Inspection Reports for Stirlingshire of Coralville AL

1140 Kennedy Parkway, Coralville, IA, 52241

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Inspection Report Summary

The most recent inspection on July 3, 2025, found no deficiencies during investigations at the facility. Earlier inspections showed a mixed record, with some reports citing deficiencies related to emergency response, tenant care, medication administration, and staff training. Prior issues included delayed emergency pendant responses, incomplete tenant evaluations, medication errors, and inadequate staff training in abuse prevention and food handling. Complaint investigations were mostly unsubstantiated except for one in October 2024 that identified multiple regulatory insufficiencies affecting tenant care and safety. The facility’s inspection history shows improvement since the most recent inspection found no deficiencies following earlier concerns.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

48% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2024
2025

Census

Latest occupancy rate 54 residents

Based on a July 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 20 40 60 80 Nov 2021 Sep 2022 Mar 2024 Oct 2024 Jul 2025

Inspection Report

Plan of Correction
Census: 54 Deficiencies: 0 Date: Jul 3, 2025

Visit Reason
The inspection was conducted as part of investigations 129607-C and 128386-I at the assisted living facility.

Findings
No regulatory insufficiencies were cited during the investigations.

Inspection Report

Complaint Investigation
Census: 57 Deficiencies: 5 Date: Oct 31, 2024

Visit Reason
The inspection was conducted as an investigation of Complaint #121001-C regarding regulatory insufficiencies at Stirlingshire of Coralville Assisted Living Program.

Complaint Details
Investigation of Complaint #121001-C revealed multiple regulatory insufficiencies related to emergency response, tenant rights, medication administration, tenant evaluations, and service plans.
Findings
The investigation found multiple regulatory insufficiencies including failure to follow emergency response policies, inadequate tenant care and services, medication administration errors, incomplete tenant evaluations, and failure to update service plans. These deficiencies affected multiple tenants and involved issues such as delayed pendant response times, falls, incomplete medication documentation, and inadequate care planning.

Deficiencies (5)
Program failed to follow the policy and procedure related to personal emergency response pendants, including delayed response times and non-functioning pendants.
Program failed to provide adequate and appropriate care and services to tenants, including incomplete assistance with tasks and shower schedules.
Program failed to administer medications and complete treatments as ordered, with multiple documentation errors and missed doses.
Program failed to complete tenant evaluations as required, including functional, cognitive, and health status assessments.
Program failed to update and maintain accurate service plans for tenants based on evaluations and changes in condition.
Report Facts
Number of tenants without cognitive disorder: 52 Number of tenants with cognitive disorder: 5 Total census: 57 Longest pendant response time: 58 Average pendant response time: 8 Number of tenants reviewed for medication administration: 6 Number of tenants reviewed for care and services adequacy: 7 Number of tenants reviewed for evaluations: 3 Number of tenants reviewed for service plans: 5

Inspection Report

Renewal
Census: 63 Deficiencies: 2 Date: Mar 7, 2024

Visit Reason
The inspection was a recertification visit to determine compliance with rules for assisted living programs and investigation #119257-C.

Complaint Details
Investigation #119257-C was part of the recertification visit. The complaint involved concerns about medication management and tenant care related to a drug overdose incident.
Findings
The facility failed to ensure adequate care and treatment for a tenant hospitalized due to a drug overdose and failed to administer medication in a sanitary manner to tenants during medication passes.

Deficiencies (2)
Failed to ensure 1 of 1 tenants reviewed who was hospitalized for a drug overdose received adequate care, treatment and services (Tenant #1).
Staff failed to administer medication in a sanitary manner to 2 of 3 tenants observed during a medication pass (Tenant #2 and Tenant #3).
Report Facts
Total census: 63 Tenants without cognitive impairment: 62 Tenants with cognitive impairment: 1

Employees mentioned
NameTitleContext
Amy Kubik-HasleyExecutive DirectorSigned the Plan of Correction document.
Director of NursingMentioned multiple times in relation to findings about medication administration, tenant care, and staff training.
Staff AInvolved in medication pass and response to Tenant #1's overdose incident.
Staff BInvolved in medication pass and communication with EMTs regarding Narcan.
Staff CReported on medication ordering habits of Tenant #1.
Staff DObserved administering medication unsanitarily to tenants.

Inspection Report

Complaint Investigation
Census: 21 Deficiencies: 0 Date: Sep 15, 2022

Visit Reason
Investigation into Complaint #101819-C at the Assisted Living Program.

Complaint Details
Investigation into Complaint #101819-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation.

Report Facts
Number of tenants without cognitive disorder: 20 Number of tenants with cognitive disorder: 1 Total census: 21

Inspection Report

Original Licensing
Census: 9 Deficiencies: 2 Date: Nov 2, 2021

Visit Reason
The inspection was conducted as an initial certification to determine compliance with certification requirements for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the onsite infection control survey. However, deficiencies were found related to dependent adult abuse training and food service orientation training for staff.

Deficiencies (2)
Program failed to ensure 2 of 6 staff completed the two hours of dependent adult abuse training within six months of employment as required by Iowa Code section 235B.16.
Program failed to ensure orientation training on sanitation and safe food handling was provided for 6 of 6 staff responsible for food service prior to handling food.
Report Facts
Number of tenants without cognitive disorder: 8 Number of tenants with cognitive disorder: 1 Total census: 9 Staff reviewed for dependent adult abuse training: 6 Staff reviewed for food service orientation training: 6

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