The most recent inspection on September 2, 2025, found no deficiencies during a complaint investigation. Earlier inspections generally showed compliance with certification requirements, with no regulatory insufficiencies cited in the last several visits. Past deficiencies primarily involved staffing issues, incomplete record checks, and service plan documentation, with some earlier concerns about medication reminders and cognitive evaluations. A $500 civil penalty was issued in 2008 related to food service menu oversight and employee background checks, but no enforcement actions were listed in more recent reports. The inspection history indicates improvement over time, with recent inspections showing no cited deficiencies.
Deficiencies (last 8 years)
Deficiencies (over 8 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
2008
2010
2012
2014
2016
2018
2022
2025
Census
Latest occupancy rate9 residents
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
A recertification visit and investigation of Complaint #61297-C was completed at River Living Center.
Findings
The inspection found deficiencies related to staffing, record checks, and service plans. Specific issues included failure to provide services according to training, incomplete criminal and abuse record checks, and inadequate individualized service plans for tenants.
Complaint Details
Investigation of Complaint #61297-C was conducted. Deficiencies were cited related to staffing, record checks, and service plans.
Deficiencies (3)
Description
Program failed to provide services to one tenant in accordance with the training provided related to nurse delegation and administration of eye drops.
Program failed to secure an evaluation from the Department of Human Services prior to employment for one staff member, violating record check requirements.
Program failed to develop and/or amend individualized service plans as needed for three tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 8Number of tenants with cognitive disorder: 0Total population at time of on-site: 8
Employees Mentioned
Name
Title
Context
Mary Eulberg
RN
Signed the plan of correction for service plans deficiency.
The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals to evaluate regulatory compliance related to tenant evaluations at River Living Center.
Findings
The report found a Regulatory Insufficiency regarding the evaluation of tenants, specifically that initial cognitive evaluations were not completed by a registered nurse as required. The program must submit a Plan of Correction to address this insufficiency.
Deficiencies (1)
Description
Initial cognitive evaluations were not completed by a registered nurse or appropriate health care professional as required.
Report Facts
Number of tenants without cognitive disorder: 6Total census of Assisted Living Program: 6
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 ensure compliance with Iowa Administrative Code chapters 481-67 and 481-69.
Findings
The report found no regulatory insufficiencies during the certification period. Tenant satisfaction was positive, and the program was compliant with service plan and medication administration requirements, although some documentation deficiencies were noted in medication reminders and service plan updates.
Deficiencies (2)
Description
The service plan did not reflect medication reminders and wound care orders and was not updated when changes were needed.
Medications and medication reminders were not documented after administration as required by the medication administration protocol.
Report Facts
Number of tenants without cognitive disorder: 8Number of tenants with cognitive disorder: 0Total census of Assisted Living Program: 8
Employees Mentioned
Name
Title
Context
Joy Meyer
Manager
Manager of River Living Center, mentioned in relation to medication administration and service plan findings
The visit was a Final Recertification Monitoring Evaluation conducted to review recertification documents and evaluate compliance with Iowa Code and Administrative Code for the River Living Center assisted living program.
Findings
No regulatory insufficiencies were found during the evaluation. The program was accepted, and the State Fire Marshal's inspection and Facility Engineer's approval of evacuation plans were also received. Tenant satisfaction was positive with no issues reported.
Report Facts
Current number of tenants without cognitive disorder: 8Current number of tenants with cognitive disorder: 0Total Population: 8
An on-site monitoring evaluation was conducted at River Living Center to assess regulatory compliance related to assisted living programs, including monitoring, civil penalties, and complaints.
Findings
The program had regulatory insufficiencies in food service menu oversight and employee record checks, including incomplete background checks prior to hire. A civil penalty of $500 was assessed, and the Plan of Correction was accepted.
Deficiencies (2)
Description
The program provided hand written menus that were not developed by a registered dietician and did not meet required dietary allowances.
The program did not complete required Department of Public Safety, criminal history, and Department of Human Services dependent adult abuse checks prior to hiring an employee.
Report Facts
Civil penalty amount: 500Current number of tenants without cognitive disorder: 5Current number of tenants with cognitive disorder: 0Total population: 5
Employees Mentioned
Name
Title
Context
Lincoln Newsom
RN
Monitor conducting the evaluation
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