Inspection Reports for Summit Pointe Senior Living
3505 English Glen Avenue, Marion, IA, 52302
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 11, 2025, found deficiencies related to inconsistent adherence to food storage and temperature monitoring policies. Earlier inspections showed a pattern of issues involving service planning, medication administration, discharge procedures, and staff training. Complaint investigations substantiated deficiencies in individualized service plans, nurse delegation, and discharge processes, while some complaints were found unsubstantiated. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The inspection history indicates ongoing challenges with documentation and care planning, with no clear improvement trend over time.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
93 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 93
Deficiencies: 1
Date: Jun 11, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to Complaint #125786-C regarding the facility's adherence to food storage and food temperature policies.
Complaint Details
The visit was triggered by Complaint #125786-C. There were no regulatory insufficiencies cited related to Complaint #128139-C. The deficiency related to Complaint #125786-C was substantiated as the program failed to follow food storage policies.
Findings
The program failed to consistently follow established policies regarding food storage and food temperature monitoring, including incomplete recording of refrigerator, freezer, and food temperatures, potentially affecting all tenants (census of 93). No regulatory insufficiencies were cited related to Complaint #128139-C.
Deficiencies (1)
Failure to follow established policies regarding food and food storage, including incomplete recording of refrigerator and freezer temperatures and food temperatures.
Report Facts
Census: 93
Number of tenants without cognitive impairment: 86
Number of tenants with cognitive impairment: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melinda Haley | Submitted the Plan of Correction letter on behalf of Summit Pointe Assisted Living | |
| Culinary Director | Interviewed regarding food temperature logs and policies | |
| Executive Director | Interviewed regarding refrigerator and freezer temperature logs |
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 3
Date: Aug 8, 2024
Visit Reason
The inspection was conducted as a complaint investigation into Complaint #121428-C and Incident #121491-I, following a prior complaint #119810-C which had no regulatory insufficiencies.
Complaint Details
The complaint investigation into Complaint #121428-C and Incident #121491-I found regulatory insufficiencies related to discharge procedures, nurse delegation, and service planning for Tenant C1. Complaint #119810-C investigation found no regulatory insufficiencies.
Findings
The investigation found regulatory deficiencies related to failure to follow discharge procedures, inadequate nurse delegation and staff training, and failure to provide an individualized service plan addressing pain management for one discharged tenant (Tenant C1). No written discharge notice was provided, and staff did not consistently follow training or document pain management needs.
Deficiencies (3)
Failure to follow established discharge procedure as stated in the occupancy agreement for Tenant C1.
Staff failed to follow training provided when caring for Tenant C1, including improper use of gait belt during ambulation and transfers.
Service plan was not individualized and did not address pain needs for Tenant C1.
Report Facts
Number of tenants without cognitive impairment: 87
Number of tenants with cognitive impairment: 1
Total census: 88
Dates of pain medication administration: 7
Emergency room visits: 7
Inspection Report
Complaint Investigation
Census: 99
Deficiencies: 3
Date: Jan 25, 2024
Visit Reason
The inspection was conducted as a complaint investigation for Complaint #113997-C and a recertification visit to determine compliance with certification for an Assisted Living Program.
Complaint Details
Complaint #113997-C was investigated and found unsubstantiated as noted in the Plan of Correction section.
Findings
The program failed to follow established policies and procedures related to medication administration for 3 of 4 tenants observed during a medication pass. Additionally, the program failed to update service plans as needed for multiple tenants and failed to complete nurse reviews as required for some tenants.
Deficiencies (3)
Failed to follow established policies and procedures related to medication administration for 3 of 4 tenants observed during a medication pass.
Failed to update service plans as needed for 4 of 9 current tenants and 2 of 2 discharged tenants reviewed.
Failed to complete nurse reviews as needed for 2 of 9 current tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 96
Number of tenants with cognitive disorder: 3
Total census: 99
Tenants observed during medication pass: 4
Tenants with medication administration issues: 3
Current tenants with service plan update issues: 4
Discharged tenants with service plan update issues: 2
Current tenants with nurse review issues: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Observed administering medications improperly during medication pass. | |
| Director of Nursing | Confirmed medication administration policies and nurse review requirements during interview. | |
| Executive Director | Confirmed all service plans and nurse reviews were provided for tenants reviewed. |
Inspection Report
Complaint Investigation
Census: 97
Deficiencies: 0
Date: Jan 31, 2023
Visit Reason
Investigation of Complaint #104914-C at Summit Pointe Senior Living.
Complaint Details
Complaint #104914-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Report Facts
Number of tenants without cognitive disorder: 95
Number of tenants with cognitive disorder: 2
Total census: 97
Inspection Report
Renewal
Census: 62
Deficiencies: 0
Date: Nov 17, 2021
Visit Reason
Recertification visit conducted to determine compliance with certification of an Assisted Living Program, including investigation of Incident #93200-I and an onsite infection control survey.
Findings
No regulatory insufficiencies were cited during the recertification visit, the investigation of Incident #93200-I, or the onsite infection control survey.
Report Facts
Number of tenants without cognitive disorder: 58
Number of tenants with cognitive disorder: 4
Total population of Program at time of on-site: 62
Inspection Report
Routine
Census: 80
Deficiencies: 0
Date: Jul 21, 2020
Visit Reason
The inspection was conducted as an onsite infection control survey between 7/14/20 and 7/21/20 at Summit Pointe Senior Living.
Findings
There were no regulatory insufficiencies cited during the onsite infection control survey.
Report Facts
Number of tenants without cognitive disorder: 73
Number of tenants with cognitive disorder: 7
Total census: 80
Inspection Report
Original Licensing
Census: 98
Deficiencies: 1
Date: Jan 3, 2019
Visit Reason
An initial certification visit was conducted 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 of 10 tenants reviewed, including failure to update plans to reflect discharge from therapy services and current oxygen care status.
Deficiencies (1)
Program failed to develop service plans that reflected identified needs of 3 of 10 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 88
Number of tenants with cognitive disorder: 10
Total census of Assisted Living Program: 98
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kate Stevens | Director of Nursing | Named in Plan of Correction letter outlining corrective measures for service plans |
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