Inspection Reports for Meth Wick Health Center

1625 Brendelwood Drive, Cedar Rapids, IA, 524052499

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Inspection Report Summary

The most recent inspection on July 17, 2025 found the facility to be in substantial compliance with no deficiencies noted. Earlier inspections showed a mixed record with some deficiencies related mainly to care plan accuracy, food handling practices, medication security, and wound care documentation. Complaint investigations were generally unsubstantiated, except for one substantiated incident involving improper storage of a controlled medication in April 2023. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s inspection history shows some recurring issues but also periods of compliance and accepted plans of correction, indicating some improvement over time.

Deficiencies (last 6 years)

Deficiencies (over 6 years) 1.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

59% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 61 residents

Based on a October 2023 inspection.

Census over time

52 56 60 64 68 Jun 2020 Nov 2020 Dec 2020 Apr 2021 Apr 2023 Oct 2023

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jul 17, 2025

Visit Reason
An annual recertification survey and investigation of complaints #129054-C and facility reported incidents #129257-I were conducted from July 14, 2025 to July 17, 2025.

Complaint Details
Investigation included complaint #129054-C and facility reported incidents #129257-I.
Findings
The facility was found to be in substantial compliance.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Aug 15, 2024

Visit Reason
The inspection was conducted as a recertification survey and investigation of a Facility Reported Incident #121012-I from 08/12/2024 to 08/15/2024.

Findings
The facility was found in substantial compliance at the time of the recertification survey and investigation.

Inspection Report

Complaint Investigation
Deficiencies: 0 Date: Mar 28, 2024

Visit Reason
A complaint investigation for complaint #117356-C and a facility reported incident #118265-I was conducted from 3/26/24 to 3/28/24.

Complaint Details
Complaint #117356-C and facility reported incident #118265-I were investigated and found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance.

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Oct 27, 2023

Visit Reason
The document reflects acceptance of a credible allegation of substantial compliance and the facility's Plan of Correction, resulting in certification of compliance effective October 27, 2023.

Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction submitted, leading to certification of compliance.

Inspection Report

Annual Inspection
Census: 61 Deficiencies: 2 Date: Oct 26, 2023

Visit Reason
The inspection was an Annual Recertification Survey conducted from October 23, 2023 to October 26, 2023 at Meth-Wick Health Center to assess compliance with federal regulations.

Findings
The facility failed to revise care plans accurately for diet changes and high-risk medications for some residents, and failed to maintain proper food handling practices during meal service. The facility reported a census of 61 residents during the inspection.

Deficiencies (2)
Failed to revise a Care Plan to accurately reflect a Physician Order for a diet change for 1 of 3 residents reviewed for diets and failed to revise a Care Plan to accurately reflect risks of high-risk medications for 1 of 5 residents reviewed for medications.
Failed to maintain proper food handling practices while serving food for 4 out of 5 meals observed and failed to restrain hair for 3 out of 5 meals observed.
Report Facts
Census: 61 Residents reviewed for diets: 3 Residents reviewed for medications: 5 Meals observed: 5 Meals with improper hair restraint: 3 Meals with improper food handling: 4

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Apr 21, 2023

Visit Reason
The document reflects acceptance of a credible allegation of compliance and plan of correction for the facility, resulting in certification of compliance effective April 21, 2023.

Findings
The facility was found to be in compliance based on the accepted plan of correction and credible allegation of compliance; no specific deficiencies or severity levels are detailed in the report.

Inspection Report

Complaint Investigation
Census: 62 Deficiencies: 1 Date: Apr 10, 2023

Visit Reason
The inspection was conducted as a COVID-19 Focused Infection Control Survey and an investigation of Facility Self-Reported Incidents #107899-I, #108731-I, and #111404-M from April 4, 2023 to April 10, 2023.

Complaint Details
Facility Self-Reported incident #107899-I was substantiated; incident #108731-I was not substantiated; findings for incident #111404-M pending.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19. Incident #107899-I was substantiated, #108731-I was not substantiated, and findings for incident #111404-M will be sent separately. A deficiency was cited for failure to properly secure lorazepam, a controlled drug, in a locked, double-locked compartment as required by state and federal law.

Deficiencies (1)
Failure to ensure lorazepam concentrated liquid, a level 4 controlled drug requiring refrigeration, was secured in a separately locked, permanently affixed compartment while refrigerated, observed unlocked during shift count for multiple residents.
Report Facts
Total Residents: 62 Medication quantity dispensed: 30 Medication quantity remaining: 29.75 Medication quantity dispensed: 30 Medication quantity remaining: 7.5 Medication quantity remaining: 29.5 Medication quantity remaining: 30

Employees mentioned
NameTitleContext
Holly LearDirector of Post-Acute Care Nursing Home AdministratorSigned plan of correction letter dated 04/26/2023
Staff ARegistered NurseObserved unlocked medication refrigerator containing lorazepam on 4/5/23
Staff BRegistered NurseObserved unlocked medication refrigerator containing lorazepam on 4/5/23 and unable to locate key
Director of NursingInterviewed on 4/5/23 confirming expectations for locked medication refrigerator

Inspection Report

Plan of Correction
Deficiencies: 0 Date: Jun 23, 2022

Visit Reason
The document is a plan of correction submitted following a survey to address deficiencies and certify compliance.

Findings
The facility was found to be in compliance based on acceptance of the credible allegation of compliance and plan of correction effective June 23, 2022.

Inspection Report

Annual Inspection
Deficiencies: 3 Date: Jun 8, 2022

Visit Reason
The inspection was conducted as part of the facility's Annual Recertification Survey and investigation of Complaint #101293-C from June 6 to June 8, 2022.

Complaint Details
Complaint #101293-C was investigated and found to be unsubstantiated.
Findings
The facility failed to ensure proper assessment, treatment, and documentation of a skin tear for Resident #44, including failure to obtain a physician's order, monitor the wound, and document care efforts. The complaint was unsubstantiated but deficiencies were found related to quality of care standards for skin tear management.

Deficiencies (3)
Failure to promptly assess Resident #44's skin tear and document the assessment in the medical record.
Failure to obtain a physician's order for treatment of Resident #44's skin tear.
Failure to monitor and treat Resident #44's skin tear and document efforts in the medical record.
Report Facts
Complaint number: 101293 Dates of survey: June 6, 2022 to June 8, 2022

Employees mentioned
NameTitleContext
Amber JedlickaDirector of Post-Acute CareSigned plan of correction and named in report response
Staff ALicensed Practical NurseInterviewed regarding skin tear care and documentation
ADONAssistant Director of NursingInterviewed regarding skin tear monitoring and treatment process
Director of NursingDirector of NursingInterviewed regarding expected process for skin tear documentation and treatment
Director of Post-Acute CareDirector of Post-Acute CareInterviewed regarding expectations for skin tear management and education

Inspection Report

Recertification Survey
Census: 59 Deficiencies: 5 Date: Apr 1, 2021

Visit Reason
The inspection was conducted as a Recertification Survey and Investigation of Complaint #87890 from 3/29/2021 to 4/1/2021. The complaint was not substantiated.

Complaint Details
Complaint #87890 was investigated during the recertification survey and was not substantiated.
Findings
The facility was found deficient in multiple areas including failure to electronically transmit Minimum Data Set (MDS) assessments for one resident, improper insulin pen priming before administration, failure to maintain proper medication refrigerator temperatures, and inadequate infection prevention and control practices such as hand hygiene and laundry handling.

Deficiencies (5)
Failure to submit any Minimum Data Set (MDS) Assessments in a year for 1 of 15 residents.
Failure to prime insulin pen before administration for 1 observation.
Failure to maintain proper refrigeration temperatures for medications in 3 out of 3 medication rooms.
Failure to label and store drugs and biologicals according to accepted professional principles.
Failure to establish and maintain an infection prevention and control program including hand hygiene and laundry handling.
Report Facts
Census: 59 Residents with missing MDS assessments: 1 Medication rooms with refrigeration temperature issues: 3 Temperature log days out of range: 26 Temperature log days out of range: 30 Temperature log days out of range: 22 Temperature log days out of range: 20 Temperature log days out of range: 26 Temperature log days out of range: 29 Residents reviewed for infection control: 3

Employees mentioned
NameTitleContext
Staff BMDS NurseInterviewed regarding missing MDS assessments and insulin pen administration.
Staff DDirector of Nursing (DON)Interviewed regarding MDS assessments and insulin pen priming expectations.
Staff ARegistered Nurse (RN)Interviewed regarding insulin pen administration and medication refrigerator policies.
Staff ELicensed Practical Nurse (LPN)Interviewed regarding medication refrigerator temperature standards.
Staff FRegistered Nurse (RN)Interviewed regarding medication refrigerator temperature monitoring.
Staff GLicensed Practical Nurse (LPN)Observed providing care without proper hand hygiene.
Staff HCertified Nursing Assistant (CNA)Observed providing care without proper hand hygiene.
Staff ICertified Nursing Assistant (CNA)Observed providing care without proper hand hygiene.
Staff JCertified Nursing Assistant (CNA)Interviewed regarding hand hygiene after toileting.
Staff LDietary ServerObserved handling food with gloved hands without proper hygiene.
Staff MRegistered Nurse (RN)/Infection Preventionist (IP)Interviewed regarding hand hygiene expectations.
Staff OLaundry AidObserved delivering clothes with open laundry cart.
Staff NLaundry AidInterviewed regarding laundry cart handling.

Inspection Report

Abbreviated Survey
Census: 59 Deficiencies: 0 Date: Dec 3, 2020

Visit Reason
A Focused COVID-19 Infection Control Survey was conducted by the Department of Inspections and Appeals to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.

Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.

Report Facts
Total residents: 59

Inspection Report

Routine
Census: 61 Deficiencies: 0 Date: Nov 10, 2020

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 11/9/20 and 11/10/20 to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.

Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.

Inspection Report

Abbreviated Survey
Census: 57 Deficiencies: 0 Date: Jun 17, 2020

Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals on 6/17/20 to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.

Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.

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