The most recent inspection on October 28, 2024, found no deficiencies during the recertification visit. Earlier inspections showed a mix of findings, including medication administration errors, incomplete tenant evaluations, and missing or outdated service plans, particularly noted in a substantiated complaint investigation from December 5, 2023. Prior reports also cited issues with nurse reviews and staff training related to food service and delegated nursing tasks. Complaint investigations were mostly unsubstantiated except for the one in late 2023, which confirmed deficiencies in medication and care documentation. The facility’s record shows some recurring challenges with tenant evaluations and medication management, but the most recent inspection indicates improvement in compliance.
Deficiencies (last 10 years)
Deficiencies (over 10 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% better than Iowa average
Iowa average: 4.4 deficiencies/year
Deficiencies per year
43210
2006
2008
2010
2011
2014
2016
2018
2022
2023
2024
Census
Latest occupancy rate2 residents
Based on a October 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
The inspection was conducted as an investigation of Complaint #112978-C regarding regulatory insufficiencies at Oakland Heights Assisted Living Program.
Findings
The investigation found that the program failed to consistently administer medications as ordered, complete tenant evaluations annually or with significant change, and develop or update service plans annually for tenants reviewed.
Complaint Details
Investigation of Complaint #112978-C. The complaint was substantiated with findings of medication administration errors, incomplete evaluations, and missing service plans.
Deficiencies (3)
Description
Failed to consistently ensure tenants received medications as ordered.
Failed to consistently complete tenant evaluations as needed with significant change or at least annually.
Failed to consistently ensure service plans were developed and/or updated annually.
Report Facts
Number of tenants without cognitive impairment: 0Number of tenants with cognitive impairment: 1Total census: 1
The visit was a recertification inspection to determine compliance with rules for an Assisted Living program and to investigate Complaint #93225-C and conduct an onsite infection control survey.
Findings
No regulatory insufficiencies were found related to the complaint investigation or infection control survey. However, deficiencies were cited during the recertification visit related to failure to evaluate tenants annually or with significant change and failure to ensure nurse reviews were completed every 90 days for tenants receiving prescription medications.
Complaint Details
Complaint #93225-C was investigated with no regulatory insufficiencies cited.
Deficiencies (2)
Description
Failure to evaluate each tenant's functional, cognitive, and health status annually or with significant change as required.
Failure to ensure nurse reviews were conducted every 90 days for tenants receiving program-administered prescription medications.
Report Facts
Number of tenants without cognitive disorder: 1Number of tenants with cognitive disorder: 0Total population of program at time of on-site: 1Last 90 day nurse review date: May 12, 2020
The visit was conducted as a Final Recertification Monitoring Evaluation to review recertification documents and ensure compliance with Iowa Code and Administrative Code for the Assisted Living Program at Oakland Heights.
Findings
No regulatory insufficiencies were found during the evaluation, and the recertification documents were accepted. The State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans were also received.
Report Facts
Number of tenants without cognitive disorder: 10Number of tenants with cognitive disorder: 0Total census of Assisted Living Program: 10
The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals following a survey by DIA to evaluate regulatory insufficiencies in Food Service and Staffing at Oakland Heights Assisted Living.
Findings
The report identified regulatory insufficiencies related to food service training documentation and staff competency in nurse-delegated tasks. Specific deficiencies included lack of annual food protection training for food service staff and incomplete documentation of competency by the program's registered nurse for delegated nursing tasks.
Deficiencies (3)
Description
The program did not provide documentation of annual food protection training for three staff members responsible for food service.
The program's registered nurse did not document staff competency to perform nurse-delegated tasks within six months of employment.
The Administrator had not completed a course related to Iowa rules and laws on assisted living programs within six months of hire.
Report Facts
Number of tenants without cognitive disorder: 10Number of tenants with cognitive disorder: 0Total census: 10Tenants attending satisfaction meeting: 6
The visit was a final recertification monitoring evaluation conducted to review recertification documents and ensure compliance with Iowa Administrative Code chapters 481-67 and 481-69 for Oakland Heights Assisted Living.
Findings
No regulatory insufficiencies were found during the evaluation. The program census was 10 residents, with 9 without cognitive disorder and 1 with cognitive disorder. Tenant satisfaction was positive, and the onsite monitoring evaluation found no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 9Number of tenants with cognitive disorder: 1Total census: 10
The visit was a Final Recertification Monitoring Evaluation conducted to assess compliance with Iowa Code and Administrative Code for assisted living programs, including review of recertification documents and fire safety approvals.
Findings
No regulatory insufficiencies were found during the evaluation. Tenants expressed satisfaction with the program, staff responsiveness, and available activities. The program history showed no substantiated regulatory insufficiencies during the certification period.
Report Facts
Current number of tenants without cognitive disorder: 11Current number of tenants with cognitive disorder: 0Total Population: 11Tenants attending community meeting: 10
Employees Mentioned
Name
Title
Context
Tamara Halvorson
ASB Lead Certification Coordinator
Signed the Final Recertification Monitoring Evaluation Report
Hal L. Chase
RN BSN MPH
Monitor conducting the on-site monitoring evaluation
An on-site monitoring evaluation was conducted at Oakland Heights Assisted Living on February 18, 2008, to assess compliance with assisted living program regulations and recertification requirements.
Findings
The program was found to have a regulatory insufficiency related to inconsistent documentation of physician orders, specifically lacking consistent dates and times on orders for tenants. Tenant satisfaction was generally positive with no substantiated complaints during the certification period.
Deficiencies (1)
Description
The program did not consistently have written documentation showing date and time of physician orders.
Report Facts
Current number of tenants without cognitive disorder: 7Current number of tenants with cognitive disorder: 1Total Population: 8
The visit was a recertification monitoring evaluation conducted to assess compliance with Iowa assisted living program regulations at Oakland Heights Assisted Living.
Findings
The evaluation found that tenants were generally satisfied with services and staff, and no substantiated complaints were reported during the certification period. However, a regulatory insufficiency was identified as the program did not complete cognitive evaluations on tenants within 30 days of admission.
Deficiencies (1)
Description
The program does not complete a cognitive evaluation on each tenant within 30 days of admission.
Report Facts
Current number of tenants without cognitive disorder: 6Current number of tenants with cognitive disorder: 1Total Population: 7
Employees Mentioned
Name
Title
Context
Charles Pleak
Administrator
Administrator of Oakland Heights Assisted Living
Hal L. Chase
RN BSN MPH
Monitor conducting the evaluation
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