Inspection Reports for Homestead of Denison
2506 3rd Ave N, Denison, IA, 514421730
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 22, 2025, found no deficiencies during the recertification survey for the Assisted Living Program. Earlier inspections showed a pattern of deficiencies primarily related to assessment and documentation practices, including failures to complete timely functional and cognitive evaluations and to update service plans accordingly. Complaint investigations generally did not substantiate regulatory insufficiencies, except for one substantiated finding in December 2019 involving inconsistent incident reporting and failure to notify a tenant’s legal guardian. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record appears to have improved over time, with recent inspections showing no cited deficiencies.
Deficiencies (last 11 years)
Deficiencies (over 11 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
82% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
25 residents
Based on a May 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 25
Deficiencies: 0
Date: May 22, 2025
Visit Reason
The visit was a recertification survey conducted to determine compliance with certification for an Assisted Living Program (ALP).
Findings
There were no regulatory insufficiencies cited during the recertification visit.
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 0
Date: Mar 26, 2024
Visit Reason
Investigation of Complaint #114844-C at Homestead of Denison assisted living facility.
Complaint Details
Complaint #114844-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 disorder: 12
Number of tenants with cognitive disorder: 12
Total census: 24
Inspection Report
Renewal
Census: 16
Deficiencies: 0
Date: Aug 11, 2022
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.
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 1
Date: Dec 11, 2019
Visit Reason
The inspection was conducted as part of an investigation of Complaint #86713-C regarding program policies and procedures related to incident reporting and notification.
Complaint Details
The investigation was related to Complaint #86713-C. The deficiency was substantiated by record reviews and interviews showing failure to notify the tenant's legal guardian after an incident.
Findings
The program failed to consistently follow its policy regarding incident reports for one of four tenants reviewed, specifically failing to notify the tenant's legal guardian after an incident. Documentation and notification procedures were not properly followed.
Deficiencies (1)
Program failed to consistently follow its policy regarding incident reports for Tenant #1, including failure to notify the tenant's legal guardian after a fall incident.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 7
Total population of program at time of on-site: 24
Date of universal incident report: Oct 9, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Josie Bomar | Care Services Manager | Signed the Plan of Correction letter |
Inspection Report
Renewal
Census: 28
Deficiencies: 2
Date: Nov 27, 2018
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification rules for an Assisted Living Program.
Findings
The program failed to evaluate functional, cognitive, and health status within 30 days of occupancy and following significant changes for tenants reviewed. Additionally, service plans were not updated following significant changes for tenants reviewed.
Deficiencies (2)
Failure to evaluate functional, cognitive, and health status within 30 days of occupancy and following significant change for tenants.
Failure to update service plans based on evaluations following significant changes for tenants.
Report Facts
Number of tenants without cognitive disorder: 20
Number of tenants with cognitive disorder: 8
Total population of program at time of on-site: 28
Weight gain: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Strong | Executive Director | Signed the Plan of Correction letter. |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 1
Date: Apr 10, 2018
Visit Reason
The inspection was conducted as an investigation of Complaint #74659-C regarding the evaluation of tenants at Reed Place assisted living program.
Complaint Details
Investigation of Complaint #74659-C found the program did not complete required evaluations within 30 days for tenants #1, #2, and #3. The Care Services Specialist confirmed no documentation of 30 day assessments could be located.
Findings
The program failed to complete required functional, cognitive, and health status assessments within 30 days of occupancy for 3 of 3 tenants reviewed. No documentation of these assessments was found for tenants with admission dates ranging from 2017 to 2018.
Deficiencies (1)
Failure to complete required assessments within 30 days of occupancy for tenants.
Report Facts
Number of tenants without cognitive disorder: 27
Number of tenants with cognitive disorder: 3
Total population: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Strong | Executive Director | Signed the Plan of Correction letter dated May 8, 2018 |
Inspection Report
Complaint Investigation
Census: 26
Deficiencies: 2
Date: Jan 18, 2018
Visit Reason
The inspection was conducted as an investigation of Complaints #73291-C, #73374-C, and #73397-C at Reed Place, an assisted living program.
Complaint Details
The visit was triggered by complaints #73291-C, #73374-C, and #73397-C. The report documents findings related to service plan deficiencies for tenants #1, #2, #3, #4, and #5.
Findings
The investigation found regulatory insufficiencies related to service plans, including failure to ensure updated service plans were signed and dated by all parties for 5 of 6 tenants reviewed, and failure to update service plans to reflect identified needs and preferences for assistance for 4 of 6 tenants reviewed.
Deficiencies (2)
Failure to ensure updated service plans were signed and dated by all parties for 5 of 6 tenants reviewed.
Failure to ensure service plans were updated to reflect identified needs and preferences for assistance for 4 of 6 tenants reviewed.
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
Tenants with unsigned or undated service plans: 5
Tenants with service plans not updated to reflect needs: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Strong | Executive Director | Signed the Plan of Correction letter dated February 12, 2018. |
Inspection Report
Complaint Investigation
Census: 25
Deficiencies: 0
Date: Mar 15, 2017
Visit Reason
The inspection was conducted to investigate Complaint #64776-C at the assisted living facility.
Complaint Details
Complaint #64776-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Report Facts
Number of tenants without cognitive disorder: 23
Number of tenants with cognitive disorder: 2
Total Population of Program at time of on-site: 25
Inspection Report
Renewal
Census: 27
Deficiencies: 0
Date: Dec 6, 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 at Reed House.
Report Facts
Number of tenants without cognitive disorder: 26
Number of tenants with cognitive disorder: 1
Total census of Assisted Living Program: 27
Inspection Report
Monitoring
Census: 24
Deficiencies: 1
Date: Dec 10, 2014
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.
Findings
A regulatory insufficiency was cited related to record checks, specifically the failure to complete criminal, child abuse, and dependent adult abuse background checks prior to employment for one of four new employees reviewed.
Deficiencies (1)
Failure to complete criminal, child abuse, and dependent adult abuse background checks prior to employment for one of four new employees reviewed.
Report Facts
Number of tenants without cognitive disorder: 22
Number of tenants with cognitive disorder: 2
Total Population of Program at time of on-site: 24
TOTAL census of Assisted Living Program: 24
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 0
Date: Oct 23, 2013
Visit Reason
The inspection was conducted as a complaint/incident investigation following a report that Tenant #1 had exited the facility on two occasions without authorization.
Complaint Details
The complaint involved Tenant #1 leaving the facility without authorization on 8-25-13 and 9-7-13. Investigations found no risk factors for elopement, and safety measures were implemented including 15-minute safety checks and a wander-guard alarm system. The complaint was not substantiated as no regulatory insufficiencies were found.
Findings
No regulatory insufficiencies were identified during the investigation. The report details the monitoring of Tenant #1's activities, safety checks, and interventions, including the installation of a wander-guard alarm system.
Report Facts
Number of tenants without cognitive disorder: 25
Number of tenants with cognitive disorder: 3
Total census: 28
Dates of incidents: Tenant #1 exited facility on 8-25-13 and 9-7-13
Safety check interval: 15
Safety check interval: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the complaint/incident investigation |
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 1
Date: Mar 6, 2012
Visit Reason
The inspection was conducted as a final complaint/incident investigation and recertification monitoring evaluation for Reed House, Denison, IA, following a complaint/incident intake #37927-I.
Complaint Details
The complaint involved Tenant #1 leaving the program without staff knowledge. The investigation included review of tenant files, interviews with staff, and nurse evaluations. The complaint was not substantiated as Tenant #1 did not wander or exhibit exit-seeking behaviors. However, a regulatory insufficiency was found in staff record checks related to criminal history verification.
Findings
The investigation found no regulatory insufficiencies related to the complaint incident involving a tenant who left the program without staff knowledge. However, a regulatory insufficiency was noted regarding staff record checks, specifically that a staff member with a possible criminal history was employed without an evaluation from the department of Human Services.
Deficiencies (1)
Employment of a staff member with a possible criminal history without an evaluation from the department of Human Services.
Report Facts
Number of tenants without cognitive disorder: 31
Number of tenants with cognitive disorder: 1
Total Population of Program at time of on-site: 32
Staff #3 hire date: Aug 30, 2011
Staff #3 background check completion date: Aug 1, 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor for the complaint/incident investigation |
Inspection Report
Monitoring
Census: 34
Deficiencies: 1
Date: May 13, 2010
Visit Reason
The visit was conducted as a Recertification Monitoring Evaluation to review the facility's Plan of Correction and regulatory compliance for Reed House Assisted Living.
Findings
No substantiated regulatory insufficiencies were found during the monitoring visit. However, a regulatory insufficiency was noted regarding dependent adult abuse training for two staff members.
Deficiencies (1)
Staff #4 and Staff #5 had not completed dependent adult abuse training as required within six months of employment.
Report Facts
Current number of tenants without cognitive disorder: 31
Current number of tenants with cognitive disorder: 3
Total Population: 34
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