Inspection Reports for Homestead of Oskaloosa

2102 South Market Street, Oskaloosa, IA, 52577

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Inspection Report Summary

The most recent inspection on February 6, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed some deficiencies, including a July 17, 2023 renewal inspection that cited failures related to tenant supervision, updating service plans, and employee evaluation requirements. Prior reports noted issues with tenant rights, record checks, and service plan updates, but no enforcement actions or fines were listed in the available reports. The complaint investigation in 2025 was unsubstantiated, with no regulatory insufficiencies identified. The inspection history shows improvement, with the latest review free of deficiencies after earlier issues.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

77% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2023
2025

Census

Latest occupancy rate 64 residents

Based on a February 2025 inspection.

Census over time

56 60 64 68 72 Mar 2020 Jul 2023 Feb 2025

Inspection Report

Complaint Investigation
Census: 64 Deficiencies: 0 Date: Feb 6, 2025

Visit Reason
Investigation into Complaint #125916-C at Homestead of Oskaloosa.

Complaint Details
Investigation into Complaint #125916-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.

Report Facts
Tenants without cognitive impairment: 62 Tenants with cognitive impairment: 2 Total census: 64

Inspection Report

Renewal
Census: 65 Deficiencies: 3 Date: Jul 17, 2023

Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program and included an investigation into Incident #112197-I.

Complaint Details
The inspection included an investigation into Incident #112197-I involving Tenant C1's elopement and supervision failures.
Findings
The program failed to properly supervise one discharged tenant (Tenant C1) who eloped from the facility, and failed to update the tenant's service plan to reflect significant changes in care needs. Additionally, the program failed to request a Department of Human Services evaluation for an employee with a history of child abuse. Several regulatory insufficiencies related to tenant rights, record checks, and service plan updates were cited.

Deficiencies (3)
Failure to properly supervise 1 of 1 discharged tenants (Tenant C1) who eloped from the facility.
Failure to have the Department of Human Services perform an evaluation on an employee's child abuse history to determine employment eligibility for 1 of 7 staff reviewed (Staff F).
Failure to update 1 of 1 discharged tenant's service plans to meet his needs, including additions of Gentamicin flushes, suprapubic catheter, increased blood sugars, and hourly checks.
Report Facts
Number of tenants without cognitive disorder: 62 Number of tenants with cognitive disorder: 3 Total census of Assisted Living Program: 65 Blood sugar reading: 576 Blood sugar reading: 443 Blood sugar reading: 466

Employees mentioned
NameTitleContext
Staff FEmployee with a history of child abuse for whom the program failed to request a DHS evaluation.
Staff GStaff member involved in supervision checks and last known to be with Tenant C1 before elopement.
Staff HStaff member who found Tenant C1 outside and informed Staff G.
Executive DirectorReviewed camera footage and confirmed findings related to Tenant C1's elopement and supervision.
Resident Care CoordinatorNoted Tenant C1's increased confusion and supervision needs.
Director, RNConfirmed findings related to Tenant C1's service plan and supervision.

Inspection Report

Original Licensing
Census: 62 Deficiencies: 0 Date: Mar 11, 2020

Visit Reason
Initial certification conducted to determine compliance with certification for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the initial certification inspection.

Report Facts
Number of tenants without cognitive disorder: 62 Number of tenants with cognitive disorder: 0 Total census of Assisted Living Program: 62

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