Inspection Reports for Kennybrook Village
200 SW Brookside Drive, Grimes, IA, 50111
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 24, 2025, found no deficiencies during the recertification visit for the Assisted Living Program. Earlier inspections showed a generally compliant record with isolated deficiencies related to medication administration certification, incident reporting, and staff record checks. Inspectors cited issues mainly with medication manager certification and incomplete incident reports following accidents, as well as one instance of missing required background checks for a staff member. Complaint investigations were mostly unsubstantiated except for a substantiated complaint in 2021 regarding uncertified medication administration and a 2018 complaint about missing incident reports. The facility’s recent inspections indicate improvement, with the last two recertifications showing no deficiencies.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
0.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
32 residents
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 32
Deficiencies: 0
Date: Jul 24, 2025
Visit Reason
The inspection was a recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Inspection Report
Renewal
Census: 36
Deficiencies: 0
Date: Jan 25, 2023
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 1
Date: Sep 29, 2021
Visit Reason
The inspection was conducted as a complaint investigation related to medication administration at Kennybrook Village Assisted Living Program.
Complaint Details
The complaint investigation found that Care Partner A administered medications without having completed the required medication manager certification at the time of administration. The issue was isolated to one tenant and one staff member. Nursing supervisor confirmed the incident and noted it was due to staffing issues.
Findings
The program failed to ensure that medication administration was provided by an individual who had successfully completed a department-approved medication manager course and passed the medication manager examination. This deficiency affected one tenant who administered most medications independently except for two bedtime medications administered by a Care Partner who was not yet certified at the time.
Deficiencies (1)
Failure to ensure medication administration was provided by a certified individual as required by regulation.
Report Facts
Number of tenants without cognitive disorders: 36
Number of tenants with cognitive disorders: 0
Total tenants: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Care Partner A | Staff member who administered medications without certification | |
| Nursing Supervisor | Confirmed medication administration incident and staffing issue |
Inspection Report
Renewal
Census: 39
Deficiencies: 0
Date: Jan 16, 2020
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification inspection.
Inspection Report
Complaint Investigation
Census: 41
Deficiencies: 1
Date: Jul 17, 2018
Visit Reason
The inspection was conducted as a complaint investigation related to regulatory insufficiency cited during the investigation of Complaint #76644 regarding incident reports following accidents or unusual occurrences.
Complaint Details
Complaint #76644 was investigated. The complaint investigation date was July 16, 2018. The complaint was substantiated by findings that incident reports were missing for Tenant #1 and Tenant #2.
Findings
The program failed to ensure completed incident reports following accidents or unusual occurrences, affecting 2 of 4 tenants reviewed for reported falls. Incident reports were not available for Tenant #1 and Tenant #2, while reports for Tenants #3 and #4 were available.
Deficiencies (1)
Program failed to ensure completed incident reports following accidents or unusual occurrences affecting 2 of 4 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 41
Number of tenants with cognitive disorder: 0
Total population of Program at time of on-site: 41
Tenants affected: 2
Tenants reviewed for reported falls: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ann Lorenzen | Assisted Living Director | Confirmed incident reports were not available and educated staff on incident reporting policy |
Inspection Report
Renewal
Census: 32
Deficiencies: 0
Date: Dec 12, 2017
Visit Reason
The visit was conducted as a recertification to determine compliance with certification for the Assisted Living Program and to investigate Incident #72882-I and Complaint #72880-C.
Findings
No regulatory insufficiencies were cited during the recertification and investigations.
Report Facts
Number of tenants without cognitive disorder: 32
Number of tenants with cognitive disorder: 0
Total census: 32
Inspection Report
Renewal
Census: 33
Deficiencies: 1
Date: Dec 22, 2015
Visit Reason
The inspection was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program at Kennybrook Village.
Findings
The report identified a regulatory insufficiency related to record checks, specifically the program did not complete required criminal, dependent adult abuse, and child abuse record checks prior to employment for one staff member.
Deficiencies (1)
Program did not complete criminal, dependent adult abuse, and child abuse record checks prior to employment for one staff member.
Report Facts
Number of tenants without cognitive disorder: 33
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 33
Total census of Assisted Living Program: 33
Inspection Report
Monitoring
Census: 33
Deficiencies: 0
Date: Aug 8, 2013
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to assess compliance with Iowa Code and Administrative Code chapters related to assisted living programs.
Findings
No regulatory insufficiencies were found during the evaluation. The program had no regulatory insufficiencies this certification period and the monitoring evaluation confirmed compliance.
Report Facts
Number of tenants without cognitive disorder: 33
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 33
Total census of Assisted Living Program: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maribeth Freland | RN | Monitor conducting the evaluation |
Inspection Report
Original Licensing
Census: 22
Deficiencies: 5
Date: Apr 12, 2012
Visit Reason
The visit was conducted as a Final Initial Certification and Complaint/Incident Investigation for Kennybrook Village Assisted Living in Grimes, IA, to review regulatory compliance and investigate a complaint regarding staffing and call light response.
Complaint Details
The complaint alleged insufficient staffing and delayed response to call lights. Interviews and record reviews showed staff availability with response times within eight minutes or less, and tenants reported timely assistance. No regulatory insufficiency was noted related to staffing or call light response.
Findings
The investigation found no regulatory insufficiencies related to staffing and call light response times, but identified deficiencies in nurse-delegated training for bathing and food handling training. Several regulatory insufficiencies were noted related to evaluation procedures, food service training, and activities offered to tenants. No deficiencies were noted regarding tenant satisfaction or program history.
Deficiencies (5)
Staff members lacked nurse-delegated training and observation related to bathing.
Staff training records lacked documentation of training on sanitation and safe food handling.
Personnel responsible for food preparation and service lacked orientation and annual in-service training on food protection.
A program shall evaluate each prospective tenant’s functional, cognitive and health status prior to occupancy using a scored, objective tool.
A program shall evaluate each tenant’s functional, cognitive and health status within 30 days of occupancy and as needed with significant changes, but not less than annually.
Report Facts
Number of tenants without cognitive disorder: 22
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 22
Tenant meeting attendance: 9
Dates of call light response records reviewed: March 23-25, 2012 and April 6-8, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Miner | RN BSN | Monitor conducting the investigation |
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