Inspection Reports for
Southfield Wellness Community AL
2416 Des Moines Street, Webster City, IA, 505953514
Back to Facility ProfileDeficiencies (last 12 years)
Deficiencies (over 12 years)
5.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% worse than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
36
27
18
9
0
Occupancy
Latest occupancy rate
114% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 1
Date: Jan 28, 2026
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report an allegation of abuse involving a resident.
Complaint Details
The complaint was substantiated. The facility failed to report the abuse allegation within the required 2-hour timeframe as mandated by state policy.
Findings
The facility failed to report an allegation of abuse to the Iowa Department of Inspections, Appeals, and Licensing within 2 hours as required. The incident involved a staff member placing a gloved hand over a resident's mouth during an x-ray procedure.
Deficiencies (1)
F 0609: The facility failed to timely report suspected abuse to the proper authorities within 2 hours of the allegation for 1 resident. The incident involved a staff member placing a gloved hand over the resident's mouth to stop coughing during an x-ray.
Report Facts
Residents present: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nursing Assistant (CNA) | Reported the abuse incident involving Staff C |
| Staff B | Registered Nurse (RN) | Confirmed the report of abuse from Staff A |
| Staff C | Radiology Technician | Alleged to have placed hand over resident's mouth |
| Staff D | Assistant Director of Nursing (ADON) | Received report of the incident and communicated to DON and Administrator |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 1
Date: Dec 17, 2025
Visit Reason
The inspection was conducted following a complaint investigation regarding the facility's failure to provide timely personal care to a resident incontinent of stool, which potentially compromised the resident's dignity and quality of life.
Complaint Details
The complaint investigation substantiated that Resident #1 was left in soiled briefs multiple times on 11/30/25 due to staff delays and communication issues. Staff D denied telling the resident to wait in a soiled brief but acknowledged delays in care. The facility administrator confirmed the expectation for dignity and respect in care.
Findings
The facility failed to provide timely incontinence care to Resident #1, who required assistance from two staff members, resulting in the resident sitting in a soiled brief for an extended period. Staff communication issues and delays in responding to the resident's call light were documented, with the facility acknowledging the expectation to treat residents with dignity and respect.
Deficiencies (1)
F 0550: The facility failed to honor the resident's right to dignity and timely personal care by not providing prompt incontinence care to Resident #1, who was left in a soiled brief for a prolonged time. Staff delays and communication failures contributed to the resident's discomfort and feelings of disrespect.
Report Facts
Residents present: 56
Call light response times: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Certified Nursing Assistant (CNA) | Named in findings related to delayed incontinence care and communication failures |
| Staff C | Certified Nursing Assistant (CNA) | Named in findings related to incontinence care and staff communication |
| Staff A | Licensed Practical Nurse (LPN) | Conducted interview with Resident #1 during investigation |
| Director of Nursing | Director of Nursing (DON) | Involved in investigation and follow-up with staff |
Inspection Report
Routine
Census: 56
Deficiencies: 6
Date: Nov 18, 2025
Visit Reason
Routine state inspection survey conducted to assess compliance with regulatory standards for nursing home care.
Findings
The facility was found to have multiple deficiencies including failure to maintain a safe and homelike environment, improper use and monitoring of psychotropic medications, failure to follow physician orders for catheter care, inadequate assessment and response to urinary output issues, insufficient supervision to prevent falls, and delayed response to resident call lights.
Deficiencies (6)
F 0584: The facility failed to maintain a safe, clean, and homelike environment by not repairing a broken resident bed footboard and a malfunctioning toilet.
F 0605: The facility failed to prevent the use of unnecessary psychotropic medications for a resident, resulting in increased falls and behavioral issues.
F 0658: The facility failed to follow physician orders for catheter care, using the wrong type of catheter and causing resident discomfort and complications.
F 0684: The facility failed to assess and respond timely to a resident with no urinary output for two days, resulting in an emergency room visit.
F 0689: The facility failed to provide adequate supervision and hourly checks to prevent falls for a resident at risk for falls.
F 0725: The facility failed to provide sufficient nursing staff to respond to resident call lights within 15 minutes, compromising resident safety.
Report Facts
Residents census: 56
Call light response times: 18
Call light response times: 20
Call light response times: 22
Call light response times: 24
Call light response times: 16
Call light response times: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Registered Nurse (RN) | Verified catheter type error and confirmed physician orders for Resident #3 |
| Staff D | Licensed Practical Nurse (LPN) | Acknowledged call lights take longer than 15 minutes to answer due to short staffing |
| Staff E | Certified Nursing Assistant (CNA) | Verified delays in call light response due to short staffing on evening shift |
| Director of Nursing | Acknowledged medication and catheter care deficiencies, call light delays, and supervision issues | |
| Administrator | Acknowledged call light delays and staffing shortages |
Inspection Report
Renewal
Census: 20
Deficiencies: 0
Date: Mar 4, 2025
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 19
Number of tenants with cognitive impairment: 1
Inspection Report
Routine
Census: 54
Deficiencies: 12
Date: Mar 3, 2025
Visit Reason
Routine inspection of Southfield Wellness Community to assess compliance with healthcare regulations and quality of care standards.
Findings
The facility had multiple deficiencies including failure to provide dignified care, incomplete care plans, inadequate restorative care, insufficient bathing assistance, failure to monitor weight and medication effects, delayed call light responses, untrained staff performing treatments, and ineffective antibiotic stewardship. Several issues were repeated from prior surveys.
Deficiencies (12)
F 0550: Facility failed to provide care for 1 of 21 residents in a manner to promote dignity and respect, resulting in incontinent episodes due to staffing shortages.
F 0656: Facility failed to develop and implement a complete care plan addressing high-risk medications and diabetes management for 1 of 21 residents.
F 0676: Facility failed to provide restorative care as recommended for 2 of 2 residents, including delayed initiation and incomplete documentation.
F 0677: Facility failed to provide scheduled bathing and personal hygiene care for 4 residents, with documented missed baths and inadequate staffing.
F 0684: Facility failed to provide appropriate treatment and monitoring for 3 residents with complex medical conditions, including failure to monitor weights and follow up on abnormal labs.
F 0689: Facility failed to provide adequate nursing supervision to prevent accidents and failed to complete thorough root cause analysis and fall interventions for 1 resident.
F 0698: Facility failed to provide safe and appropriate dialysis care, including failure to notify physician of significant weight gains for 1 resident.
F 0713: Facility failed to ensure physician responded promptly to abnormal lab and x ray results for 1 resident, resulting in lack of timely follow-up before resident's death.
F 0725: Facility staff failed to consistently answer call lights within a reasonable time, with multiple residents reporting waits of 20 to 60 minutes or more.
F 0726: Facility failed to ensure nurses and nurse aides had appropriate competencies, allowing a CNA to perform a catheter flush without training or supervision.
F 0865: Facility failed to correct repeated deficiencies in care planning, ADL care, quality of care, safety, dialysis, staffing, and QAPI program effectiveness.
F 0881: Facility failed to implement an effective antibiotic stewardship program, lacking documentation of antibiotic monitoring and evaluation for residents with infections.
Report Facts
Resident census: 54
Call light response times: 37
Weight gains requiring physician notification: 24
Antibiotic treatment duration: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Certified Nursing Aide | Performed catheter flush without training or supervision for Resident #6 |
| Staff F | Certified Nursing Assistant | Reported Resident #13 had incontinence while waiting for staff assistance |
| Staff G | Registered Nurse | Reported documentation practices for bathing |
| Staff H | Registered Nurse | Reported bathing documentation and staffing issues |
| Staff A | Nurse Consultant | Verified care plan deficiencies and follow-up issues |
| Administrator | Reported staffing and policy issues, acknowledged repeated deficiencies | |
| Director of Nursing | DON | Reported restorative care oversight and antibiotic stewardship responsibilities |
| ARNP | Advanced Registered Nurse Practitioner | Delayed review of abnormal labs and x ray for Resident #55 |
Inspection Report
Census: 54
Deficiencies: 2
Date: Mar 3, 2025
Visit Reason
The inspection was conducted to assess compliance with care and safety regulations, including assessment and interventions for residents' physical well-being, accident prevention, and nursing supervision.
Findings
The facility failed to provide adequate assessment and interventions for three residents, including failure to monitor daily weights and document compression stocking use, inadequate nursing supervision to prevent accidents, and failure to complete root cause analysis and implement fall interventions. Documentation and follow-up on abnormal lab and x-ray results were also lacking.
Deficiencies (2)
F 0684: The facility failed to provide appropriate treatment and care according to orders and residents' preferences, including failure to document daily weights and compression stocking use for Resident #27, and inadequate monitoring and documentation for Residents #55 and #20.
F 0689: The facility failed to ensure the nursing home area was free from accident hazards and provide adequate supervision to prevent accidents, including failure to complete a thorough root cause analysis and implement fall interventions for Resident #20.
Report Facts
Resident census: 54
Weight gain: 18.2
Weight gain: 34.4
Skin tear size: 4.5
Skin tear size: 3.5
Skin tear size: 2
Skin tear size: 1.5
BNP lab result: 7919
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding Resident #27's compression stocking orders and documentation | |
| ARNP (Advanced Registered Nurse Practitioner) | Interviewed regarding Resident #27's edema management and Resident #55's care | |
| Staff A | Nurse Consultant | Verified lack of documentation and follow-up on lab results and fall root cause analysis |
| Staff B | Licensed Practical Nurse | Reported on skin assessment procedures and documentation for Resident #20 |
| Administrator | Reported facility policies and follow-up on therapy orders |
Inspection Report
Annual Inspection
Census: 52
Deficiencies: 5
Date: Dec 4, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with professional standards of care, medication administration, catheter care, and incontinence care at Southfield Wellness Community.
Findings
The facility failed to provide appropriate medication administration for Resident #1, resulting in a medication error with antipsychotic dosing for 7 days. The facility also failed to properly manage Resident #2's paraphimosis and catheter care, including failure to ensure secure catheter placement and timely voiding trial documentation. Additionally, Resident #1 experienced inadequate incontinence care leading to prolonged exposure to urine.
Deficiencies (5)
F0658: The facility failed to administer the correct dose of antipsychotic medication for Resident #1 for 7 days due to a pharmacy error and medication order miscommunication.
F0684: The facility failed to routinely assess and provide interventions for Resident #2's paraphimosis, resulting in repeated painful reductions at the Urology Clinic and urethral erosion from catheter tension.
F0684: The facility failed to ensure Resident #2 wore a secure catheter device to prevent pulling and tension on the catheter, contributing to urethral erosion.
F0690: The facility failed to provide appropriate bladder care and timely voiding trial documentation for Resident #2, resulting in over 1 liter of urine retention without proper monitoring.
F0690: The facility failed to provide timely incontinence care for Resident #1, resulting in the resident being found in a urine-soaked bed for an extended period.
Report Facts
Census: 52
Medication error duration: 7
Urine volume retained: 1025
Employee disciplinary actions: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Certified Medication Aide (CMA) | Reported Resident #1 found in urine-soaked bed and assisted with incontinent care |
| Staff C | Certified Nursing Assistant (CNA) | Reported Resident #1's daughter instructed staff to leave resident alone, contributing to incontinence care failure |
| Staff L | Registered Nurse (RN) | Catheterized Resident #2 during voiding trial and reported urine retention |
| Staff M | Licensed Practical Nurse (LPN) | Provided care and reported on Resident #2's catheter and paraphimosis management |
| Director of Nursing (DON) | Director of Nursing | Reported on medication error, catheter securement, and incontinence care expectations |
| Facility ARNP | Advanced Registered Nurse Practitioner | Ordered catheter secure lock and bacitracin for Resident #2 and provided urology follow-up |
Inspection Report
Routine
Deficiencies: 8
Date: Nov 6, 2023
Visit Reason
Routine inspection of Southfield Wellness Community nursing facility to assess compliance with professional standards of quality and regulatory requirements.
Findings
The facility failed to follow physician orders for multiple residents, including failure to apply prescribed devices and treatments, delayed implementation of wound care orders, inadequate assistance with activities of daily living, failure to reposition residents to prevent pressure ulcers, improper use of gait belts during transfers, delayed response to call lights, and failure to discontinue unnecessary psychotropic medications in a timely manner.
Deficiencies (8)
F0658: Facility failed to follow physician orders for 3 residents, including failure to apply edema glove and splint, delayed oxygen order entry, and delayed wound treatment implementation.
F0677: Facility failed to offer timely toileting assistance to Resident #45, who was observed sitting for over 4 hours without being offered toilet use.
F0686: Facility failed to provide appropriate pressure ulcer care and prevent new ulcers for Residents #307 and #39, including delayed treatment orders and failure to identify new skin injury.
F0688: Facility failed to reposition residents to prevent pressure ulcers and failed to provide prescribed range of motion exercises for Resident #12.
F0689: Facility failed to ensure a safe environment and adequate supervision to prevent accidents for 4 residents, including failure to use gait belts during transfers and incomplete incident reporting.
F0693: Facility failed to provide enteral water as ordered for Resident #42, resulting in increased vomiting due to delayed order implementation.
F0725: Facility failed to answer call lights in a timely manner for 4 residents, with delays up to 45 minutes reported and observed.
F0758: Facility failed to discontinue PRN antipsychotic medication for Resident #45 within 14 days as required, continuing medication for 58 days beyond stop date.
Report Facts
Days medication continued beyond stop date: 58
Call light response delay: 45
Call light response delay: 40
Call light response delay: 16
Water flow rate: 25
Water flow rate ordered: 20
Pressure ulcer wound size: 5
Pressure ulcer wound size: 5.5
Pressure ulcer wound size: 0.2
Pressure ulcer wound size: 1.2
Pressure ulcer wound size: 1
Pressure ulcer wound size: 0.1
Pressure ulcer wound size: 1
Pressure ulcer wound size: 1
Pressure ulcer wound size: 0.1
Burn size: 2.8
Burn size: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Registered Nurse (RN) | Named in finding related to failure to apply edema glove and splint for Resident #49 |
| Staff I | Certified Nurse Aide (CNA) | Named in fall incident involving Resident #7 |
| Staff Q | Registered Nurse (RN) | Named in fall incident involving Resident #7 and wound treatment |
| Staff L | Certified Medication Aide (CMA) | Named in wound care and repositioning observations for Resident #307 |
| Staff O | Certified Nurse Aide (CNA) | Named in wound care and repositioning observations for Resident #307 |
| Staff J | Certified Nurse Aide (CNA) | Named in transfer observation for Resident #1 |
| Staff G | Certified Nurse Aide (CNA) | Named in transfer observation for Resident #1 |
| Staff H | Certified Nurse Aide (CNA) | Named in call light response observation for Resident #7 |
| Staff D | Licensed Practical Nurse (LPN) | Named in heat pad incident for Resident #11 |
| Staff M | Certified Nurse Aide (CNA) | Named in heat pad education for staff |
| Staff N | Certified Nurse Aide (CNA) | Named in heat pad education for staff |
Inspection Report
Complaint Investigation
Deficiencies: 23
Date: Nov 6, 2023
Visit Reason
The inspection was conducted based on complaints and allegations regarding resident care, abuse reporting, notification failures, care planning, medication management, and infection control at Southfield Wellness Community.
Complaint Details
The visit was complaint-related, triggered by multiple allegations including failure to notify physicians, abuse reporting failures, inadequate care planning, medication errors, infection control breaches, and staffing issues. Some complaints were substantiated as detailed in the findings.
Findings
The facility was found deficient in multiple areas including failure to notify physicians of significant weight changes, failure to report and investigate potential abuse, failure to notify ombudsman of resident transfers, incomplete care plans, failure to follow physician orders, inadequate resident supervision, delayed response to call lights, improper medication management, and infection control breaches.
Deficiencies (23)
F 0580: The facility failed to notify the physician of significant weight gains for Resident #38 despite multiple documented weight increases exceeding facility thresholds.
F 0609: The facility failed to timely report a potential abuse incident involving Resident #308 to the proper authorities.
F 0610: The facility failed to thoroughly investigate a potential abuse situation involving Resident #308, lacking interviews and documentation.
F 0623: The facility failed to send a copy of a notice of transfer to the Office of the State Long Term Care Ombudsman for 3 residents.
F 0625: The facility failed to provide bed hold notices to residents #4 and #49 or their representatives upon hospital discharge.
F 0644: The facility failed to complete new Preadmission and Resident Review (PASRR) evaluations as required for residents #4 and #11.
F 0656: The facility failed to develop a care plan addressing risk factors and interventions related to type 2 diabetes and insulin use for Resident #25.
F 0657: The facility failed to update care plans with fall interventions and feeding assistance needs for Residents #1 and #5.
F 0658: The facility failed to follow physician orders for residents #307, #39, and #49 including wound care, oxygen use, and edema glove application.
F 0677: The facility failed to offer timely toileting assistance to Resident #45, who was observed sitting in a chair for over 4 hours without repositioning.
F 0684: The facility failed to reassess Resident #11 for electric wheelchair safety after an accident.
F 0686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers for Residents #307 and #39, including delayed treatment orders and failure to identify new skin injuries.
F 0688: The facility failed to reposition residents #307 and #45 to prevent pressure injuries and failed to provide range of motion exercises for Resident #12.
F 0689: The facility failed to keep residents safe from accidents and hazards for Residents #7, #28, #1, and #11, including failure to use gait belts, complete neurological assessments, and incident reporting.
F 0692: The facility failed to monitor fluid intake for Residents #307, #46, and #38 who had fluid restrictions or hydration needs.
F 0693: The facility failed to implement a dietitian's order to decrease water flow in enteral feedings for Resident #42, resulting in increased vomiting and delayed order implementation.
F 0698: The facility failed to perform complete dialysis assessments before and after treatment for Residents #46 and #38, missing vital signs, weights, and access site monitoring.
F 0725: The facility failed to answer call lights in a timely manner for Residents #11, #25, #12, and #7, with documented delays up to 45 minutes.
F 0757: The facility failed to discontinue an as needed antipsychotic medication for Resident #45 and failed to follow up on pharmacy recommendations for two months.
F 0812: The facility failed to ensure staff performed proper hand hygiene when feeding residents and failed to maintain resident personal refrigerators within safe temperature ranges.
F 0865: The facility failed to identify and correct quality deficiencies through root cause analysis and failed to implement effective corrective actions.
F 0880: The facility failed to wear gloves when removing dirty dressings during wound care for Resident #26.
F 0943: The facility failed to provide dependent adult abuse recertification training within 3 years for Staff B.
Report Facts
Deficiencies cited: 27
Residents affected: 55
Fluid restriction: 1500
Weight increases: 9
Medication discontinuation delay: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff I | Certified Nurse Aide | Involved in Resident #7 fall and abuse incident investigation |
| Staff B | Licensed Practical Nurse | Late dependent adult abuse recertification training |
| Staff D | Licensed Practical Nurse | Failed to wear gloves during wound care for Resident #26 |
| Staff E | Registered Nurse | Reported dialysis assessment practices |
| Staff Q | Registered Nurse | Involved in Resident #7 fall and wound care |
| Director of Nursing | Director of Nursing | Provided multiple interviews and acknowledged deficiencies |
| Administrator | Administrator | Provided multiple interviews and acknowledged deficiencies |
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 1
Date: Apr 18, 2023
Visit Reason
The inspection was conducted due to a failure to test all residents for COVID-19 after a staff member tested positive following a shift where she passed medications throughout the facility.
Complaint Details
The investigation was triggered by a complaint regarding failure to test residents after a staff member tested positive for COVID-19. The complaint was substantiated with findings that residents were not tested despite exposure risk.
Findings
The facility did not test residents for COVID-19 after a staff member tested positive the day after working and passing medications. The facility reported a census of 52 residents and decided not to test residents because the staff member was not considered to have had close contact with residents.
Deficiencies (1)
F 0886: The facility failed to test all residents for COVID-19 after a staff member tested positive the day following her shift where she passed medications throughout the building. The facility decided not to test residents as the staff member was not considered to have had close contact with any resident for 15 minutes or more.
Report Facts
Residents census: 52
Deficiencies cited: 1
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 2
Date: Apr 18, 2023
Visit Reason
The inspection was conducted due to complaints regarding failure to provide care and services according to accepted clinical standards and failure to ensure safety interventions during resident transfers.
Complaint Details
The complaint investigation revealed substantiated findings that the facility failed to provide nebulizer treatments as ordered for Resident #6 and failed to follow safe transfer protocols for Resident #2, leading to a fall and fracture. Staff interviews indicated lack of knowledge and communication about transfer requirements and incident reporting.
Findings
The facility failed to provide proper administration and documentation of nebulizer treatments for Resident #6 and failed to ensure safe transfer procedures for Resident #2, resulting in a fall and a fractured leg. Documentation and communication deficiencies were noted among staff regarding transfer protocols and post-fall assessments.
Deficiencies (2)
F 0658: The facility failed to provide care and services according to accepted clinical standards for Resident #6 by not consistently administering and documenting nebulizer treatments as ordered.
F 0689: The facility failed to ensure safety interventions during transfers for Resident #2, resulting in the resident sliding down from an EZ Stand lift, sustaining a fractured leg, and inadequate follow-up and communication after the incident.
Report Facts
Census: 52
Dates of missed nebulizer treatments: 9
Incident date: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nurse Aide (CNA) | Involved in transferring Resident #2 alone, contrary to care plan |
| Staff B | Registered Nurse (RN) | Assisted during Resident #2's fall and involved in post-fall assessment and documentation |
| Staff E | Licensed Practical Nurse (LPN) | Notified of Resident #2's fall and involved in follow-up care and communication |
| Director of Nursing (DON) | Director of Nursing | Provided expectations for medication documentation and transfer protocols |
| Administrator | Facility Administrator | Interviewed regarding care plan follow-up and incident reporting |
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 5
Date: Aug 11, 2022
Visit Reason
The inspection was conducted based on complaints and concerns related to smoking safety reassessments, influenza and pneumococcal vaccination policies, COVID-19 testing compliance during an outbreak, and COVID-19 vaccination status of residents and staff.
Complaint Details
The investigation was complaint-driven focusing on smoking safety reassessments, vaccination compliance, and COVID-19 testing and vaccination documentation.
Findings
The facility failed to reassess smoking safety interventions for residents, failed to ensure influenza and pneumococcal vaccinations were administered according to CDC guidelines for one resident, failed to follow CDC COVID-19 testing guidelines for some staff during an outbreak, and failed to properly document COVID-19 vaccination status and education for one resident.
Deficiencies (5)
F 0684: The facility failed to reassess 2 of 3 residents for smoking safety interventions after their initial assessment, resulting in residents smoking without required safety equipment.
F 0689: The facility failed to ensure adequate supervision and reassessment of adaptive equipment for smoking safety for 2 residents, leading to unsafe smoking practices and burn holes on residents' clothing and blankets.
F 0883: The facility failed to follow CDC recommendations for influenza and pneumococcal vaccinations for one resident, who declined vaccines but had signed consent and lacked documentation of vaccine administration.
F 0886: The facility failed to follow CDC guidelines for COVID-19 testing of staff during an outbreak, with two staff members not tested twice weekly as required.
F 0887: The facility failed to properly educate and document COVID-19 vaccination status for one resident, who lacked vaccination and education documentation despite eligibility.
Report Facts
Residents census: 52
COVID-19 positive cases: 8
COVID-19 positive cases: 4
COVID-19 community transmission rate: 129
COVID-19 community transmission rate: 203
COVID-19 community transmission rate: 142
Inspection Report
Renewal
Census: 22
Deficiencies: 0
Date: May 25, 2022
Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive disorder: 21
Number of tenants with cognitive disorder: 1
Total census: 22
Inspection Report
Renewal
Census: 26
Deficiencies: 0
Date: Jul 10, 2018
Visit Reason
The recertification visit was conducted to determine compliance with certification of an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Inspection Report
Monitoring
Census: 28
Deficiencies: 0
Date: Jul 28, 2016
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to assess compliance with Iowa Administrative Code chapters for the Assisted Living Program at Southfield Wellness Community.
Findings
No regulatory insufficiencies were found during this evaluation. The review included recertification documents, State Fire Marshal inspection report, and Facility Engineer's approval of evacuation plans.
Report Facts
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 0
Total Population of Program: 28
Inspection Report
Monitoring
Census: 22
Deficiencies: 0
Date: Nov 4, 2014
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review recertification documents and evaluate compliance with Iowa Administrative Code for the Southfield Wellness Community assisted living program.
Findings
No regulatory insufficiencies were found during the evaluation. The program was accepted, and the Assisted Living Program Certificate was issued with effective dates from May 16, 2014 through May 15, 2016. Tenant satisfaction was generally positive with no significant issues reported.
Report Facts
Number of tenants without cognitive disorder: 22
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 22
Number of tenants attending satisfaction meeting: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Miner | RN BSN | Monitor conducting the evaluation |
| Jim Friberg | Bureau Chief | Monitor conducting the evaluation |
| Rose Boccella | Program Coordinator | Author of the cover letter and contact for certification questions |
Inspection Report
Renewal
Census: 24
Deficiencies: 0
Date: May 10, 2012
Visit Reason
The visit was conducted as a final recertification monitoring evaluation for the Southfield Wellness Community Assisted Living Program to review recertification documents and ensure compliance with Iowa Administrative Code chapters 481-67 and 481-69.
Findings
No regulatory insufficiencies were found during the evaluation. The program was accepted, and the Assisted Living Program Certificate was issued with effective dates from May 16, 2012 through May 15, 2014. Tenant satisfaction was generally positive with no regulatory insufficiencies noted during the onsite investigation.
Report Facts
Number of tenants without cognitive disorder: 24
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 24
Tenant meeting attendance: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deb Schaefer | Administrator | Administrator of Southfield Wellness Community mentioned in report |
| Lori Miner | RN BSN | Monitor conducting the evaluation |
| Rose Boccella | Program Coordinator | Author of the cover letter and report coordinator |
Inspection Report
Monitoring
Census: 29
Deficiencies: 0
Date: Jun 23, 2010
Visit Reason
An on-site monitoring evaluation was conducted at Southfield Assisted Living on June 23, 2010, as part of the final recertification monitoring evaluation process.
Findings
No regulatory insufficiencies were found during this evaluation. Tenant satisfaction was positive, the building and grounds were very clean, and staff demonstrated compassion and training to provide needed services.
Report Facts
Current number of tenants without cognitive disorder: 28
Current number of tenants with cognitive disorder: 1
Total Population: 29
Tenants attending community meeting: 27
Inspection Report
Monitoring
Census: 15
Deficiencies: 1
Date: Mar 20, 2008
Visit Reason
The visit was a final recertification monitoring evaluation conducted to review compliance with assisted living program requirements and to assess progress on any previously identified regulatory insufficiencies.
Complaint Details
There were no substantiated complaints during this certification period.
Findings
The program was generally satisfactory with tenant satisfaction reported as high and no substantiated complaints during the certification period. However, a regulatory insufficiency was identified related to inconsistent assessment and documentation of tenants' health status and lack of nurse review for certain physician orders.
Deficiencies (1)
The program did not consistently assess and document the health status of each tenant, make recommendations and referrals as appropriate, and monitor progress on previous recommendations at least every 90 days or if there are changes in health status.
Report Facts
Current number of tenants without cognitive disorder: 12
Current number of tenants with cognitive disorder: 3
Total Population: 15
Medication dosage: 250
Medication dosage: 250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Streepy | RN | Monitor conducting the evaluation |
Inspection Report
Monitoring
Census: 16
Deficiencies: 0
Date: Mar 21, 2006
Visit Reason
An on-site monitoring evaluation was conducted at Southfield Wellness Community Assisted Living to assess compliance with assisted living program regulations as part of recertification monitoring.
Complaint Details
There were no substantiated complaints during this certification period.
Findings
There were no regulatory insufficiencies noted during this on-site evaluation. Tenant/family satisfaction was positive, with tenants expressing satisfaction with services, safety, food, and activities.
Report Facts
Tenants without cognitive disorder: 14
Tenants with cognitive disorder: 2
Total tenants: 16
Tenants present at community meeting: 12
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