Inspection Reports for The Heritage at Fox Run

Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.

No regulatory insufficiencies were cited during the recertification visit.

Investigation of Complaint #119396-C to assess regulatory compliance at Heritage at Fox Run Assisted Living.

No regulatory insufficiencies were cited during the complaint investigation. The program met criteria to be an Assisted Living Program for People with Dementia for the last two recertification visits.

Complaint #119396-C was investigated and found to have no regulatory insufficiencies.

The inspection was conducted due to the investigation of Complaint #110010-C, Incident 109812-I, and the recertification visit to determine compliance with certification of an Assisted Living Program for People with Dementia.

The program failed to complete required tenant evaluations within 30 days of occupancy for 4 of 6 tenants, failed to evaluate tenants with significant change for 2 of 6 tenants, failed to develop service plans based on evaluations for 5 of 6 tenants, failed to ensure signatures on updated service plans for all 6 tenants, and failed to complete required 90-day nurse reviews for all 6 tenants.

The inspection was triggered by Complaint #110010-C and Incident 109812-I. The complaint investigation found multiple regulatory insufficiencies related to tenant evaluations, service plans, and nurse reviews.

The inspection was conducted to investigate Incident #102946-I at the assisted living facility.

No regulatory insufficiencies were cited during the investigation of the incident.

Investigation of Incident #102946-I found no regulatory insufficiencies.

Investigation of Incident #102946-I at Heritage at Fox Run Assisted Living.

No regulatory insufficiencies were cited during the investigation of the incident.

Investigation of Incident #102946-I found no regulatory insufficiencies.

The visit was conducted as a recertification to determine compliance with certification of an Assisted Living Program, including an onsite infection control survey and investigation of several incidents and a complaint.

No regulatory insufficiencies were cited during the recertification visit, the infection control survey, or the investigations of incidents and complaint.

Recertification conducted to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were cited during the recertification inspection.

Investigation of Incident #60403-I and recertification to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were cited during the investigation of Incident #60403-I or during the recertification conducted to determine compliance with certification for the Assisted Living Program.

Investigation of Incident #60403-I found no regulatory insufficiencies.

The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.

No regulatory insufficiencies were found during this evaluation. The program was reviewed and accepted, and it did not meet the definition of dementia-specific during this recertification visit.

The inspection was conducted as a complaint/incident investigation regarding an allegation of bed bugs infestation in a tenant's apartment at Fox Run Assisted Living.

The investigation found evidence of bed bugs in the tenant's apartment and surrounding areas, which were treated and remediated through pest control measures and replacement of affected items. No regulatory insufficiencies were identified.

The complaint alleged a case of bed bugs in Tenant #1's apartment. The onsite investigation confirmed the presence of bed bugs, leading to treatment and remediation efforts including heat treatment, chemical treatment, and replacement of bedding and furniture. Tenant interviews indicated satisfaction with the program's response. No regulatory insufficiencies were found.

The report is a Final Recertification Monitoring Evaluation Report for Fox Run Assisted Living, documenting a monitoring visit conducted to evaluate compliance with regulatory requirements and the Plan of Correction submitted by the facility.

The report found regulatory insufficiencies related to the exit door alarm system and record checks, specifically that not all doors were alarmed as required for a dementia-specific program and that background checks for a staff member were incomplete. The Department of Inspections and Appeals accepted the facility's Plan of Correction and Request for Reconsideration.

A complaint investigation was conducted at Fox Run Assisted Living on January 4, 2011, following allegations related to tenant care, service plan, and medication administration.

The investigation found regulatory insufficiencies in the evaluation of tenants, service plans, and medication administration, including tenant refusal of medications and assistance, inadequate functional and cognitive evaluations, and improper medication management.

Complaint Allegation #32188-C involved a tenant hospitalized for hypokalemia, alcoholism, and malnutrition, with findings of alcohol and medication misuse, refusal of care, and inadequate program response. The complaint investigation confirmed multiple regulatory insufficiencies.

A complaint investigation on-site visit was conducted at Fox Run Assisted Living on October 25, 2010, to investigate allegations related to tenant care and regulatory compliance.

The investigation found multiple regulatory insufficiencies including failure to complete functional, cognitive, and health evaluations after significant changes in tenant health status, incomplete service plan updates, a medication error involving an overdose of morphine, and deficiencies in food service and staffing documentation.

Complaint Allegation #29598-C involved a tenant with multiple bruises and falls not properly documented by the program. Complaint Allegation #30397-C involved a staff medication error resulting in an overdose of morphine to a tenant.

A complaint investigation was conducted due to an incident where a tenant left the assisted living program without signing out and became lost near a local golf course clubhouse.

The investigation found that the tenant had cognitive impairment and a history of wandering, with no alarms or monitors on exit doors. The tenant eloped without notifying staff and was found incontinent. The program failed to follow up with the physician regarding medication effects. The tenant's family opted for increased visual checks to prevent further incidents.

The complaint involved a tenant who left the program to visit a nearby golf course clubhouse, took a wrong turn, and was found lost at an apartment complex. The tenant had cognitive impairment and a history of wandering. The tenant eloped without signing out or notifying staff. There were no alarms on exit doors. The tenant was found incontinent and the program failed to follow up on medication administration. The family chose increased visual checks and possible discharge if elopement recurs.

An on-site monitoring evaluation was conducted at Fox Run Assisted Living to assess compliance with Iowa assisted living program regulations as part of the initial certification monitoring process.

The evaluation identified multiple regulatory insufficiencies including failure to evaluate tenants' functional and cognitive status as needed, failure to transfer a tenant who chronically wanders into danger, lack of updated individualized service plans, improper medication storage, staff lacking appropriate chauffeur licenses for tenant transportation, inadequate individualized activities, and incomplete employee criminal background checks prior to hire.

There were no substantiated complaints this certification period.