Inspection Reports for Journey Senior Services
17504 Mahogany Avenue, Carroll, IA, 51401
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 31, 2023, found no deficiencies during the recertification of the Assisted Living Program or the complaint investigation. Earlier inspections showed some issues, including a 2020 finding that the facility retained a tenant requiring more assistance than allowed by program criteria, which was substantiated. Prior reports also cited deficiencies related to incomplete abuse record checks and missing tenant evaluations and service plans. Complaint investigations were mostly unsubstantiated except for the 2020 and 2018 cases involving admission criteria and employment record checks. The inspection history suggests improvement over time, with the latest report showing no regulatory insufficiencies.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
27 residents
Based on a January 2023 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Plan of Correction
Census: 27
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
The inspection was conducted as a recertification of the Assisted Living Program and during the investigation of Complaint #104782-C.
Complaint Details
Complaint #104782-C was investigated with no regulatory insufficiencies found.
Findings
No regulatory insufficiencies were cited during the recertification or the complaint investigation.
Report Facts
Number of tenants without cognitive disorder: 2
Number of tenants with cognitive disorder: 25
Total Population of Program at time of on-site: 27
TOTAL census of Assisted Living Program: 27
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 1
Date: Oct 14, 2020
Visit Reason
The inspection was conducted due to complaints #90347-C and 91692-C, an onsite Infection and Control survey, and the Recertification of the Assisted Living Program.
Complaint Details
The investigation was triggered by complaints #90347-C and 91692-C. The findings confirmed the tenant required more assistance than allowed by program criteria, indicating substantiated issues with admission and retention policies.
Findings
The facility retained a tenant who required routine two-person assistance for transfers, which did not meet admission and retention criteria. Observations, interviews, and record reviews confirmed the tenant required 2-4 people to transfer and that staff did not follow proper procedures during transfers.
Deficiencies (1)
The program retained a tenant routinely requiring the assistance of two or more staff for transfers, contrary to admission/retention criteria.
Report Facts
Total census of Assisted Living Program: 22
Number of tenants without cognitive disorder: 2
Number of tenants with cognitive disorder: 20
Global Deterioration Score (GDS): 6
Number of staff required to transfer Tenant #1: 2
Number of staff required to transfer Tenant #1: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy R. Snyder | Administrator/Owner | Signed Plan of Correction and confirmed findings during interview |
Inspection Report
Complaint Investigation
Census: 18
Deficiencies: 0
Date: Jan 8, 2020
Visit Reason
The inspection was conducted as an investigation of Complaint #86945-C at the assisted living program.
Complaint Details
Investigation of Complaint #86945-C found no regulatory insufficiencies.
Findings
There were no regulatory insufficiencies cited during the investigation of the complaint at the assisted living program.
Report Facts
Number of tenants without cognitive disorder: 1
Number of tenants with cognitive disorder: 17
Total Population of Program at time of on-site: 18
TOTAL census of Assisted Living Program: 18
Inspection Report
Original Licensing
Census: 4
Deficiencies: 3
Date: Nov 14, 2018
Visit Reason
The inspection was conducted as an initial certification visit to determine compliance with certification for an Assisted Living Program for People with Dementia and included investigation of Complaint #79424-C.
Complaint Details
The inspection included investigation of Complaint #79424-C. The complaint was substantiated as the program failed to complete required abuse record checks prior to employment.
Findings
The program failed to complete required dependent adult abuse and child abuse record checks prior to employment for 4 staff members. Additionally, the program failed to complete tenant evaluations within 30 days of occupancy and failed to develop service plans based on evaluations for tenants reviewed.
Deficiencies (3)
Failed to complete dependent adult abuse and child abuse record checks prior to employment for 4 staff members.
Failed to complete an evaluation of tenant within 30 days of occupancy.
Failed to develop service plans based on evaluations for tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 2
Number of tenants with cognitive disorder: 2
Total census of Assisted Living Program for People with Dementia: 4
Staff reviewed for abuse record checks: 4
Tenant evaluations not completed within 30 days: 1
Tenants reviewed for service plans: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy R. Snyder | Administrator/Owner | Signed the statement of deficiencies and plan of correction; confirmed failure to obtain abuse checks and timely evaluations. |
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