Inspection Reports for
Mayflower Home
616 Broad Street, Grinnell, IA, 501122298
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
78% occupied
Based on a May 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 17, 2025
Visit Reason
A complaint investigation for complaint #2636013-C was conducted from November 13, 2025 to November 17, 2025.
Complaint Details
Complaint #2636013-C was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with no deficiencies cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 14, 2025
Visit Reason
A complaint investigation for complaint #2583300-C was conducted from October 9, 2025 to October 14, 2025.
Complaint Details
Complaint #2583300-C was investigated and the facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance with no deficiencies cited.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jun 16, 2025
Visit Reason
The document serves as a Plan of Correction following a survey ending May 29, 2025, addressing the facility's compliance status.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction, resulting in certification effective June 16, 2025.
Inspection Report
Annual Inspection
Census: 31
Deficiencies: 2
Date: May 29, 2025
Visit Reason
The inspection was conducted as the facility's annual recertification survey from May 27, 2025 to May 29, 2025.
Findings
The facility failed to meet professional standards of quality related to following physician's orders for pressure ulcers and bowel movement documentation for multiple residents. Deficiencies included lack of proper documentation, failure to notify physicians timely, and inconsistent medication administration and bowel management.
Deficiencies (2)
Failure to follow physician's orders for 1 of 3 residents reviewed for pressure ulcers.
Failure to ensure bowel regularity and proper documentation for 3 of 4 residents reviewed.
Report Facts
Residents reviewed for pressure ulcers: 3
Residents reviewed for bowel regularity: 4
Facility census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kellie McClure | CEO, NHA | Signed the inspection report |
| Staff A | Registered Nurse (RN) | Applied betadine to resident's heel and interviewed regarding treatment orders |
| Director of Nursing | Stated nurses should look at orders prior to treatment and described routine orders for bowel management | |
| Staff D | Registered Nurse (RN) | Interviewed about bowel movement documentation and lists |
| Staff C | Certified Nursing Assistant (CNA) | Interviewed about bowel movement list and resident status |
| Staff E | Assistant Director of Nursing (ADON) | Interviewed about bowel movement list discrepancies |
| Staff B | Registered Nurse (RN) | Interviewed about bowel movement refusals and nursing staff practices |
Inspection Report
Routine
Census: 31
Deficiencies: 2
Date: May 29, 2025
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality and appropriate treatment and care according to physician orders and facility policies.
Findings
The facility failed to follow physician's orders for pressure ulcer treatment for 1 resident and failed to assess, intervene, and notify the physician regarding bowel regularity for 3 residents. Documentation and communication deficiencies were noted regarding treatment orders and bowel movement monitoring.
Deficiencies (2)
F 0658: The facility failed to follow physician's orders for pressure ulcer treatment for Resident #32 by not applying the prescribed dressing as ordered.
F 0684: The facility failed to assess, intervene, and notify the physician as directed to ensure bowel regularity for Residents #2, #18, and #21, with inadequate documentation and failure to follow bowel management protocols.
Report Facts
Residents present: 31
Residents reviewed for pressure ulcers: 3
Residents reviewed for bowel regularity: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse (RN) | Named in pressure ulcer treatment and bowel management findings |
| Staff B | Registered Nurse (RN) | Interviewed regarding bowel management and bowel report system |
| Staff C | Certified Nursing Assistant (CNA) | Interviewed regarding bowel management list |
| Staff D | Registered Nurse (RN) | Interviewed regarding bowel movement documentation |
| Staff E | Assistant Director of Nursing (ADON) | Interviewed regarding bowel management list issues |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding nursing expectations and bowel management |
Inspection Report
Annual Inspection
Census: 27
Deficiencies: 3
Date: Jul 11, 2024
Visit Reason
The inspection was conducted as the facility's annual recertification survey from July 8, 2024 to July 11, 2024 to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.
Findings
The facility was found not in compliance with resident rights and professional standards, including failure to recognize and respect psychosocial feedback from residents regarding alarms and failure to follow manufacturer recommendations for insulin administration. Deficiencies were identified related to resident rights and medication administration.
Deficiencies (3)
Failure to recognize and respect psychosocial feedback and responses for 2 of 3 residents reviewed regarding alarms that sounded when standing, causing anxiety and fear.
Failure to follow manufacturer recommendations while administering insulin using an insulin pen for 1 of 1 resident reviewed.
Failure to ensure a registered nurse worked at least 8 consecutive hours a day, 7 days a week as required.
Report Facts
Total Census: 27
Resident Census: 28
Resident Census: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kellie McDuff | CEO, LNHA | Signed the statement of deficiencies and plan of correction |
| Staff A | Licensed Practical Nurse (LPN) | Administered insulin using insulin pen and acknowledged manufacturer recommendations |
| Staff B | Registered Nurse (RN) | Worked night shift on 6/16/24; involved in staffing deficiency |
| Staff C | Registered Nurse (RN) | Responded to Resident #4 alarm mat incident |
| Staff D | Registered Nurse (RN) | Involved in Resident #4 alarm and restorative program |
| Staff E | Certified Nurse Aide (CNA) | Reported on Resident #4 alarm use and observations |
| Director of Nursing (DON) | Acknowledged alarm concerns and staffing issues | |
| Executive Director | Acknowledged concerns with alarms and call light company | |
| Physical Therapist | Provided input on Resident #4 alarm use and therapy | |
| Physical Therapy Aide (PTA) | Reported on Resident #10 floor alarm discussion |
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 3
Date: Jul 11, 2024
Visit Reason
The inspection was conducted based on complaints regarding failure to recognize and respect psychosocial feedback and responses related to alarm use for residents, improper insulin administration, and insufficient RN coverage.
Complaint Details
The visit was complaint-related, triggered by concerns about alarm use causing psychosocial distress, improper insulin administration technique, and insufficient RN staffing coverage. The psychosocial concerns for Residents #4 and #10 were substantiated with observations and interviews. The insulin administration deficiency was confirmed by observation and staff interviews. The RN coverage deficiency was confirmed by schedule and punch detail review.
Findings
The facility failed to respect psychosocial well-being of residents related to alarm use for two residents, failed to follow manufacturer's recommendations for insulin administration for one resident, and failed to provide 8 hours of RN coverage on a specific date. The facility had a census of 27-28 residents during the inspection.
Deficiencies (3)
F 0550: The facility failed to recognize and respect psychosocial feedback for 2 of 3 residents regarding alarms that caused anxiety and distress. Resident #4 and Resident #10 reported alarms as jarring and frightening, with documented noncompliance and distress related to alarm use.
F 0658: The facility failed to follow manufacturer's recommendations for insulin administration using an insulin KwikPen for Resident #16 by removing the pen immediately after injection instead of holding it in place for 5 seconds.
F 0727: The facility failed to have 8 consecutive hours of Registered Nurse coverage on 6/16/24 as required by policy and regulation.
Report Facts
Residents present: 27
Residents present: 28
Fall Incident Reports for Resident #4: 9
Fall Incident Reports for Resident #10: 1
Insulin dose: 45
RN coverage hours missed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Licensed Practical Nurse (LPN) | Administered insulin incorrectly to Resident #16 |
| Staff B | Registered Nurse (RN) | Worked night shift on 6/16/24 with incomplete 8-hour coverage |
| Director of Nursing | Director of Nursing (DON) | Acknowledged expectations for insulin administration and RN coverage |
| Staff C | Registered Nurse (RN) | Responded to Resident #4's alarm and explained alarm use |
| Staff D | Registered Nurse (RN) | Provided information about Resident #4 and Resident #10's alarm use and fall risk |
| Staff E | Certified Nurse Aide (CNA) | Demonstrated alarm function to Resident #4 |
Inspection Report
Renewal
Deficiencies: 0
Date: May 11, 2023
Visit Reason
A Recertification Survey was conducted from May 08, 2023 to May 22, 2023 to assess the facility's compliance for renewal purposes.
Findings
The facility was found to be in substantial compliance during the recertification survey.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 11, 2023
Visit Reason
Annual inspection survey of Mayflower Home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Census: 34
Deficiencies: 1
Date: Dec 22, 2021
Visit Reason
The inspection visit was conducted as the facility's annual health survey to assess compliance with federal regulations related to respiratory care and tracheostomy suctioning.
Findings
The facility failed to ensure proper weekly changing and documentation of oxygen tubing for residents requiring oxygen therapy, with observations showing tubing without dates and inconsistent documentation. The facility's oxygen concentrator policy was reviewed and staff interviews revealed gaps in knowledge and documentation practices.
Deficiencies (1)
Failure to ensure residents requiring respiratory care, including tracheostomy suctioning, received care consistent with professional standards, specifically related to weekly changing and documentation of oxygen tubing.
Report Facts
Resident census: 34
Correction date: Dec 27, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kellie McLaughlin | BSN, NHA | Signed the statement of deficiencies and plan of correction |
Inspection Report
Abbreviated Survey
Census: 34
Deficiencies: 0
Date: Dec 23, 2020
Visit Reason
A COVID 19 Focused Infection Control Survey was conducted by the Department of Inspections and Appeals from 12/21/2020 through 12/23/2020.
Findings
The facility was found in compliance with CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID 19.
Inspection Report
Renewal
Census: 35
Deficiencies: 0
Date: Sep 10, 2020
Visit Reason
The inspection was conducted as a recertification survey and COVID-19 Focused Infection Control Survey from September 8 to 10, 2020.
Findings
The facility was found to be in substantial compliance at the time of the recertification survey and COVID-19 Focused Infection Control Survey.
Inspection Report
Abbreviated Survey
Census: 33
Deficiencies: 0
Date: Jun 16, 2020
Visit Reason
A COVID 19 Focused Infection Control Survey was conducted by the Department of Inspections and Appeals on 6/16/2020.
Findings
The facility was found to be in compliance with CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID 19.
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