Inspection Reports for Sunset Park Place

The inspection was conducted as part of investigations of Complaint #124959 and Incident #125805-I at the assisted living facility.

No regulatory insufficiencies were cited during the investigations of the complaint and incident.

Investigations of Complaint #124959 and Incident #125805-I found no regulatory insufficiencies.

Investigation of Incident #122409-C at the assisted living program for people with dementia.

No regulatory insufficiencies were cited during the investigation.

Investigation of Incident #122409-C found no regulatory insufficiencies.

The visit was conducted as a recertification survey to determine compliance with certification of an Assisted Living Program for People with Dementia, including investigation of two incidents and one complaint.

No regulatory insufficiencies were cited during the investigation of Incident #121109-I, Incident #121108-I, Complaint #119858-C, and the recertification visit.

Complaint #119858-C was investigated and found to have no regulatory insufficiencies.

The inspection was conducted to investigate multiple incidents and complaints reported at the facility.

No regulatory insufficiencies were cited during the investigation of the listed incidents and complaints.

Investigation covered Incident #119578-I, Complaint #118824-C, Incident #117249-I, Complaint #117206-C, Complaint #117251-C, and Incident #119665-I with no deficiencies found.

The inspection was conducted following the investigation of multiple complaints and a mandatory report concerning potential abuse and neglect at the facility.

The facility failed to follow its written policy regarding the identification and reporting of dependent adult abuse for one tenant. Staff delayed reporting suspected abuse, and improper care was observed during a shower incident causing distress to the tenant.

The visit was complaint-related, triggered by multiple complaints and a mandatory report. The allegations involved suspected abuse of Tenant #5 by staff, delayed reporting of the incident by staff members, and failure to follow abuse reporting policies. The Administrator confirmed the findings and reported the allegations to the Department.

The inspection was conducted as an investigation of Incident #110009-I and Complaint #112069-C related to an elopement event involving Tenant #1 at the assisted living program.

The program failed to follow its policies and procedures related to elopement, door alarm response, visual checks, and keys/door codes for one tenant who eloped. Staff did not adequately check the perimeter of the building when the alarm was triggered, and visual checks were not completed as scheduled. The tenant was found outside in cold weather with frostbite on her feet.

The investigation was triggered by a complaint and incident involving Tenant #1 eloping from the facility on 12/28/22. The complaint was substantiated based on observations, interviews, and record reviews.

The recertification visit was conducted to determine compliance with certification for a Dementia-Specific Assisted Living Program and to investigate Complaint #98727-C.

No regulatory insufficiencies were cited during the recertification visit for the Dementia-Specific Assisted Living Program.

Investigation of Complaint #98727-C was conducted with no regulatory insufficiencies found.

The inspection was conducted as an investigation of Complaint #96754-C and included an onsite infection control survey.

The program failed to provide adequate and appropriate care for 1 of 3 tenants reviewed, specifically Tenant #2, with issues including inadequate shower assistance, lack of task documentation for personal care, and failure to implement task sheets for routine personal care assistance.

Investigation of Complaint #96754-C. The complaint was substantiated as evidenced by the cited regulatory insufficiencies.

The inspection was conducted as a result of the investigation of Incidents #97317-I, #97631-I and Complaint #97858-C, focusing on regulatory insufficiencies related to tenant evaluations, service plans, and respite care services.

The program failed to complete initial evaluations and service plans prior to tenant occupancy and did not ensure service plans reflected tenant needs. There were multiple incidents involving tenants with cognitive impairments, including safety concerns and behavioral issues. The program also failed to ensure documented care needs were followed for respite care individuals.

Investigation of Incidents #97317-I, #97631-I and Complaint #97858-C. The complaint was substantiated as evidenced by multiple regulatory insufficiencies found during the investigation.

The inspection was conducted as a complaint investigation related to tenant rights and care concerns at Sunset Park Place, specifically Complaint #95128-C.

The investigation found that Tenant #1 experienced inadequate care related to shoulder pain and bruising, with documentation and communication deficiencies noted in nursing records and medication administration. The tenant was hospitalized with a fractured rib and clavicle after a fall.

Complaint #95128-C was investigated from 1/12/21 through 1/20/21. The complaint was substantiated based on findings of inadequate care and documentation for Tenant #1.

The inspection was conducted as an investigation of Complaint #90770-C and included an onsite infection control survey.

No insufficiencies were cited during the complaint investigation or the onsite infection control survey.

Complaint #90770-C was investigated and found to have no insufficiencies.

Recertification visit conducted to determine compliance with certification for a Dedicated Dementia Specific Assisted Living Program.

There were no regulatory insufficiencies cited during the recertification visit for the Dedicated Dementia Specific Assisted Living Program.

The inspection was conducted as an investigation of Complaint #79883 at the assisted living facility.

No regulatory insufficiencies were cited during the complaint investigation.

Complaint #79883 was investigated and found to have no regulatory insufficiencies.

Recertification visit conducted to determine compliance with certification for a dedicated dementia specific assisted living program.

No regulatory insufficiencies were cited during the recertification visit for the dedicated dementia specific assisted living program.

The inspection was conducted as an onsite investigation of Complaint #60138-C at the assisted living facility Sunset Park Place Company LLC.

No regulatory insufficiencies were cited during the onsite complaint investigation. The census included 59 residents across general and dementia-specific programs.

Complaint #60138-C was investigated onsite with no regulatory insufficiencies found.

The inspection was conducted as a complaint/incident investigation related to medication management at Sunset Park Place, Dubuque, IA.

The investigation found the allegation of medication management to be unsubstantiated with no regulatory insufficiencies cited during the investigation.

Allegation: Medication Management. Findings: Unsubstantiated. Review of tenant files, staff interviews, and program documents did not reveal any regulatory insufficiency related to medication management.

The visit was conducted as a Final Recertification Monitoring Evaluation to assess compliance with certification requirements for the Assisted Living Program at Sunset Park Place.

No regulatory insufficiencies were found during the evaluation. The review of recertification documents was completed and accepted, including the State Fire Marshal's inspection and Facility Engineer's approval of evacuation plans.

The inspection was conducted as a complaint/incident investigation related to medication management at Sunset Park Place Company, LLC, following a complaint intake #51823-C.

The investigation found the medication management allegation to be unsubstantiated. Reviews of tenant files, staff interviews, and observations revealed no regulatory insufficiencies or forced medication administration.

Allegation: Medication Management. Findings: Unsubstantiated. No regulatory insufficiencies were identified during the investigation.

The visit was a Final Recertification Monitoring Evaluation conducted to review the Plan of Correction and regulatory compliance of Sunset Park Place Assisted Living Program, including tenant documents, service plans, and life safety.

The report found regulatory insufficiencies in tenant documents, service plans, and life safety (specifically exit door alarms). The Plan of Correction was accepted, and the facility was recertified. Tenant satisfaction was generally positive, with some minor issues noted in documentation and service plan reviews.

The visit was a Final Recertification Monitoring Evaluation conducted to assess compliance with Iowa Code and Administrative Code for the assisted living program at Sunset Park Place.

No regulatory insufficiencies were found during the evaluation. The program met all requirements, and the State Fire Marshal's inspection and evacuation plans were approved.

The inspection was conducted as a final incident investigation following a report that a tenant was found on the floor and sustained a hip fracture.

The investigation found no regulatory insufficiencies. The tenant was found to have received appropriate care, with staff responding promptly and adequately to the incident. There were no substantiated deficiencies related to the incident.

The complaint involved a tenant who fell and sustained a hip fracture. The investigation included review of incident reports, staff observations, and resident checks. The tenant received hospice care and was transferred to a skilled nursing facility after surgical repair. No regulatory insufficiencies were substantiated.

The visit was a Final Recertification Monitoring Evaluation conducted to review the assisted living program's compliance with regulatory requirements and to evaluate the program's status as part of the recertification process.

No regulatory insufficiencies were found during this evaluation. Tenant satisfaction was positive with no complaints, and the program was deemed compliant with no substantiated regulatory insufficiencies during the certification period.

The visit was conducted as a final incident investigation regarding a tenant fall incident at Sunset Park Place, an assisted living program, to monitor compliance and investigate complaints related to the incident.

The investigation found that a tenant fell while ambulating with a walker, resulting in multiple injuries requiring hospital care. Staff responded appropriately by calling emergency services and notifying family and healthcare coordinators. No regulatory insufficiencies were identified related to the incident.

The complaint involved a tenant fall on 5-16-09 resulting in injuries including a laceration requiring five sutures, fractured humerus, and fractured femur. The investigation substantiated that staff responded properly and no regulatory insufficiencies were found.