Inspection Reports for Keystone Senior Suites

The visit was an essential recertification to determine compliance with certification rules for an Assisted Living Program.

No regulatory insufficiencies were cited during the essential recertification visit.

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

The inspection found regulatory insufficiencies related to nurse delegation training not being provided within 30 days of employment for two staff members, and failure to complete an updated service plan within 30 days of tenant occupancy for one tenant.

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

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

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

There were no regulatory insufficiencies cited during the recertification visit, indicating full compliance with certification requirements for the Assisted Living Program.

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

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

The visit was a final recertification monitoring evaluation conducted to review the assisted living program's compliance with Iowa Code and administrative rules, including review of submitted recertification documents and fire marshal inspection.

No regulatory insufficiencies were found during the onsite recertification monitoring evaluation. Tenant satisfaction was generally positive, and the program did not receive any regulatory insufficiencies during the certification period.

A complaint investigation was conducted at Keystone Senior Suites on May 24, 2011, to investigate allegations related to tenant service plans, food temperatures, staff pre-employment physicals and training, dementia training, and fire drills.

No regulatory insufficiencies were found during the complaint investigation and recertification survey. Observations noted that service plans were individualized, food temperatures were addressed, staff training and physicals met requirements, dementia training was not required due to no tenants with cognitive dysfunction, and fire drills had issues but a plan of correction would be provided.

The complaint investigation addressed allegations that tenant service plans were not individualized, food temperatures were not hot enough, staff lacked pre-employment physicals and mandatory abuse training, staff did not have appropriate dementia training, and fire drills were not completed as required. All allegations were found to have no regulatory insufficiencies.

The inspection was conducted as a complaint investigation following allegations related to tenant care and staff actions at Keystone Senior Suites.

No regulatory insufficiencies were identified during the investigation. The complaint allegations were reviewed, including tenant falls, medication handling, and wound care, but no deficiencies were found.

The complaint alleged a tenant fell and hit their head without family notification, unassessed hip pain, untreated wounds on tenants, improper medication handling, and neglect of promised care. The investigation found no current tenants or staff matching the complaint, no incident reports from June 2010 to the complaint date, and no regulatory insufficiencies.

The visit was a recertification monitoring evaluation conducted to review the facility's Plan of Correction in response to previously identified regulatory insufficiencies.

The monitoring evaluation found that there were no substantiated regulatory insufficiencies in the past certification period, but the program did not consistently complete annual health evaluations for tenants as required.

An on-site monitoring evaluation was conducted at Keystone Senior Suites to assess compliance with assisted living program regulations and to evaluate tenant functional and cognitive abilities, service plans, and overall program operations.

The program had regulatory insufficiencies related to inconsistent evaluation of tenants' cognitive and functional abilities within required timeframes and failure to update service plans as needed. Tenant and family satisfaction was generally positive, with some suggestions for food quality improvements.

An on-site monitoring evaluation was conducted at Keystone Cedars to assess compliance with assisted living program regulations and certification requirements.

The tenants expressed overall satisfaction with the program, including activities, staff responsiveness, safety, and food quality. However, a regulatory insufficiency was found regarding transportation: the program did not have an appropriately licensed driver for the 12-passenger van used for tenant outings.