Inspection Reports for Independence Village of Pella

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

No regulatory insufficiencies were cited during the recertification visit.

Investigation of Incident #121206-I at an assisted living program for people with dementia.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #121206-I; no deficiencies found.

The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program.

The program failed to meet multiple regulatory requirements including timely nurse delegation training, dependent adult abuse training, tenant evaluations prior to and within 30 days of occupancy, updating service plans based on evaluations, conducting nurse reviews at least every 90 days, and providing dementia-specific education within 30 days of employment.

No regulatory insufficiencies were cited during the investigation of Complaint #110171-C.

The inspection was conducted to investigate Complaint 91007-C and to perform an onsite infection control survey.

No regulatory insufficiencies were cited during the investigation of Complaint 91007-C or the onsite infection control survey.

Investigation of Complaint 91007-C found no regulatory insufficiencies.

The inspection was a recertification visit to determine compliance with licensing rules for an Assisted Living Program serving individuals with dementia.

The program failed to ensure staff competency within 30 days of employment, failed to complete background checks prior to hire for one employee, and failed to provide dementia-specific education within 30 days of hire for two staff members.

Investigation of Complaint 77020-C at Vriendschap Village AL, an assisted living program for people with dementia.

No regulatory insufficiencies were cited during the complaint investigation.

Complaint 77020-C was investigated and found to have no regulatory insufficiencies.

Recertification conducted to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were cited during the recertification inspection of the Assisted Living Program.

Investigation of Incident #63956-I at the assisted living facility.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #63956-I found no regulatory insufficiencies.

The inspection was conducted as a complaint/incident investigation regarding tenant rights at Vriendschap Village, following an incident involving a tenant fall and injury.

The investigation found regulatory insufficiency related to tenant rights, specifically that a tenant did not receive adequate care, treatment, and services as required. The tenant sustained injuries due to lack of proper assistance and use of a gait belt during transfers.

Complaint investigation of Incident 58763-I regarding tenant rights. The tenant, a 95-year-old with multiple diagnoses, fell and sustained a compression fracture due to staff not using a gait belt as required by the service plan. Staff were unaware of the need to use the gait belt until after the incident. The tenant's service plan and task sheets lacked proper notation and direction for staff assistance.

The inspection was conducted as a complaint/incident investigation following two complaint/incident intake numbers (#54414-I and #54603-I) related to tenant falls and regulatory insufficiencies in staffing and service plans at Vriendschap Village Assisted Living.

No regulatory insufficiencies were found related to the fall incident (#54414-I). However, regulatory insufficiencies were cited for staffing and service plans during the investigation of incident #54603-I, including insufficient staff training on the baby monitor door alarm system and failure to meet specific service needs of a tenant who eloped.

The complaint investigation involved two incidents: #54414-I where a tenant fell and sustained a fracture but no regulatory insufficiencies were found, and #54603-I where regulatory insufficiencies were found related to staffing and service plans. Tenant #2, an 85-year-old with dementia, eloped twice, and staff were not properly trained on the baby monitor system. The service plan failed to address exit-seeking behavior. The complaint was substantiated with required plans of correction.

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

No regulatory insufficiencies or deficiencies were found during the evaluation. The recertification documents were accepted, and the Assisted Living Program Certificate was issued.

The inspection was conducted as a complaint/incident investigation based on allegations regarding tenant alarms for fall prevention and staff documentation practices at Vriendschap Village.

No regulatory insufficiencies were identified during the investigation. The review included tenant files, staff interviews, and policy reviews, which did not reveal concerns regarding falsification of alarm check records or retaliation against staff.

The complaint alleged that a tenant had alarms for fall prevention that were not checked as required and that staff were directed to falsify documentation. Another allegation was that administration threatened staff with termination if the Department was called. The investigation found no substantiated regulatory insufficiencies or retaliation.

The inspection was conducted as a final complaint/incident investigation following a complaint regarding an alarm not sounding when Tenant #1 exited the dementia unit.

No regulatory insufficiencies were identified during the investigation. The report details the incident involving Tenant #1 exiting the dementia unit without the alarm sounding, the subsequent investigation, staff interviews, and corrective actions taken to ensure alarms function properly.

The complaint alleged that the alarm did not sound when Tenant #1 exited the dementia unit. The investigation found that the back door alarm was unalarmed and not working initially, but was repaired after staff and maintenance intervention. Tenant #1 was monitored closely, no injuries or hypothermia were noted, and no regulatory insufficiencies were found.

The inspection was conducted as a complaint/incident investigation following reports that staff members gave a tenant medications not ordered for them, resulting in hospitalization.

The investigation found multiple medication errors involving four tenants over several months, including incorrect dosages and administration of another tenant's medications. Tenant #4 experienced recurrent nosebleeds and a medication error involving swallowing another tenant's medications, leading to hospitalization. No regulatory insufficiencies were identified.

The complaint alleged that staff gave a tenant medications not ordered for them, causing hospitalization. The investigation substantiated multiple medication errors but found no regulatory insufficiencies.

The inspection was conducted as a complaint/incident investigation following allegations related to tenant smoking near the memory care unit and missing personal items, as well as a staff response to a tenant experiencing pain.

The investigation found no regulatory insufficiencies related to tenant rights and theft. However, deficiencies were identified in nurse review, evaluation, service plans, and tenant documentation, including lack of documentation of nurse reviews, incomplete evaluations, missing service plan updates, and inadequate documentation of health-related care.

The complaint alleged that a tenant was smoking cigarettes near the program and smoke was entering the memory care unit dining room, and that a tenant was missing personal items. Another allegation was that a staff member called the director for assistance when a tenant was in pain but the nurse did not return the call. The complaint was investigated and partially substantiated with findings related to nursing documentation and care.

The inspection was conducted as a complaint/incident investigation following a report of a tenant sounding suicidal at Vriendschap Village Assisted Living.

The investigation found no regulatory insufficiencies. The tenant was found with an open bottle of morphine pills, and the incident was handled appropriately with staff interviews and review of incident reports confirming no suicidal ideations prior to the event.

The complaint involved a tenant who was found lying on the floor with an open bottle of morphine pills on the nightstand. Staff and family members reported concerns about suicidal behavior. The police and ambulance were called, and the tenant was admitted to acute care. The program nurse and staff confirmed the incident was handled properly and no regulatory insufficiencies were identified.

The visit was a Final Recertification Monitoring Evaluation conducted to review recertification documents and evaluate compliance with Iowa Administrative Code chapters 231C and 481.

No regulatory insufficiencies were found during this evaluation. The program did not receive any regulatory insufficiencies during this certification period, and the onsite monitoring evaluation noted no deficiencies.

The inspection was conducted as a complaint/incident investigation regarding allegations of missing controlled substances (narcotics) from tenants' locked drawers at Vriendschap Village Assisted Living.

The investigation found regulatory insufficiencies related to medication administration and policies. Medications were missing or incorrectly documented, staff had access to medication keys, and the program failed to ensure medications were available as ordered by physicians. Incident reports were not consistently completed when medications were missing.

Complaint/Incident Allegation: Controlled substances (narcotics) disappeared from locked drawers of multiple tenants during 6-16-12 through 6-18-12. The investigation included review of medication administration records, staff interviews, and monitoring observations. The complaint was substantiated with findings of missing medications and regulatory insufficiencies.

The inspection was conducted as a final complaint investigation and recertification visit at Vriendschap Village Assisted Living in response to allegations regarding service plan, medications, and record checks.

The investigation found regulatory insufficiencies related to individualized service plans, medication administration, staff training, and employee record checks. The program was assessed a $500 civil penalty and the Plan of Correction was accepted.

Complaint investigation #31983-C involved allegations that medications were not administered per physician's orders, narcotic patch counts were inaccurate, and falsified documentation of staff training and staffing patterns occurred. The complaint was substantiated with findings of regulatory insufficiencies.

An on-site monitoring evaluation was conducted at Vriendschap Village Assisted Living to assess compliance with regulatory requirements during the recertification period.

No regulatory insufficiencies were noted during the monitoring visit. Tenant feedback was positive regarding the quality of care, safety, and program activities.

The visit was a recertification monitoring evaluation conducted to assess compliance with Iowa assisted living program regulations at Vriendschap Village.

The evaluation found multiple regulatory insufficiencies including inconsistent completion of health, functional, and cognitive evaluations as needed with changes in condition, incomplete service plans lacking planned and spontaneous activities for tenants with cognitive decline, failure to update service plans as needed, and inadequate staff training regarding Activities of Daily Living (ADLs).

There were no substantiated complaints during this certification period.

An on-site monitoring evaluation was conducted at Vriendschap Village as part of the assisted living program re-certification process.

No regulatory insufficiencies were found during this monitoring evaluation. Tenant and family feedback was positive, noting caring and competent staff, adequate activities, and a safe environment.

No complaints on file during this certification period.