Inspection Reports for Rotary Senior Living
620 SE 5th St, Eagle Grove, IA 50533, United States, IA, 50533
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Inspection Report
Complaint Investigation
Census: 11
Deficiencies: 1
Sep 9, 2024
Visit Reason
The inspection was conducted following the investigation of Incident #123222-I related to a tenant eloping from the secured memory care area.
Findings
The facility failed to ensure the alarm system connected to each exit door in the dementia-specific program operated properly, resulting in a tenant eloping. Corrective actions included door realignment, installation of an audible door alarm system, updated door check policies, staff education, and implementation of systematic long-term solutions.
Complaint Details
The investigation was triggered by Incident #123222-I involving Tenant #1 eloping from the secured memory care area on 08/29/24. The complaint was substantiated as the alarm system was found not to be working properly.
Deficiencies (1)
| Description |
|---|
| The program failed to ensure the alarm system connected to each exit door in the dementia-specific program operated properly. |
Report Facts
Census: 11
Number of tenants with cognitive impairment: 11
Number of tenants without cognitive impairment: 0
Incident date: Aug 29, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Diane Casperson | Administrator | Signed the inspection report |
| Staff B | Interviewed regarding tenant elopement and door alarm system | |
| Staff C | Interviewed regarding tenant elopement | |
| Nursing Supervisor | Contacted department staff and educated them on new door check protocol |
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 4
Jan 31, 2024
Visit Reason
The inspection was conducted to investigate complaints #113691-C, #117974-C, and #112850-C and during recertification to determine compliance with certification for an Assisted Living Program for People with Dementia.
Findings
The program failed to ensure certified and noncertified staff received training regarding service plan tasks, failed to document doctor-ordered tasks on medication administration records, failed to develop service plans prior to admission and based on evaluations, and failed to complete nurse reviews for tenants as required.
Complaint Details
The inspection was triggered by complaints #113691-C, #117974-C, and #112850-C. The findings were substantiated as the program failed in multiple regulatory requirements related to staff training, documentation, service plans, and nurse reviews.
Deficiencies (4)
| Description |
|---|
| Failed to ensure certified and noncertified staff received training regarding service plan tasks such as straight catheterization. |
| Failed to document doctor-ordered tasks on medication administration records (MARs). |
| Failed to develop service plans prior to admission and ensure they were based on evaluations. |
| Failed to complete nurse reviews for tenants at least every 90 days or after significant change in condition. |
Report Facts
Number of tenants with cognitive impairment: 14
Number of tenants without cognitive impairment: 0
Frequency of straight catheterization: 4
Date of last 90-day nurse review for Tenant C-1: Dec 29, 2021
Admission date Tenant C-2: Dec 1, 2023
Admission date Tenant #1: Apr 29, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Diane Casperson | RN, BSN, LNHA | Signed Plan of Correction as Residential Care Facility representative |
| Staff D | Reported assisting Tenant C-1 with straight catheterization without training | |
| Administrator | Confirmed findings related to delegation and documentation failures | |
| Staff B | Confirmed Tenant #1 had no service plan prior to 10/4/23 | |
| LPN | Confirmed Tenant #1 had no nurse reviews on record |
Inspection Report
Original Licensing
Census: 4
Deficiencies: 0
Dec 8, 2020
Visit Reason
Initial certification visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia and to perform an onsite infection control survey.
Findings
No regulatory insufficiencies were cited during the initial certification visit or the onsite infection control survey.
Report Facts
Number of tenants without cognitive disorder: 0
Number of tenants with cognitive disorder: 4
Total census: 4
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 26, 2019
Visit Reason
The visit was conducted as an on-site investigation of Complaint #85219-C filed with the Department.
Findings
No regulatory insufficiencies were cited during the investigation of Complaint #85219-C. The census at the time of the complaint was 1, but was 0 at the time of the investigation.
Complaint Details
Complaint #85219-C was investigated and found to have no regulatory insufficiencies.
Report Facts
Number of tenants without cognitive disorder: 0
Number of tenants with cognitive disorder: 0
Total Census of Assisted Living Program for People with Dementia: 0
Census at time complaint was filed: 1
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