Inspection Reports for Independence Village of Ankeny

The inspection was conducted to investigate Complaint #124565-C regarding regulatory compliance related to tenant documentation.

The program failed to ensure tenant records included copies of durable power of attorney documentation for tenants, specifically for one former tenant (Tenant C1). This deficiency was confirmed during the exit interview with the Director and delegating nurse.

Investigation of Complaint #124565-C found the program did not have a copy of the power of attorney document for Tenant C1 in the tenant's record.

The inspection was conducted as a complaint investigation (#116472-C) and recertification visit to determine compliance with certification rules for an Assisted Living Program for People with Dementia.

The program failed to ensure one tenant signed the occupancy agreement prior to move-in, failed to provide appropriate care including timely nursing assessments and documentation of vital signs for tenants, and failed to update and obtain signatures on service plans for tenants who experienced significant changes.

Complaint #116472-C triggered the investigation. The complaint involved concerns about occupancy agreements, tenant care, and service plan updates.

The inspection was conducted as part of an investigation of Complaint #114056-C regarding regulatory insufficiencies at the assisted living program.

The Program failed to consistently follow established policies and procedures including incident reporting, ensuring adequate and appropriate care, medication security, staff training, tenant evaluations, nurse reviews, emergency procedures, and dementia-specific education. Multiple deficiencies were cited across these areas.

The inspection was triggered by Complaint #114056-C. The complaint involved concerns about incident reporting, tenant care, medication security, staff training, and other regulatory compliance issues.

The inspection was conducted to investigate Complaint #100886-C at the Assisted Living Program.

No regulatory insufficiencies were cited during the investigation of the complaint.

Complaint #100886-C was investigated and found to have no regulatory insufficiencies.

Investigation of complaint #96841 regarding the Assisted Living Program for people with Dementia.

No regulatory insufficiencies were cited during the investigation of complaint #96841.

Complaint #96841 was investigated and found to have no regulatory insufficiencies.

The visit was a recertification inspection to determine compliance with certification of an Assisted Living Program for People with Dementia, including an onsite infection control visit and investigation of a complaint.

No regulatory insufficiencies were cited during the recertification visit, infection control visit, or the complaint investigation.

Investigation of Incident #93417-I and Complaint #93426-C resulted in no regulatory insufficiencies.

The inspection was conducted as an onsite infection control survey and investigation of multiple complaints related to the Assisted Living Program for People with Dementia at Vintage Hills at Prairie Trail Memory Care.

The program failed to follow standard operating procedures for preventing respiratory outbreaks, including improper staff mask use and movement restrictions. Additionally, the program failed to complete required tenant evaluations, service plans, and updates within required timeframes for recently admitted tenants.

The investigation was triggered by complaints #88833-C, 90669-C, 91508-C, and 92296-C related to infection control and tenant care.

The inspection was conducted as a complaint investigation related to regulatory insufficiencies cited during the investigation of Complaint #86552-C at Vintage Hills at Prairie Trail ALP/D.

The program failed to consistently follow the Fall Reduction Program and Incident Reporting Policies for 2 of 6 tenants reviewed, including inadequate documentation of vital signs after incidents. Tenant #1 had two unwitnessed falls with a severe cognitive decline and was not sent out for evaluation per policy. Tenant #2 lost balance and hit her head, with delayed notification to the primary care provider. The program also failed to consistently provide adequate care, treatment, and services to Tenant #1.

The investigation was triggered by Complaint #86552-C. The findings included failure to follow incident reporting policies and failure to provide adequate care and treatment. The complaint was substantiated as evidenced by the cited deficiencies.

Recertification visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program for People with Dementia.

Routine inspection of the assisted living program at Vintage Hills at Prairie Trail to assess census and regulatory compliance.

No regulatory insufficiencies were cited during the investigation of incidents #63188-I and #62065-I. The census included 39 tenants in the General Population Program and 16 tenants in the Dementia-Specific Program, totaling 55 residents.

The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification requirements for an Assisted Living Program.

No regulatory insufficiencies were found during this evaluation. The review of recertification documents and related inspections were accepted, resulting in certification approval.

The visit was a Final Recertification and Complaint/Incident Investigation Revisit conducted following a complaint and regulatory insufficiencies noted in prior visits. The revisit focused on evaluation, service plans, nurse review, policies and procedures, and compliance with the plan of correction.

The program was assessed a $1,000 civil penalty due to repeated regulatory insufficiencies in evaluation, service plans, nurse review, and policies and procedures. The report noted failures to update nurse reviews, evaluations, and service plans as required, along with other regulatory insufficiencies in medication administration, food service, record checks, and tenant rights.

Complaint/Incident Investigation Revisit following regulatory insufficiencies identified in January 2014 related to evaluations, service plans, nurse review, medications, food service, record checks, policies and procedures, tenant documents, and tenant rights.

The inspection was conducted as a Final Recertification and Complaint/Incident Investigation following complaints and regulatory insufficiencies noted in tenant rights, tenant documents, service plans, medications, nurse review, food service, record checks, policies and procedures, and tenant rights.

The program was assessed a $1,500 civil penalty due to repeated regulatory insufficiencies including failure to perform evaluations, service plans, nurse review, and record checks as required. Deficiencies included incomplete documentation, failure to follow policies related to narcotics, disrespectful treatment of tenants, and inadequate staff training and record keeping.

The complaint investigation was substantiated with findings of repeated regulatory insufficiencies in tenant rights, tenant documents, policies and procedures, evaluations, service plans, nurse review, medications, food service, record checks, and tenant rights.

The visit was a complaint/incident investigation revisit to Vintage Hills at Prairie Trail Assisted Living following a complaint investigation regarding tenant rights, tenant documents, policy and procedures, evaluation, service plans, nurse review, dementia-specific education, and dependent adult abuse training.

No regulatory insufficiencies were identified during the revisit investigation. The program had previously received regulatory insufficiencies in various areas during the initial complaint investigation, but corrective actions were implemented and verified during this revisit.

The complaint investigation involved allegations related to sexual intimacy between tenants, documentation deficiencies, medication incident reporting, incomplete evaluations, service plan updates, nurse reviews, dementia training, and dependent adult abuse training. The revisit confirmed that all previously identified regulatory insufficiencies were corrected.

The inspection was conducted as a complaint/incident investigation related to allegations of tenant rights violations, missing documentation, possible medication theft, inadequate evaluations, and staff training deficiencies at Vintage Hills at Prairie Trail Assisted Living.

The investigation found multiple regulatory insufficiencies including failure to complete required evaluations and service plans, missing nurse notes, inadequate incident reporting, failure to follow policies related to medication theft, incomplete staff dementia training, and missing criminal background checks. A $750 civil penalty was assessed due to repeated regulatory insufficiencies.

The complaint involved allegations of sexual intimacy between tenants in the dementia unit without proper documentation or consent determination, missing nurse notes, failure to complete required evaluations and follow-ups, possible medication theft, staff absence, incomplete dementia training, missing criminal background checks, and failure to comply with the Plan of Correction.

The inspection was conducted as a complaint/incident investigation following allegations related to medication administration errors and failure to assess a tenant's condition properly.

The investigation found multiple regulatory insufficiencies including improper medication administration procedures, inadequate staff training on medication policies, failure to complete timely cognitive and health evaluations, and incomplete or unsupported service plans for tenants.

The complaint alleged medication errors involving narcotics and failure of nursing staff to assess a tenant's swollen ankles and toes. The investigation substantiated these concerns with findings of medication mismanagement and inadequate tenant assessments.

The inspection was conducted as a complaint/incident investigation following an on-site monitoring visit triggered by a complaint regarding tenant interactions and safety at Vintage Hills at Prairie Trail Assisted Living.

No regulatory insufficiencies were identified during the investigation. The complaint involved an incident between two tenants, but after review, no violations were found. The program nurse and staff reported appropriate behavior and interventions related to the incident.

The complaint alleged Tenant #1 squeezed Tenant #2 in a bear hug, broke a window jam, and exited through a window. Tenant #1 was diagnosed with multiple conditions including Alzheimer's disease and had a history of wandering and vivid dreams. The incident report indicated Tenant #1 physically attacked Tenant #2 with a 'bear hug' but Tenant #2 sustained no injury. Tenant #1's behavior was monitored and interventions were updated accordingly. No regulatory insufficiencies were noted.

The inspection was conducted as a complaint/incident investigation following allegations related to staff behavior and missing money at Vintage Hills at Prairie Trail Assisted Living.

No regulatory insufficiencies were identified during the investigation. Allegations included staff asking tenants for money and aggressive behavior, but interviews and observations did not substantiate these claims. Another allegation of missing money was also investigated with no regulatory insufficiencies noted.

The complaint investigation involved allegations that a staff person had been in a tenant's room without valid reason and asked other staff for money and cigarettes, and that Staff #2 was aggressive toward Tenant #3. Another allegation involved tenants in the dementia unit missing money. Interviews with staff, tenants, and family members, as well as monitoring observations, found no evidence of regulatory insufficiencies.

The inspection was conducted as a Final Initial Certification and Complaint/Incident Investigation at Vintage Hills at Prairie Trail Assisted Living, triggered by complaints and incidents reported regarding medication administration, staff behavior, and structural concerns.

The investigation found a regulatory insufficiency related to medication administration practices. No regulatory insufficiencies were noted regarding staff behavior allegations or structural pest issues. Tenant satisfaction was generally positive, and no prior regulatory insufficiencies were reported during the certification period.

The complaint involved allegations that a recently hired staff person was acting suspiciously, asking other staff for money, and management watching tenants' wallets for missing money. Another complaint alleged bugs throughout the building. The investigation found no regulatory insufficiencies related to these allegations.