Inspection Reports for MorningStar Assisted Living & Memory Care at Jordan Creek
IA, 50266
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 11, 2025, found no deficiencies during a complaint investigation. Earlier inspections showed a mix of results, with some deficiencies related mainly to medication administration errors, background checks, and individualized service plans. One substantiated complaint in August 2024 involved medication errors and falsification of medication records by staff, while other complaint investigations were unsubstantiated. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The inspection history shows some recurring issues with staff compliance and documentation, but recent investigations have not identified new deficiencies.
Deficiencies (last 7 years)
Deficiencies (over 7 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
54 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 0
Date: Jun 11, 2025
Visit Reason
The inspection was conducted to investigate incidents #128958-I, 128589-C, and 125310-C at the assisted living facility.
Complaint Details
Investigation of incidents #128958-I, 128589-C, and 125310-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the reported incidents.
Report Facts
Number of tenants without cognitive impairment: 52
Number of tenants with cognitive impairment: 2
Total census: 54
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 1
Date: Aug 29, 2024
Visit Reason
The inspection was conducted as part of an investigation of Complaint #122948-C regarding medication administration policies and procedures at the assisted living facility.
Complaint Details
The visit was triggered by Complaint #122948-C. The complaint was substantiated based on findings of medication errors and falsification of medication records by Staff D.
Findings
The investigation found that staff failed to follow established medication policies for one tenant with diabetes, resulting in a medication error where insulin was administered despite a low blood sugar reading. The staff member also falsified the electronic Medication Administration Record (eMAR). The facility confirmed these findings and outlined corrective actions including retraining staff and policy reinforcement.
Deficiencies (1)
Staff failed to follow established medication policies regarding insulin administration for a tenant with diabetes, including administering insulin when blood sugar was low and falsifying the medication record.
Report Facts
Number of tenants without cognitive impairment: 44
Number of tenants with cognitive impairment: 4
Total census: 48
Units of Novolog insulin administered: 20
Units of Lantus insulin administered: 50
Blood sugar reading: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Former Medication Manager and Assisted Living Coordinator | Named in medication error and falsification of medication record |
| Wellness Director | Reported the medication error and participated in investigation | |
| Administrator | Administrator | Confirmed the findings of the investigation |
Inspection Report
Renewal
Census: 47
Deficiencies: 3
Date: Nov 21, 2023
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program.
Findings
The inspection identified regulatory insufficiencies related to employment background checks, employment prohibitions regarding criminal history, and individualized service plans for tenants. The Executive Director confirmed these findings during the inspection.
Deficiencies (3)
Failure to complete child and dependent adult abuse background check prior to employment for 1 of 7 staff reviewed.
Failure to request and evaluate criminal charges from the Department of Health and Human Services prior to employment for 2 of 2 staff reviewed with criminal history.
Failure to develop individualized service plans including identified needs and preferences for 3 of 4 tenants reviewed.
Report Facts
Number of tenants without cognitive impairment: 47
Number of tenants with cognitive impairment: 0
Total census: 47
Staff reviewed for background check compliance: 7
Staff with criminal history requiring evaluation: 2
Tenants reviewed for individualized service plans: 4
Tenants with deficient service plans: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Staff member hired 4/21/21 with incomplete background checks. | |
| Staff B | Staff member hired 10/31/22 with criminal charge and no evaluation completed. | |
| Staff C | Staff member hired 6/1/23 with criminal charge and no evaluation completed. | |
| Executive Director | Executive Director | Confirmed findings during the inspection and responsible for corrective actions. |
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Date: Jul 26, 2023
Visit Reason
The inspection was conducted as an investigation of complaints #114387-C, #113760-C, and incident #114396-I at the assisted living program.
Complaint Details
Investigation of Complaints #114387-C, #113760-C, and Incident #114396-I found no regulatory insufficiencies.
Findings
There were no regulatory insufficiencies cited during the investigation of the complaints and incident.
Report Facts
Number of tenants without cognitive disorder: 39
Number of tenants with cognitive disorder: 7
Total census: 46
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 0
Date: Sep 15, 2021
Visit Reason
Investigation of complaint #97769-C at Morningstar at Jordan Creek Assisted Living facility.
Complaint Details
Complaint #97769-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Number of tenants without cognitive disorders: 29
Number of tenants with cognitive disorders: 5
Total tenants: 34
Inspection Report
Recertification
Census: 32
Deficiencies: 2
Date: Oct 29, 2020
Visit Reason
The visit was a recertification inspection to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the onsite infection control survey. However, deficiencies were found related to background record checks and service plans not being signed and dated by all parties.
Deficiencies (2)
Background checks were not completed within 30 days prior to hire for a rehired staff member.
Service plans were not signed and dated by all parties for 2 of 3 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 31
Number of tenants with cognitive disorder: 1
Total census: 32
Days background check validity: 30
Number of tenants with unsigned service plans: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Rehired staff member whose background check was not completed within 30 days prior to hire. | |
| Executive Director | Confirmed background checks were not completed again when staff returned in June. | |
| Wellness Director | Confirmed the program failed to obtain signatures of all parties on updated service plans. |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 3
Date: Oct 2, 2019
Visit Reason
The inspection was conducted as an investigation of Complaint #84589-C regarding tenant rights and care issues at Morningstar at Jordan Creek Assisted Living.
Complaint Details
Complaint #84589-C was investigated and substantiated with findings related to tenant rights violations and inadequate care and service plan management.
Findings
The program failed to ensure tenants received adequate care, treatment, and services as evidenced by issues with emergency response to Tenant #1, medication administration, and lack of timely functional, cognitive, and health evaluations and service plan updates for tenants.
Deficiencies (3)
Program failed to ensure tenants received care, treatment, and services as appropriate, including calling 911 despite tenant's DNR status and hospice care.
Program failed to ensure functional, cognitive, and health evaluations were completed within 30 days of occupancy for Tenant #1.
Program failed to ensure service plans were updated within 30 days of occupancy for Tenant #1.
Report Facts
Number of tenants without cognitive disorder: 26
Number of tenants with cognitive disorder: 5
Total census: 31
Inspection date: Oct 2, 2019
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 0
Date: Nov 6, 2018
Visit Reason
Investigation of Complaint #79486 at Morningstar at Jordan Creek Assisted Living facility.
Complaint Details
Complaint #79486 was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 2
Total population: 17
Inspection Report
Original Licensing
Census: 11
Deficiencies: 0
Date: Sep 11, 2018
Visit Reason
Initial certification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the initial certification visit.
Report Facts
Number of tenants without cognitive disorder: 9
Number of tenants with cognitive disorder: 2
Total census: 11
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