Inspection Reports for
Solon Assisted Living Village
623 E. 5th Street, Solon, IA, 52333
Back to Facility Profile7 Reports
Inspection Report — Mar 10, 2025
Renewal
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 — Dec 11, 2023
Complaint Investigation
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.
Violations (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
Inspection Report — Aug 14, 2023
Complaint Investigation
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
Inspection Report — Jun 13, 2022
Complaint Investigation
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.
Violations (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 — Jun 1, 2022
Renewal
Date: Jun 1, 2022
Visit Reason
The visit was a recertification visit conducted from June 1 to June 13, 2022, to determine compliance with certification of an Assisted Living Program.
Findings
The program failed to administer medications as prescribed to Tenant #3 during November 2021, resulting in multiple days where medications were not available and administered. No medication error report was completed, and the tenant experienced adverse health events including hospitalization.
Violations (1)
67.5(2)f(4) Medications: The program failed to administer medications as ordered to Tenant #3, who did not receive prescribed medications for multiple days in November 2021. This failure was documented by medication administration records and staff communication reports indicating the tenant was nauseated and vomiting.
Report Facts
Fine amount: 2000
Inspection Report — Mar 22, 2021
Complaint Investigation
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.
Violations (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
Tenant #1 weight: 75
Inspection Report — Feb 19, 2020
Renewal
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.
Violations (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
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