Inspection Reports for Solon Assisted Living Village
623 E. 5th Street, Solon, IA, 52333
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 10, 2025, found no deficiencies during the recertification visit. Earlier inspections showed a mix of results, with some complaint investigations substantiating issues related to tenant rights and service plan updates, while others found no regulatory insufficiencies. Main themes of deficiencies included failures to respect tenant dignity and autonomy, incomplete or untimely service plans, and medication administration errors. A notable substantiated complaint in December 2023 involved the facility restricting tenant visits from a former staff member against tenant wishes. The inspection history indicates improvement over time, with the most recent visit showing compliance after previous citations.
Deficiencies (last 10 years)
Deficiencies (over 10 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
68% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
17 residents
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 17
Deficiencies: 0
Date: Mar 10, 2025
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 1
Date: Dec 11, 2023
Visit Reason
The inspection was conducted as part of an investigation of Complaint #114747-C regarding tenant rights and treatment at the facility.
Complaint Details
The visit was complaint-related under Complaint #114747-C. The complaint was substantiated as the facility failed to respect tenant rights by prohibiting visits from a former staff member despite tenant requests.
Findings
The facility failed to treat tenants with consideration, respect, and full recognition of personal dignity and autonomy, as evidenced by prohibiting a former staff member from visiting tenants despite tenants' wishes to maintain contact.
Deficiencies (1)
Failure to treat tenants with consideration, respect, and full recognition of personal dignity and autonomy.
Report Facts
Number of tenants without cognitive impairment: 16
Number of tenants with cognitive impairment: 1
Total census: 17
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 0
Date: Aug 14, 2023
Visit Reason
The inspection was conducted to investigate complaints #109676-C, #109776-C, and #109871-C at Solon Assisted Living Village.
Complaint Details
Complaints #109676-C, #109776-C, and #109871-C were investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigations of the complaints.
Report Facts
Number of tenants without cognitive impairment: 16
Number of tenants with cognitive impairment: 1
Total census: 17
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 9
Date: Jun 13, 2022
Visit Reason
The investigation of Complaints #99891-C and #103754-C and the recertification visit were conducted to determine compliance with certification for an Assisted Living Program.
Complaint Details
The visit was complaint-related based on Complaints #99891-C and #103754-C. The investigation found multiple regulatory insufficiencies as detailed in the findings.
Findings
Multiple deficiencies were cited including failure to follow medication policies related to OTC medication administration, failure to ensure tenant communication rights without restrictions, failure to administer medications as prescribed, failure to complete timely tenant evaluations and service plans, failure to document nurse's notes by exception, and failure to complete nurse reviews every 90 days.
Deficiencies (9)
Program failed to follow policy and procedure related to medication administration for OTC medications for Tenant #2.
Program did not ensure a tenant could communicate privately and without restrictions (Tenant C1).
Program failed to administer medications as ordered to Tenant #3.
Program failed to complete cognitive, health and functional evaluations within 30 days of occupancy for Tenant #2.
Program failed to complete evaluations as needed for Tenant #3 after hospitalization.
Program failed to document nurse's notes by exception for Tenants #2 and #4.
Program failed to update service plans as needed and ensure they were based on evaluations for Tenants #1, #2, #3, and #4.
Program failed to develop service plans within 30 days of occupancy for Tenant #2.
Program failed to complete nurse reviews every 90 days for Tenants #3 and #4.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 0
Medication not available entries: 14
Medication refusal dates: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding medication administration and tenant care. | |
| AL Nurse #2 | Assisted Living Nurse | Interviewed regarding medication administration and tenant care. |
| AL Manager | Interviewed confirming findings and service plan issues. | |
| Staff C | Interviewed regarding tenant communication and care. | |
| Staff B | Interviewed regarding tenant care and activities. | |
| Staff D | Interviewed regarding tenant care and activities. |
Inspection Report
Complaint Investigation
Census: 18
Deficiencies: 2
Date: Mar 22, 2021
Visit Reason
The inspection was conducted as an onsite infection control survey and investigation of Complaint #91751-A and Incident #92151-M at Solon Assisted Living Village.
Complaint Details
The visit was triggered by Complaint #91751-A and Incident #92151-M. The complaint was substantiated as deficiencies were cited related to tenant care and service plans.
Findings
No regulatory insufficiencies were identified in the infection control survey; however, deficiencies were cited related to admission/retention criteria and service plans for tenants, specifically regarding a tenant who required maximal assistance with activities of daily living and whose service plan was not updated to reflect increased care needs.
Deficiencies (2)
The program retained a tenant who required maximal assistance with activities of daily living, which is not permitted under admission/retention criteria.
The program failed to ensure service plans were updated as needed for tenants, including one tenant whose service plan did not reflect increased dependence for ADLs and transfers.
Report Facts
Number of tenants without cognitive disorder: 16
Number of tenants with cognitive disorder: 2
Total census: 18
Tenant #1 weight: 75
Inspection Report
Renewal
Census: 13
Deficiencies: 1
Date: Feb 19, 2020
Visit Reason
The inspection was a recertification visit to determine compliance with certification for an Assisted Living Program.
Findings
The program failed to develop individualized service plans reflecting the identified needs of 3 tenants, including issues related to medical conditions and treatments. A plan of correction was submitted to update service plans and monitor compliance.
Deficiencies (1)
Program failed to develop service plans that reflected the identified needs of 3 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 13
Number of tenants with cognitive disorder: 0
Total census: 13
Inspection Report
Renewal
Census: 19
Deficiencies: 0
Date: Jan 25, 2018
Visit Reason
Recertification conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification inspection.
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 0
Date: Oct 31, 2016
Visit Reason
Investigation of Incident #62031-I at Solon Assisted Living Village.
Complaint Details
Investigation of Incident #62031-I found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of Incident #62031-I. The census included 17 tenants without cognitive disorder and 2 tenants with cognitive disorder, totaling 19 residents on-site.
Report Facts
Number of tenants without cognitive disorder: 17
Number of tenants with cognitive disorder: 2
Total population of program: 19
Inspection Report
Monitoring
Census: 17
Deficiencies: 0
Date: Feb 1, 2016
Visit Reason
The visit was conducted as a Final Incident Investigation and Recertification Monitoring Evaluation following an incident intake related to tenant rights and theft of a narcotic pill.
Complaint Details
Allegation: Tenant Rights. Findings: Not substantiated. The program reported the theft of one narcotic pill, an incident report was completed, investigation conducted, and the Department was notified. No concerns with tenant rights were identified.
Findings
No regulatory insufficiencies were found during the evaluation. The allegation of tenant rights violation was not substantiated, and appropriate actions were taken regarding the incident.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 2
Total Population of Program at time of on-site: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed letter regarding certification and monitoring evaluation |
Inspection Report
Complaint Investigation
Census: 16
Deficiencies: 0
Date: Nov 5, 2013
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation combined with a Complaint/Incident Investigation regarding missing money reported by tenants at Solon Assisted Living Village.
Complaint Details
The complaint involved allegations of tenants having money missing. Investigations were conducted for three tenants (#1, #2, and #3) with detailed incident reports and family member interviews. Law enforcement was involved. Despite the incidents, no regulatory insufficiencies were found.
Findings
No regulatory insufficiencies were found during the evaluation or onsite visit. The complaint investigation involved tenant reports of missing money, but no regulatory violations were identified related to these incidents.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 1
Total census of Assisted Living Program: 16
Incident date range: 2013-11-05 to 2013-12-09
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Cross | Manager | Manager of Solon Assisted Living Village involved in complaint investigation |
| Stephanie Cummins | MA | Monitor conducting the investigation |
Inspection Report
Monitoring
Census: 19
Deficiencies: 0
Date: Oct 3, 2011
Visit Reason
An on-site monitoring evaluation was conducted at Solon Assisted Living Village to complete the Final Recertification Monitoring Evaluation Report as required by Iowa Code and Administrative Code chapters.
Findings
No regulatory insufficiencies were found during this onsite recertification monitoring evaluation. The program did not receive any regulatory insufficiencies during this certification period.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 4
Total Population of Program at time of on-site: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christine Cross | Manager | Manager of Solon Assisted Living Village |
| Margaret Kaltefleiter | RN MS | Monitor conducting the evaluation |
| Rose Boccella | Program Coordinator | Signed the report letter |
Inspection Report
Complaint Investigation
Census: 20
Deficiencies: 1
Date: Nov 2, 2010
Visit Reason
The visit was conducted as a Final Incident Investigation and Initial Certification Monitoring Evaluation at Solon Assisted Living Village following a reported incident involving a tenant who fell and sustained a hip fracture.
Complaint Details
The complaint involved a tenant who was washing dishes, pushed the pendant to alert staff, and was found on the floor. The tenant was hospitalized with a hip fracture. The incident was substantiated with detailed monitoring observations and staff interviews confirming the event and response.
Findings
The investigation found that the tenant fell on 10-6-10, staff responded appropriately, and the tenant was hospitalized with a hip fracture. The program did not ensure current orders for oxygen for tenants receiving health care professional-directed care. No regulatory insufficiencies were noted during this certification period.
Deficiencies (1)
The program did not ensure orders were current for tenants who received health care professional-directed care, specifically regarding oxygen orders.
Report Facts
Current number of tenants without cognitive disorder: 19
Current number of tenants with cognitive disorder: 1
Total Population: 20
Incident Report time: 715
Staff response time: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | Monitor | Conducted the incident investigation and monitoring visit |
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