Inspection Reports for Northridge Village
3300 George Washington Carver Avenue, Ames, IA, 50010
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 24, 2025, found no deficiencies during the certification visit for the Assisted Living Program. Earlier inspections showed a mix of findings, including issues with tenant assessments, nurse delegation, medication reconciliation, and emergency response systems. Inspectors cited problems such as failure to evaluate tenants’ functional status before admission, incomplete nurse reviews, and a personal emergency response system that did not function properly, which was linked to a tenant injury and subsequent passing. Complaint investigations were mostly unsubstantiated except for the 2024 case involving the emergency pendant system, which was substantiated and involved significant tenant harm. The facility’s record shows improvement over time, with the most recent inspection free of deficiencies after prior citations.
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/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
43 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Original Licensing
Census: 43
Deficiencies: 0
Date: Sep 24, 2025
Visit Reason
Certification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the certification visit for the Assisted Living Program.
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 1
Date: Feb 1, 2024
Visit Reason
The inspection was conducted as part of the investigation of Complaint 118525-C regarding the functionality of the personal emergency response system at the assisted living facility.
Complaint Details
The complaint investigation revealed that Tenant #1's pendant was deactivated by mistake sometime after Christmas, leading to delayed assistance after she was found on the floor with injuries including dehydration, seven cracked ribs, and atrial fibrillation. Tenant #1 later moved to hospice and passed away.
Findings
The facility failed to ensure that the personal emergency response system (pendant) functioned properly and identified tenants in distress, as evidenced by an incident where Tenant #1 was found injured after the pendant was deactivated by mistake. The facility was also unable to locate a policy regarding personal emergency response systems.
Deficiencies (1)
Failed to ensure the personal emergency response system (pendant) functioned properly and identified tenants in distress.
Report Facts
Number of tenants without cognitive impairment: 30
Number of tenants with cognitive impairment: 3
Total census: 33
Incident Report date: Dec 31, 2023
Admission date of Tenant #1: Oct 20, 2023
Service plan signed date: Nov 17, 2023
Overall corrective action date: Jan 2, 2024
Plan of correction completion date: Apr 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director | Interviewed regarding Tenant #1's medication administration and pendant functionality |
Inspection Report
Renewal
Census: 30
Deficiencies: 0
Date: Mar 8, 2023
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification of an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive disorder: 6
Number of tenants with cognitive disorder: 24
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 5
Date: Sep 1, 2020
Visit Reason
The inspection was conducted as part of the investigation of Complaint #92780-C, including an onsite infection control survey.
Complaint Details
Investigation of Complaint #92780-C. No deficiencies were cited during the infection control survey portion. Findings included issues with narcotics reconciliation and nurse delegation procedures.
Findings
Deficiencies were found related to medication narcotics reconciliation, staff signatures missing on controlled drug count sheets for June, July, and August 2020, and nurse delegation procedures including insulin administration training and documentation. No deficiencies were cited during the infection control survey.
Deficiencies (5)
Program failed to follow internal policy for narcotics reconciliation; missing signatures on controlled drug count sheets for June, July, and August 2020.
Registered nurse failed to review delegations within 60 days of hire for 4 of 9 staff.
No delegations on file for some staff; delegations not reviewed within 60 days by new directors.
Registered nurse failed to ensure unlicensed staff were trained to meet tenant needs, including insulin administration.
Insulin delegation procedures lacked instruction on actual insulin administration.
Report Facts
Number of tenants without cognitive disorder: 32
Number of tenants with cognitive disorder: 1
Total census: 33
Missing signatures June 2020: 18
Missing signatures July 2020: 22
Staff delegations not reviewed within 60 days: 4
Blood sugar reading: 163
Units of Humalog insulin drawn: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Stated she did not know counting narcotics was required and described narcotic count procedures | |
| Staff C | Administered insulin and medications; stated she was delegated insulin administration but had not observed or been instructed on it | |
| Staff M | Checked blood sugar and administered insulin to Tenant #7 | |
| Assistant Director of Nursing | Assistant Director of Nursing | Confirmed findings regarding narcotic counts and insulin delegations |
| Director | Confirmed findings with Assistant Director of Nursing; was also the delegating RN | |
| Staff F | One of the staff whose delegations were not reviewed within 60 days | |
| Staff J | One of the staff whose delegations were not reviewed within 60 days | |
| Staff K | One of the staff whose delegations were not reviewed within 60 days | |
| Staff L | Previous Director who delegated staff prior to February 2020 |
Inspection Report
Renewal
Census: 34
Deficiencies: 3
Date: Feb 13, 2020
Visit Reason
The inspection was a recertification visit to determine compliance with certification rules for the Assisted Living Program at Northridge Village.
Findings
The program failed to evaluate tenants' functional and cognitive status prior to admission and within 30 days of occupancy for 3 tenants. Additionally, service plans were not developed based on required assessments for these tenants. The Director confirmed these findings.
Deficiencies (3)
Program failed to evaluate tenant's functional status prior to admission for 3 tenants.
Program failed to evaluate functional and cognitive status within 30 days of admission and annually for 3 tenants.
Program failed to develop service plans based on required assessments for 3 tenants.
Report Facts
Number of tenants without cognitive disorder: 34
Number of tenants with cognitive disorder: 0
Total census: 34
Tenants reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director | Confirmed findings on 2-12-2020 at 3:28 p.m. | |
| AL Nurse | Mentioned in plan of correction as responsible for reassessing and rewriting service plans and evaluations. | |
| Clinical Director | Educated AL Nurse on functional assessments and evaluations. |
Inspection Report
Renewal
Census: 39
Deficiencies: 1
Date: Jan 24, 2018
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification requirements for an Assisted Living Program.
Findings
The program failed to complete required nurse reviews every 90 days for tenants receiving personal or health-related care, affecting 4 tenants reviewed. The facility submitted a Plan of Correction to address these regulatory insufficiencies.
Deficiencies (1)
Failure to complete a nurse review every 90 days for tenants receiving personal or health-related care as required by regulation.
Report Facts
Number of tenants without cognitive disorder: 39
Number of tenants with cognitive disorder: 0
Total population of program at time of on-site: 39
Tenants reviewed for nurse review compliance: 4
Inspection Report
Original Licensing
Census: 27
Deficiencies: 1
Date: Feb 1, 2016
Visit Reason
The visit was conducted as a Final Initial Certification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.
Findings
A regulatory insufficiency was cited related to Tenant Rights, specifically that the program did not provide tenants with adequate and appropriate care, treatment, and services, relying instead on emergency personnel for lifting assistance.
Deficiencies (1)
Tenant rights. The program did not provide tenants with care, treatment and services which were adequate and appropriate, relying on emergency personnel for lifting assistance.
Report Facts
Number of tenants without cognitive disorder: 26
Number of tenants with cognitive disorder: 1
Total Population of Program at time of on-site: 27
Total census of Assisted Living Program: 27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator, Adult Services Bureau | Author of the cover letter accompanying the report |
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