Inspection Reports for Independence Village of Waukee

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

No regulatory insufficiencies were cited during the recertification visit.

The inspection was conducted as part of the investigation of Complaint #109278-C regarding regulatory insufficiencies at the assisted living program.

The program failed to follow established policies and procedures related to incident reports and head injuries, failed to provide adequate and appropriate care, did not evaluate tenant eligibility prior to occupancy or with significant changes, failed to document nurse's notes by exception, did not update service plans based on evaluations, and failed to conduct nurse reviews at least every 90 days for tenants receiving personal or health-related care. These deficiencies pertained to Tenant #1 among three tenants reviewed.

The visit was triggered by Complaint #109278-C. The complaint involved concerns about falls, bruising, skin breakdown, and inadequate care for Tenant #1. The complaint was substantiated as deficiencies were found.

The inspection was conducted as a complaint investigation related to Incident #111812-I and Complaint 111084-C at Independence Village of Waukee MC.

The investigation found multiple regulatory deficiencies including failure to consistently follow incident reporting policy, incomplete staff training and nurse delegation within required timeframes, failure to ensure dependent adult abuse training compliance, incomplete criminal history evaluations prior to employment, failure to use the required Global Deterioration Scale for cognitive evaluation, inadequate documentation of routine personal and health-related care, and failure to implement/document emergency response procedures for tenants with cognitive disorders.

The visit was complaint-related, investigating Incident #111812-I and Complaint 111084-C. No regulatory insufficiencies were cited during the investigation of Incident #111812-I, but deficiencies were cited during the investigation of Complaint 111084-C.

A recertification visit was conducted to determine compliance with certification for an Assisted Living Program for People with Dementia. During the recertification visit, investigations 104577-C & 97810-C were also completed.

The Program failed to ensure tenants received adequate and appropriate care, specifically Tenant #1 did not receive prescribed pain medication due to unavailability. The Program also failed to consistently perform required criminal history and abuse record checks prior to employment and failed to consistently evaluate tenants' functional status annually or with significant change.

Investigation of Incident #88159-I at the Assisted Living Program for People with Dementia.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #88159-I found no regulatory insufficiencies.

The inspection was conducted as a re-certification survey and investigation of the Assisted Living Program for People with Dementia at Waukee Memory Care LLC.

The facility failed to meet life safety requirements related to the installation of door alarms on all exit doors in the dementia-specific program. One client eloped through an unalarmed door, prompting the deficiency. The provider planned corrective actions including installation of alarms and routine maintenance checks.

Recertification visit conducted to determine compliance with certification for an Assisted Living Program with Dementia-Specific Program by Dedication.

No regulatory insufficiencies were cited during the recertification visit for the ALP/D Program.

The inspection was conducted following a complaint/incident investigation regarding regulatory insufficiencies in evaluation of tenant, service plans, nurse review, and structural requirements at Waukee Memory Care, LLC.

The investigation found multiple regulatory insufficiencies including failure to complete evaluations of tenants with significant changes, incomplete service plans, inadequate nurse reviews, and structural deficiencies such as unsecured exit doors. Tenant #1 eloped due to a malfunctioning door alarm.

Complaint investigation report issued for Incident #56804-I involving tenant elopement due to malfunctioning door and failure to complete required evaluations and service plans. The complaint was substantiated with regulatory insufficiencies found.

The visit was a Final Recertification Monitoring Evaluation to assess compliance with Iowa Administrative Code chapters 481-67 and 481-69 for the Assisted Living Program at Waukee Memory Care, LLC.

No regulatory insufficiencies were found during this evaluation. The review of recertification documents was completed and accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans were received.

The inspection was conducted as a complaint/incident investigation following an on-site monitoring visit on December 10, 2014, related to concerns about staffing, structure/life safety, and level of care at Waukee Memory Care, LLC.

No regulatory insufficiencies were identified. All concerns regarding staffing, structure/life safety, and level of care were found to be not substantiated based on staff interviews, file reviews, and observations.

Concerns investigated included staffing adequacy, safety of the environment related to door alarms and elopement risk, and appropriateness of care for dementia-specific needs. All findings were not substantiated.

The visit was conducted as a Final Recertification Monitoring Evaluation to assess compliance with Iowa Administrative Code chapters 481—67 and 481—69 for the Assisted Living Program.

No regulatory insufficiencies were found during this evaluation or the monitoring visit. The review of recertification documents and the State Fire Marshal's inspection report were accepted.

The visit was conducted as a Final Initial Certification Monitoring Evaluation for Waukee Memory Care, LLC to assess regulatory compliance for assisted living program certification.

The on-site evaluation found no regulatory insufficiencies, demonstrating compliance with Iowa Code and Administrative Code requirements for assisted living programs.