Inspection Reports for Melrose Meadows Retirement Community

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

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

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

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

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

The inspection found regulatory insufficiencies related to staffing, specifically that non-certified staff did not receive required training on activities of daily living, medication administration, and treatments. Additionally, service plans did not reflect all identified tenant needs and preferences.

The inspection was conducted as a complaint investigation (#66094-C) at Melrose Meadows Assisted Living Community to evaluate regulatory compliance related to service plans for tenants.

The investigation found that the program failed to ensure individualized service plans included identified needs for 3 of 5 tenants reviewed, including lack of updates for incontinence, medication administration, hospitalization, and interventions for confusion and exit seeking behaviors.

Complaint investigation #66094-C was substantiated with findings that service plans did not meet regulatory requirements for individualized care and updates based on tenant needs and changes.

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

No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program at Melrose Meadows Retirement Community.

The inspection was conducted as part of the investigation of Complaint #62042-C regarding regulatory insufficiency in the assisted living program.

The inspection revealed that staff failed to follow proper hand washing and glove use procedures during medication administration, including not washing hands before and after glove use and improper use of hand sanitizer. These deficiencies were observed multiple times during medication passes to various tenants.

Investigation of Complaint #62042-C revealed regulatory insufficiency related to program policies and procedures, specifically in hand hygiene and glove use during medication passes.

The visit was a Final Recertification Monitoring Evaluation conducted by the Department of Inspections and Appeals (DIA) following a survey on December 17, 2014, to evaluate regulatory compliance regarding record checks at Melrose Meadows Retirement Community.

The report identified a regulatory insufficiency related to record checks, specifically that a staff member with a criminal record was employed without a current evaluation of the record check. The facility failed to maintain a copy of the previous evaluation and did not complete the required background check evaluation prior to employment.

The visit was a Final Recertification Monitoring Evaluation conducted by the Department of Inspections and Appeals (DIA) following a survey on December 17, 2014, to evaluate regulatory compliance related to record checks at Melrose Meadows Retirement Community.

The report identified a regulatory insufficiency regarding record checks, specifically that a staff member with a criminal record was employed without a current evaluation of the record check. The facility failed to maintain or provide a copy of the previous evaluation for the staff member, and the Director did not ensure clearance before employment.

The inspection was conducted as a complaint/incident investigation following a tenant elopement incident reported by the program.

The investigation found no regulatory insufficiencies related to the elopement incident. Tenant #1 eloped but was found unharmed and returned safely. Nurse reviews and service plans for tenants were not consistently completed as required, resulting in regulatory insufficiencies related to nurse reviews and service plan updates.

The complaint involved a tenant elopement incident on 7-8-13. Tenant #1, an 89-year-old with severe cognitive decline, left the facility and was found by police approximately two miles away. The tenant was unharmed and returned to the program. The program implemented additional safety measures including door alarms and increased monitoring. The complaint was investigated and regulatory insufficiencies were identified related to nurse reviews and service plan updates, but no insufficiency was noted regarding the elopement itself.

The visit was a final recertification monitoring evaluation conducted to assess compliance with Iowa Administrative Code chapters 481-67 and 481-69 for the Assisted Living Program at Melrose Meadows Retirement Community.

No regulatory insufficiencies were found during this evaluation. The program demonstrated general tenant satisfaction, respectful staff interactions, and a clean and safe environment. The review of recertification documents was completed and accepted.

The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals to review the Plan of Correction and regulatory compliance of Melrose Meadows Assisted Living Program.

The report found no regulatory insufficiencies during the certification period. Tenant and family satisfaction was generally positive, though some regulatory insufficiencies were noted related to tenant evaluations and service plans, which were addressed in the Plan of Correction accepted by DIA.

A complaint investigation was conducted due to allegations that tenants of the assisted living area wander without supervision and concerns about staffing levels during certain hours.

The investigation found no regulatory insufficiencies related to tenant wandering or staffing levels. The program staffed at least one person 24 hours a day, and no tenants scored above a three on the Global Deterioration Scale indicating safety concerns.

Complaint Allegation: Tenants wander without supervision and only one licensed practical nurse on duty from 5 p.m. to 8 a.m. Monitoring observations found no tenants scored above a three on the Global Deterioration Scale and staffing met requirements. No regulatory insufficiencies were noted.

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 the medication administration had documentation errors but was appropriately supervised and administered. There were no substantiated regulatory insufficiencies during this certification period.

An on-site monitoring evaluation was conducted at Melrose Meadows to assess compliance with assisted living program regulations during the re-certification period.

The evaluation found that the program did not maintain documentation of staff training for nurse delegated duties and lacked training and staffing plans on file. Tenant satisfaction was generally positive with no complaints on file during the certification period.