Inspection Reports for Oaknoll Assisted Living
1 Oaknoll Ct, Iowa City, IA, 522465250
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 25, 2025, identified deficiencies related to medication administration errors and failure to follow policies during the medication pass. Earlier inspections were mostly free of deficiencies, with clean recertification visits reported in 2022, 2018, 2016, and 2014, though some issues with medication documentation, staff training, and dementia-specific education appeared in 2008. Prior deficiencies mainly involved medication management, staff training, and program-specific requirements for dementia care. No fines, enforcement actions, or substantiated complaints were listed in the available reports. The inspection history shows improvement over time, with the most recent citation reflecting a focused area for staff re-education rather than widespread issues.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
1.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
33 residents
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 33
Deficiencies: 1
Date: Mar 25, 2025
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification of a Dedicated Dementia Specific Assisted Living Program.
Findings
The program failed to follow its policies and procedures related to the medication pass, as evidenced by multiple medication administration errors observed during the visit. Staff were re-educated on hand hygiene, glove use, and medication administration protocols, with policies reviewed and signed off.
Deficiencies (1)
The program failed to follow its policies and procedures related to the medication pass, including improper glove use, contamination of medication surfaces, and failure to follow medication administration protocols.
Report Facts
Number of tenants without cognitive impairment: 20
Number of tenants with cognitive impairment: 13
Total census: 33
Tenants observed receiving medications: 7
Tenants with medication errors observed: 6
Staff A training duration: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amber Jedlicka | Director of Health Services | Signed the plan of correction |
| Staff A | Registered Nurse (RN) | Observed administering medications with multiple errors and received re-education |
| Staff B | Registered Nurse (RN) | Assisted with training and system setup for Staff A |
Inspection Report
Renewal
Census: 34
Deficiencies: 0
Date: Apr 12, 2022
Visit Reason
The visit was conducted as a recertification to determine compliance with certification for a Dedicated Dementia Specific Assisted Living Program.
Findings
There were no regulatory insufficiencies cited during the recertification visit for the Dedicated Dementia Specific Assisted Living Program.
Report Facts
Number of tenants without cognitive disorder: 22
Number of tenants with cognitive disorder: 12
Inspection Report
Renewal
Census: 35
Deficiencies: 0
Date: Oct 31, 2018
Visit Reason
Recertification visit conducted to determine compliance with certification rules for a Dedicated Dementia Specific Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Dedicated Dementia Specific Assisted Living Program.
Report Facts
Number of tenants without cognitive disorder: 26
Number of tenants with cognitive disorder: 9
Inspection Report
Renewal
Census: 36
Deficiencies: 0
Date: Nov 15, 2016
Visit Reason
The visit was a recertification visit to determine compliance with certification of an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program at the facility.
Report Facts
Number of tenants without cognitive disorder: 26
Number of tenants with cognitive disorder: 10
Total Population of Program at time of on-site: 36
Total census of Assisted Living Program: 36
Inspection Report
Renewal
Census: 33
Deficiencies: 0
Date: Nov 13, 2014
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were found during the evaluation. The recertification documents were accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans were received.
Report Facts
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 5
Total census of Assisted Living Program: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator, Adult Services Bureau | Author of the Final Recertification Monitoring Evaluation Report |
Inspection Report
Monitoring
Census: 30
Deficiencies: 0
Date: Jun 27, 2012
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review the Plan of Correction and ensure compliance with regulatory requirements for Oaknoll Assisted Living in Iowa City, IA.
Findings
The program was found to be dementia specific and met the requirements for a dementia-specific assisted living program during two sequential certification monitorings. The report accepted the Plan of Correction and noted no regulatory insufficiencies during this certification period.
Report Facts
Number of tenants without cognitive disorder: 24
Number of tenants with cognitive disorder: 6
Total Population of Program at time of on-site: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | MA | Monitor for the Final Recertification Monitoring Evaluation |
| Margaret Kaltefleiter | RN MS | Monitor for the Final Recertification Monitoring Evaluation |
| Rose Boccella | Program Coordinator | Signed the cover letter for the Final Recertification Monitoring Evaluation Report |
Inspection Report
Monitoring
Census: 30
Deficiencies: 0
Date: Dec 13, 2010
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted at Oaknoll Assisted Living to review recertification documents and ensure compliance with Iowa Administrative Code chapters 481-67 and 481-69.
Findings
No regulatory insufficiencies were found during the evaluation. The report notes tenant satisfaction with staff and services, and no substantiated regulatory insufficiencies during the certification period.
Report Facts
Tenants with dementia: 6
Tenants without cognitive disorder: 24
Total population: 30
Tenant meeting attendance: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | MA | Monitor conducting the Final Recertification Monitoring Evaluation |
| Rose Boccella | Program Coordinator, Adult Services Bureau | Author of the cover letter transmitting the Final Recertification Monitoring Evaluation Report |
Inspection Report
Monitoring
Census: 28
Deficiencies: 6
Date: Aug 4, 2008
Visit Reason
The visit was a recertification monitoring evaluation conducted to review the facility's Plan of Correction and assess compliance with regulatory requirements.
Findings
The evaluation found no regulatory insufficiencies during the certification period, but identified several regulatory insufficiencies related to medication administration documentation, food service training, staffing training, and dementia-specific education for program personnel.
Deficiencies (6)
The administration of medications was not consistently documented on Medication Administration Records (MARs).
The program did not consistently provide orientation on sanitation and safe food handling or annual in-service training on food protection for food service staff.
Staff files lacked documented nurse delegation training on medications, treatments, or personal cares.
The program did not consistently provide sufficient trained staff to meet tenants' identified needs.
Staff did not have documented dementia training within 90 days of employment or annually.
The program did not consistently provide a minimum of six hours of dementia-specific continuing education annually for direct-contact personnel.
Report Facts
Current number of tenants with dementia or cognitive disorder: 8
Current number of tenants without cognitive disorder: 20
Total population: 28
Date of monitoring visit: Aug 4, 2008
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patricia Heiden | Executive Director | Named as Executive Director of Oaknoll Assisted Living |
| Stephanie Cummins | SW MA | Monitor conducting the on-site monitoring evaluation |
| Chris Nothaft | Certification Coordinator – Eastern Iowa | Signed letter accepting Plan of Correction |
Inspection Report
Monitoring
Census: 16
Deficiencies: 3
Date: Jul 12, 2004
Visit Reason
An on-site re-certification monitoring evaluation was conducted at Oaknoll Assisted Living to assess compliance with Iowa assisted living program regulations.
Findings
The evaluation identified regulatory insufficiencies including lack of individualized activities for tenants unable to plan their own, incomplete occupancy agreements missing required components, and absence of tenant self-direction in medication administration.
Deficiencies (3)
The program did not document individualized activities on service plans for dementia tenants and others who were unable to plan their own activities.
The program did not provide a new occupancy agreement with the required components when tenant transferred from independent to assisted living.
The program did not provide for tenant self-direction in medication administration.
Report Facts
Number of tenants with dementia: 10
Current General Population ALP Census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Judy Parks | RN | Monitor conducting the on-site evaluation |
Viewing
Loading inspection reports...
