
Number of tenants without cognitive disorder: 19
Number of tenants with cognitive disorder: 1
Total census of Assisted Living Program: 20
Sample tenants affected by policy/procedure deficiency: 1
Sample tenants affected by service plan deficiency: 4
Tenant affected by occupancy agreement deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Atwell | Executive Director, Resident Care Coordinator | Named in email correspondence regarding plan of correction and involved in interview and findings |
Inspection Report
Complaint Investigation
Census: 20
Deficiencies: 1
Date: Oct 31, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to regulatory insufficiencies cited during the investigation of Complaint 86008-I.
Complaint Details
The complaint investigation involved Tenant #1 who wore a wanderguard and exited the building after pressing the door alarm. Staff did not respond properly or conduct a search, and the tenant was found outside after about 40 minutes. The facility's elopement policy was not followed as confirmed by the manager.
Findings
The program staff failed to consistently respond appropriately to a door alarm, resulting in a tenant with cognitive impairment exiting the building unnoticed for approximately 40 minutes. The facility did not follow its elopement policy, and staff failed to ensure tenant safety as required.
Deficiencies (1)
Program staff failed to consistently respond appropriately to the door alarm, affecting tenant safety.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 3
Total census: 20
Global Deterioration Scale score: 4
Date of Incident Report: Aug 31, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Atwell | Signed the plan of correction | |
| Catie Campbell | Program Coordinator | Contact person listed on the plan of correction |
Inspection Report
Renewal
Census: 19
Deficiencies: 1
Date: Aug 14, 2019
Visit Reason
The inspection was a recertification visit for the Homestead of Albia assisted living program to assess compliance with regulatory requirements.
Findings
The program failed to ensure that staff responsible for food preparation and service received proper orientation and annual training on safe food handling prior to handling food. Several staff members were found to have delayed training to become Certified Food Handlers.
Deficiencies (1)
Personnel responsible for food preparation or service did not receive orientation on sanitation and safe food handling prior to handling food and lacked annual in-service training on food protection.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 4
Total Census of Assisted Living Program: 19
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 0
Date: Dec 6, 2017
Visit Reason
Investigation of Complaints #71111-C and #71221-C at the assisted living program.
Complaint Details
Investigation of Complaints #71111-C and #71221-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants without cognitive disorder: 18
Number of tenants with cognitive disorder: 5
Total Population of Program: 23
Inspection Report
Renewal
Census: 27
Deficiencies: 1
Date: Aug 29, 2017
Visit Reason
The visit was a recertification conducted to determine compliance with certification for an Assisted Living Program.
Findings
The program failed to complete required further evaluation of criminal, dependent adult abuse, and child abuse record checks prior to employment for one of six staff files reviewed.
Deficiencies (1)
Failure to complete required further evaluation of criminal, dependent adult abuse, and child abuse record checks prior to employment for one staff member.
Report Facts
Number of tenants without cognitive disorder: 21
Number of tenants with cognitive disorder: 6
Total Population of Program: 27
Staff files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kim Wilson | Executive Director | Named in plan of correction letter and interview confirming failure to complete required research |
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 0
Date: Oct 25, 2016
Visit Reason
The inspection was conducted as an investigation of incidents #62213-I and 62214-C related to the Assisted Living Program at Homestead of Albia.
Complaint Details
Investigation of Incident #62213-I and 62214-C with no regulatory insufficiencies cited.
Findings
No regulatory insufficiencies were cited during the investigation of the incidents. The census included 21 tenants without cognitive disorder and 5 tenants with cognitive disorder, totaling 26 residents.
Report Facts
Number of tenants without cognitive disorder: 21
Number of tenants with cognitive disorder: 5
Total Population of Program at time of on-site: 26
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Aug 17, 2015
Visit Reason
The inspection was conducted as a Final Complaint Investigation and Recertification Monitoring Evaluation in response to Complaint 53510-C regarding Structure/Life Safety issues.
Complaint Details
Allegation: Structure/Life Safety. Findings: Unsubstantiated. The program had issues with bed bugs which were contained and addressed with regular exterminator intervention. No regulatory insufficiencies were found.
Findings
No regulatory insufficiencies were found during the evaluation. The complaint regarding bed bugs was unsubstantiated, and the program addressed the issue with regular exterminator intervention. The recertification documents were accepted and the facility's Assisted Living Program certificate was issued.
Report Facts
Total population at time of on-site: 32
Number of tenants without cognitive disorder: 31
Number of tenants with cognitive disorder: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator, Adult Services Bureau | Contact person for certification questions |
Inspection Report
Monitoring
Deficiencies: 0
Date: May 15, 2013
Visit Reason
The visit was conducted as a Final Initial Certification Monitoring Evaluation to review the facility's compliance with regulatory requirements and to evaluate the plan of correction submitted for identified regulatory insufficiencies.
Findings
The Department of Inspections and Appeals accepted the facility's plan of correction for the identified regulatory insufficiency related to employee background checks, allowing certification to continue.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | Monitor | Conducted the monitoring visit |
| Rose Boccella | Program Coordinator, Adult Services Bureau | Signed the certification acceptance letter |
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