Inspection Reports for Parkview Assisted Living

114 Forest Street, Fairbank, IA, 506297713

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Inspection Report Summary

The most recent inspection on April 1, 2025, found no deficiencies during the recertification visit or the complaint investigation. Earlier inspections showed a mix of results, with some citations related to nurse delegation documentation and apartment door security, while other visits found no deficiencies. Deficiencies primarily involved nurse delegation procedures and physical security features, with prior issues also including service plan documentation, staff training, and nursing oversight. A substantiated complaint investigation in 2008 identified medication administration and service plan deficiencies, but no enforcement actions or fines were listed in the available reports. The inspection history suggests improvement over time, with the most recent visit showing compliance after earlier mixed findings.

Deficiencies (last 9 years)

Deficiencies (over 9 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
2004
2008
2010
2012
2014
2016
2018
2022
2025

Census

Latest occupancy rate 8 residents

Based on a April 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

0 6 12 18 24 30 Jul 2004 Aug 2008 Feb 2012 Aug 2016 Nov 2022 Apr 2025

Inspection Report

Renewal
Census: 8 Deficiencies: 0 Date: Apr 1, 2025

Visit Reason
The visit was conducted as a recertification to determine compliance with certification rules for an Assisted Living Program and to investigate Complaint #123314-C.

Complaint Details
Investigation of Complaint #123314-C was conducted with no regulatory insufficiencies found.
Findings
No regulatory insufficiencies were cited during the recertification visit or the complaint investigation.

Report Facts
Number of tenants without cognitive impairment: 8 Number of tenants with cognitive impairment: 0 Total census: 8

Inspection Report

Renewal
Census: 12 Deficiencies: 1 Date: Nov 16, 2022

Visit Reason
The recertification visit was conducted to determine compliance with certification of an Assisted Living Program.

Findings
The program failed to meet nurse delegation procedures as the newly hired registered nurse did not document a review within 60 days of employment to ensure staff competency on required tasks.

Deficiencies (1)
Failure to document a review within 60 days of the nurse's employment ensuring staff were sufficiently trained on required tasks.
Report Facts
Number of tenants without cognitive disorder: 11 Number of tenants with cognitive disorder: 1 Total Population of Program at time of on-site: 12

Inspection Report

Renewal
Census: 19 Deficiencies: 1 Date: Aug 22, 2018

Visit Reason
The visit was a recertification inspection to determine compliance with certification for an Assisted Living Program.

Findings
The program failed to have single-action, lockable entrance doors on tenant apartments, which is a regulatory insufficiency cited during the recertification visit.

Deficiencies (1)
Program failed to have single-action, lockable entrance doors on tenant apartments.
Report Facts
Number of tenants without cognitive disorder: 19 Number of tenants with cognitive disorder: 0

Employees mentioned
NameTitleContext
Stephanie MichelsAdministratorSigned as provider/supplier representative on the statement of deficiencies and plan of correction

Inspection Report

Renewal
Census: 16 Deficiencies: 0 Date: Aug 23, 2016

Visit Reason
The visit was conducted as a recertification to determine compliance with certification for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the recertification conducted for the Assisted Living Program at the time of the on-site visit.

Report Facts
Number of tenants without cognitive disorder: 16 Number of tenants with cognitive disorder: 0 Total Population of Program at time of on-site: 16 Total census of Assisted Living Program: 16

Inspection Report

Monitoring
Census: 17 Deficiencies: 0 Date: Jul 23, 2014

Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation for Parkview Assisted Living to assess compliance with Iowa Administrative Code chapters 481—67 and 481—69 and to review recertification documents submitted by the facility.

Findings
No regulatory insufficiencies were found during this evaluation or the onsite recertification monitoring evaluation. Tenants expressed satisfaction with services and the environment, and the facility met all regulatory requirements.

Report Facts
Number of tenants without cognitive disorder: 17 Number of tenants with cognitive disorder: 0 Total Population of Program at time of on-site: 17 Total census of Assisted Living Program: 17

Employees mentioned
NameTitleContext
Courtney R. RochetteAdministratorAdministrator of Parkview Assisted Living named in the report
Wendy E. KuhseRN BSMonitor conducting the evaluation
Rose BoccellaProgram CoordinatorAuthor of the cover letter and contact person for the report

Inspection Report

Monitoring
Census: 20 Deficiencies: 3 Date: Feb 8, 2012

Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review the Plan of Correction in response to a Preliminary Recertification Monitoring Evaluation Report and to evaluate regulatory compliance of Parkview Assisted Living.

Findings
The report found regulatory insufficiencies related to individualized service plans, food service training, and staffing. The program did not receive any regulatory insufficiencies during the certification period, but the monitoring visit identified deficiencies in service plan documentation, food protection training, and nurse delegation for medication administration.

Deficiencies (3)
The service plan did not reflect reminders of blood sugar checks and insulin, nor the identified needs of tenants with cognitive impairments.
Staff did not have annual in-service training on food protection and no staff member had current safe food handling training since March 2010.
Staff did not have nurse delegations for reminders of blood sugars and insulin, and did not have appropriate training to fully meet tenants' identified needs.
Report Facts
Number of tenants without cognitive disorder: 17 Number of tenants with cognitive disorder: 3 Total Population of Program at time of on-site: 20 Number of tenants attending community meeting: 13 Number of tenant files reviewed: 4 Number of staff files reviewed: 4

Employees mentioned
NameTitleContext
Courtney RochetteAdministratorNamed as facility administrator
Stephanie CumminsMAMonitor conducting the evaluation
Rose BoccellaProgram CoordinatorSigned letter transmitting report

Inspection Report

Monitoring
Census: 17 Deficiencies: 0 Date: Aug 24, 2010

Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review the assisted living program's compliance with Iowa Code and Administrative Code requirements, including review of recertification documents and fire marshal inspection.

Findings
No regulatory insufficiencies or deficiencies were found during the evaluation. Tenant satisfaction was positive, and the program was deemed safe with adequate nursing services and activities.

Report Facts
Current number of tenants without cognitive disorder: 17 Current number of tenants with cognitive disorder: 0 Total Population: 17 Tenants present at community meeting: 10

Employees mentioned
NameTitleContext
Joyce KixRNMonitor conducting the evaluation

Inspection Report

Complaint Investigation
Census: 17 Deficiencies: 4 Date: Aug 18, 2008

Visit Reason
The visit was conducted as an incident investigation at Parkview Assisted Living following a complaint related to medication administration and service plan deficiencies.

Complaint Details
The complaint investigation was triggered by an incident allegation involving medication administration errors and service plan deficiencies. The investigation included review of tenant records and interviews with staff and tenants. The complaint was substantiated with findings of regulatory insufficiencies.
Findings
The investigation found multiple regulatory insufficiencies including failure to update tenant service plans appropriately, inadequate nursing oversight, and insufficient trained staff to meet tenant needs. The Plan of Correction submitted was accepted by the Department of Inspections and Appeals.

Deficiencies (4)
The program did not develop service plans by a health care professional in consultation with the tenant and legal representative, and plans lacked required signatures.
Service plans were not updated within 30 days of occupancy or as needed by a multidisciplinary team.
The program did not provide nursing services in accordance with Iowa Code, including lack of supervision of Licensed Practical Nurse (LPN).
The program did not have sufficient trained staff available at all times to meet tenants' identified needs.
Report Facts
Current number of tenants without cognitive disorder: 17 Current number of tenants with cognitive disorder: 0 Total Population: 17 Hydrocodone tablets ordered: 1000 Hydrocodone tablets on hand: 27 Hydrocodone tablets indicated on narcotic count sheet: 30

Employees mentioned
NameTitleContext
Courtney RochetteAdministratorNamed as facility administrator in relation to the incident investigation
Lincoln NewsomRNMonitor for the incident investigation
Stephanie CumminsMAMonitor for the incident investigation

Inspection Report

Monitoring
Census: 17 Deficiencies: 7 Date: Mar 26, 2008

Visit Reason
An on-site monitoring evaluation was conducted at Parkview Assisted Living on March 26, 2008, to review the facility's compliance with regulatory requirements and the Plan of Correction in response to identified regulatory insufficiencies.

Findings
The program had several regulatory insufficiencies including failure to evaluate tenants' functional and cognitive status timely, incomplete service plan updates, medication administration errors, lack of proper nurse review documentation, inadequate food service menu planning, and insufficient staff training on food safety. The Plan of Correction was accepted with requirements for improvements.

Deficiencies (7)
The program did not evaluate each tenant’s functional, cognitive and health status within 30 days of occupancy and as needed, but not less than annually.
Service plans were not updated in consultation with tenants nor signed by tenants.
Medication Administration Records (MAR) were not signed appropriately and medication administration was not supervised by a licensed nurse as required.
Physician orders were signed and dated but not timed by the registered nurse.
The program did not consistently have written documentation of nursing activities including signature, date, and time of physician orders.
The program did not provide personnel responsible for food preparation and serving with orientation on sanitation and safe food handling and annual in-service training.
Menus were not planned to provide the required percentage of daily recommended dietary allowances as established by the Food and Nutrition Board of the National Research Council.
Report Facts
Current number of tenants without cognitive disorder: 17 Current number of tenants with cognitive disorder: 0 Total Population: 17 Medication errors: 5

Employees mentioned
NameTitleContext
Courtney RochetteAdministratorNamed as facility administrator and signer of Plan of Correction and correspondence
Lincoln NewsomRNMonitor conducting the on-site monitoring evaluation
Chris NothaftCertification Coordinator – Eastern IowaReviewer of Plan of Correction and correspondence

Inspection Report

Monitoring
Census: 9 Deficiencies: 0 Date: Jul 22, 2004

Visit Reason
An on-site monitoring evaluation was conducted at Parkview Assisted Living to assess compliance with assisted living program regulations as part of the initial certification monitoring process.

Findings
The on-site monitor found no regulatory insufficiencies during the course of the evaluation. Tenant and family satisfaction was very positive.

Report Facts
Current General Population ALP Census: 9 Number of tenants with dementia: 0

Employees mentioned
NameTitleContext
Beverly A. JohnsonRNMonitor conducting the on-site evaluation
Glenn MeierAdministratorAdministrator of Parkview Assisted Living

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