Inspection Reports for MeadowView Memory Care Village

The inspection was conducted in response to investigations of Complaints #125098-C and #126308-C, as well as Incident #128790-I, focusing on tenant care and safety concerns.

The facility failed to provide appropriate care and treatment for one tenant who died unexpectedly, including failure to adequately respond to symptoms indicating a possible stroke. Additionally, the program failed to timely and adequately address inappropriate sexual behavior by another tenant, with delays in updating service plans and insufficient monitoring.

The visit was complaint-related, investigating Incident #128790-I and Complaints #125098-C and #126308-C. The investigation found no regulatory insufficiencies related to Incident #128790-I but identified deficiencies during the complaint investigations.

Investigation into Complaint #123709-C regarding the assisted living program for people with dementia.

No regulatory insufficiencies were cited during the complaint investigation.

Investigation into Complaint #123709-C found no regulatory insufficiencies.

The inspection was conducted to investigate Incident #123134-I and to perform a recertification visit to determine compliance with certification rules for an Assisted Living Program for People with Dementia.

The facility failed to ensure an operating alarm system was connected to each exit door in the dementia-specific program, affecting one of three tenants reviewed. The investigation revealed that the front vestibule doors lacked an alarm system, allowing a tenant to exit unalarmed.

The visit was triggered by a complaint investigation of Incident #123134-I. The report details the investigation and findings related to the incident involving Tenant #3 exiting the facility unalarmed.

The inspection was conducted as an investigation of Incident #118268-I at the assisted living program for people with dementia.

No regulatory insufficiencies were cited during the investigation of Incident #118268-I.

Investigation of Incident #118268-I found no regulatory insufficiencies.

The inspection was conducted to investigate incidents involving tenant elopement and an attempted self-harm event at Meadowview Memory Care Village.

The program failed to follow established policies and procedures related to door alarms and nurse notification, resulting in an elopement of Tenant #1 and inadequate nurse notification for Tenant C1's attempted self-harm incident. Additionally, service plans were not updated timely or signed as required for both tenants.

The investigation was triggered by incidents #110585-I and #113325-I involving Tenant #1's elopement and Tenant C1's attempted self-harm. No regulatory insufficiencies were cited related to Incident #110880-I.

The inspection was a recertification visit conducted to determine compliance with certification for a Dedicated Dementia Specific Assisted Living Program.

The Program failed to have incident reports signed by the staff who completed the reports, failed to follow its policy and procedure related to incident reports for 4 of 5 tenants reviewed, failed to complete nurse delegated training for 2 of 6 staff within 60 days of employment, failed to ensure background checks were valid within 30 days for 1 of 6 staff, and failed to update service plans as needed to reflect current needs of 4 of 4 tenants reviewed.

The inspection was a recertification visit to determine compliance with certification for a Dedicated Dementia Specific Assisted Living Program.

The inspection found regulatory insufficiencies related to individualized service plans for tenants and dementia-specific education for personnel. Several tenants' service plans did not reflect their actual needs or treatments, and some staff did not receive the required dementia-specific training within 30 days of employment.

The visit was conducted as a monitoring investigation into regulatory insufficiency related to the admission and retention criteria for tenants at Meadowview Memory Care Village.

The program failed to discharge one tenant who exceeded the level of care due to physical aggression. Multiple staff reported aggressive behaviors by Tenant #1, including hitting, kicking, punching, and biting staff during care activities. The program planned to discharge the tenant due to these issues.

Investigation of Complaint #81961-C at Meadowview Memory Care Village.

No regulatory insufficiencies were cited during the investigation of the complaint.

Complaint #81961-C was investigated and found to have no regulatory insufficiencies.

Investigation of Incident #81330-I at the Assisted Living Program for People with Dementia.

No regulatory insufficiencies were identified during the investigation of Incident #81330-I.

Investigation of Incident #81330-I; no regulatory insufficiencies found.

Investigation of Complaints #78562-C and 79112-C at Meadowview Memory Care Village.

No regulatory insufficiencies were cited during the investigation of the complaints.

Complaints #78562-C and 79112-C were investigated and found to have no regulatory insufficiencies.

The investigation of Complaint #77741-C was conducted to assess regulatory compliance related to tenant rights and care at Meadowview Memory Care Village.

The investigation found multiple regulatory insufficiencies including failure to provide adequate care and treatment for tenants, inadequate staffing training on pull cord response, and failure to administer medications as prescribed. Several incidents involving tenants were documented, including incidents of undress and altercations between tenants.

Investigation of Complaint #77741-C revealed incidents involving tenants #5 and #6 including incidents of undress and altercations. The complaint was substantiated with findings of regulatory insufficiencies.

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

There were no regulatory insufficiencies cited during the recertification visit.

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

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

The visit was a Final Recertification Monitoring Evaluation conducted to review recertification documents and evaluate the Assisted Living Program for compliance with Iowa Code and Administrative Code.

No regulatory insufficiencies were found during the onsite recertification monitoring evaluation. The program was described as well-managed with satisfied tenants and no concerns regarding housekeeping, safety, or services.

The inspection was conducted as a Final Complaint/Incident Investigation based on complaints alleging tenant abuse, neglect, and staffing issues at Meadowview Memory Care Village.

The investigation reviewed multiple allegations including tenant combative behavior, bruising, staffing adequacy, and staff interactions with tenants. No regulatory insufficiencies were found related to abuse or neglect, and staffing was found to be adequate. Some medication administration documentation issues were noted but did not rise to regulatory insufficiency.

The complaint investigation involved three complaint/incident intake numbers: 40153-I, 40193-C, and 40548-C. Allegations included tenant combative behavior resulting in injury, aggressive certified nurse aides forcing tenants to stand, and short staffing on weekends leading to neglect. The investigation found no substantiated regulatory insufficiencies related to abuse or neglect. Medication administration documentation issues were noted but not cited as deficiencies.

The visit was a Final Recertification Monitoring Evaluation to review the Plan of Correction and assess compliance with regulatory requirements for the Assisted Living Program at Meadow View Memory Care Village.

The program did not receive any regulatory insufficiencies during this certification period. The monitoring visit included review of tenant files, observations of tenant care and safety, and evaluation of staff interactions. One regulatory insufficiency was noted related to failure to notify the department within 24 hours when a tenant eloped from the program.

The visit was an on-site monitoring investigation conducted on July 11, 2011, following an incident intake related to a tenant found lying on the floor with injuries at MeadowView Memory Care Village.

The investigation found no regulatory insufficiencies. The tenant was transported to a hospital with a diagnosis of an acute subdural hematoma after being found on the floor with back pain and nausea. Staff responded appropriately, and the tenant was discharged from the program on June 7, 2011.

The visit was complaint-related due to an incident allegation involving a tenant found on the floor with injuries. The complaint was investigated and found to have no regulatory insufficiencies.

A complaint investigation on-site visit was conducted at Meadow View Memory Care Village in Cedar Rapids on February 3, 2011, to investigate allegations related to inadequate meal quantity resulting in weight loss among tenants.

The investigation found that eight tenants showed significant weight loss, but the program had initiated interventions such as nutritional supplements and a snack cart. Tenant interviews and record reviews indicated no complaints about food quality or quantity, and no regulatory insufficiencies were identified.

The complaint alleged the program failed to serve meals adequate in quantity, resulting in weight loss of five pounds or greater for multiple tenants. The complaint was investigated and found to be unsubstantiated with no regulatory insufficiencies noted.

The visit was conducted as a complaint and incident investigation at Meadowview Memory Care Village following complaint intakes 29874-C, 29736-I, and 29645-I.

The investigation found no regulatory insufficiencies related to the complaints. Observations included tenant eligibility for program retention, an elopement incident, documentation practices, pet care, and missing tenant property, with no violations noted.

Complaint Allegation 29871-C alleged tenants should be at a higher level of care; no insufficiency found. Incident Allegation 29736-I involved a tenant elopement; no insufficiency found. Complaint Allegation 29874-C alleged staff were told not to document certain things; no insufficiency found. Complaint Allegation about tenant pets and care found no insufficiency. Incident Allegation 29645-I involved missing tenant property; no insufficiency found.

An on-site incident investigation and recertification monitoring evaluation was conducted at Meadowview Memory Care Village on March 24 & 25, 2010, in response to an incident involving a tenant found on the floor and related care concerns.

The investigation found no substantiated regulatory insufficiencies during this certification period. The tenant involved had a compression deformity and was managed appropriately with updated service plans and medical orders. Staff responded promptly to the incident and the tenant's care needs were addressed.

The complaint involved a tenant found on the floor on 1-21-10. The tenant was able to move all extremities without pain and was sent to the hospital for evaluation of compression deformities. The complaint was investigated and found to be unsubstantiated with no regulatory insufficiencies noted.

A complaint investigation was conducted at Meadowview Memory Care Village on December 14, 15, and 16, 2009, due to allegations including a tenant being hospitalized following a fall and lack of food or drink, a tenant having a urinary tract infection and becoming septic, and a tenant having bruises.

The investigation found regulatory insufficiencies related to the program's failure to assess and document tenant health status, make appropriate recommendations and referrals, and monitor progress. Several tenants' files were reviewed with findings of inconsistent nurse reviews and documentation. Bruises on a tenant were noted but dependent adult abuse was not confirmed. The Plan of Correction was accepted.

Complaint allegations included a tenant hospitalized after a fall with no food or drink for four to five days, a tenant with a urinary tract infection who became septic, and a tenant with bruises. The investigation reviewed tenant files and nurse notes, finding some regulatory insufficiencies but no confirmation of dependent adult abuse.

A complaint investigation on-site visit was conducted at MeadowView Memory Care Village on October 27 & 28, 2009 to investigate regulatory insufficiencies related to dementia-specific assisted living program compliance.

The program did not adequately complete the dementia-specific education for program personnel, resulting in a regulatory insufficiency. Interviews confirmed staff had given showers to tenants despite refusals on some occasions.

Complaint investigation was substantiated with findings of regulatory insufficiency related to dementia-specific education. The complaint investigator made observations regarding tenant care and staff actions during the investigation.

A complaint investigation on-site revisit was conducted at Meadowview Memory Care Village on June 30, 2008, to monitor compliance with prior complaints and regulatory requirements.

The final complaint investigation revisit report found no regulatory insufficiencies and the program was in full compliance with Iowa Code and Administrative Code. The program was issued a full certificate effective July 30, 2008, through February 7, 2010, with sanctions discontinued and allowed to admit new tenants.

The complaint investigation included substantiated complaints in areas such as Evaluation of Tenants, Criteria for Exclusion of Tenants, Service Plans, Medications, Nurse Review, Staffing, and Other. Previous complaint investigations resulted in fines and sanctions, but the final revisit found no regulatory insufficiencies.

A complaint investigation on-site revisit was conducted at Meadowview Memory Care Village on May 8-9, 2008 to investigate regulatory insufficiencies and complaints regarding assisted living programs.

The program failed to comprehensively follow regulations, resulting in regulatory insufficiencies in areas including service plans, medication protocols, and other requirements. The facility received a conditional certificate with sanctions and a civil penalty of $2,500.00 was assessed.

The complaint investigation was substantiated with findings of regulatory insufficiencies in service plans, medication administration, tenant evaluations, and Plan of Correction implementation. Previous complaints had resulted in fines and sanctions.

A complaint investigation, a first and second complaint revisit investigation, and a recertification on-site visit were conducted at Meadowview Memory Care Village on January 8-10, 2008, to investigate multiple complaints and regulatory insufficiencies.

The program was found to have multiple regulatory insufficiencies including failure to complete functional, cognitive, and health evaluations; failure to exclude tenants requiring a higher level of care; failure to develop individualized service plans; medication administration issues; inadequate nurse review; staffing and training deficiencies; and life safety concerns. The program was sanctioned with a conditional operation certificate, a civil penalty of $10,000, and required to submit a Plan of Correction.

The complaint investigation involved multiple complaint intakes (#14760, #14987, #13455R, #12444R2) alleging choking spells not evaluated, failure to exclude tenants needing higher care, failure to provide service plans, medication errors, staffing shortages, failure to make rounds, elopement risks, and improper hiring practices. The complaints were substantiated with regulatory insufficiencies found.