Inspection Reports for The Rose of East Des Moines

Investigation of complaints #124062-C and #124450-C at the assisted living facility.

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

Investigation of Complaint #124062-C and #124450-C found no regulatory insufficiencies.

Investigation of complaints #115159-C, 117627-C, and 118078-C at the assisted living facility.

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

Complaints #115159-C, 117627-C, and 118078-C were investigated and found to have no regulatory insufficiencies.

The visit was a recertification inspection to determine compliance with certification rules for an Assisted Living Program and to review complaints 110613-C, 113020-C, and 114969-C.

No regulatory insufficiencies were cited during the recertification visit, indicating compliance with certification rules for the Assisted Living Program.

Investigation of complaints #104399-C, #104459-C, and #105200-C at the assisted living facility.

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

Investigation of Complaint #104399-C, #104459-C, and #105200-C found no regulatory insufficiencies.

Investigation of complaint #99081 and an infection control review at the assisted living facility.

No regulatory insufficiencies were cited during the complaint investigation or the infection control review.

Complaint #99081 was investigated and found to have no regulatory insufficiencies.

The visit was conducted as a recertification to determine compliance with certification rules for an Assisted Living Program, including investigation of complaints #93105 and 94016, and an onsite infection control survey.

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

Investigation of complaints #93105 and 94016 was conducted with no regulatory insufficiencies cited.

The inspection was conducted to investigate Complaints #87234-C and 87469-C at the assisted living program.

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

Investigation of Complaints #87234-C and 87469-C found no regulatory insufficiencies.

Investigation of Complaint #82551-C at the assisted living facility Rose of East Des Moines.

No regulatory insufficiencies were cited during the complaint investigation.

Complaint #82551-C was investigated and found to have no regulatory insufficiencies.

A recertification visit was conducted to determine compliance with certification for an Assisted Living Program, including investigation of complaints #81508-C and #81530-C.

No regulatory issues were cited regarding complaint #81530-C. Deficiencies were identified related to tenant rights, specifically staff failing to treat tenants with dignity and respect, and failure to notify the Long-Term Care Ombudsman of an involuntary transfer.

Complaint #81508-C and Complaint #81530-C were investigated. No regulatory issues were cited for complaint #81530-C. The complaint investigation found failure to notify the Long-Term Care Ombudsman about an involuntary transfer, and staff failing to treat tenants with dignity and respect.

The inspection was conducted as an investigation of Complaint #80299-C regarding tenant rights and adequacy of care, treatment, and services provided to residents.

The program failed to provide adequate care, treatment, and services for one of four tenants reviewed, including failure to discuss discharge planning and provide appropriate education related to physical therapy refusal and level of care exceedance.

The investigation was related to Complaint #80299-C. No regulatory insufficiencies were cited for Complaints #79904-C or #80576-C. The complaint was substantiated as evidenced by the cited deficiency.

Investigation of Complaint #77803 at the assisted living program Rose of East Des Moines.

No regulatory insufficiencies were cited during the investigation of Complaint #77803. The census included 54 tenants without cognitive disorder and 0 with cognitive disorder.

Complaint #77803 was investigated and found to have no regulatory insufficiencies.

The inspection was conducted to investigate Complaint #76415-C at the assisted living program.

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

Complaint #76415-C was investigated and found to have no regulatory insufficiencies.

The inspection was conducted as an investigation of complaints numbered 75149-C and 75643-A at the assisted living program.

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

Investigation of Complaints 75149-C and 75643-A found no regulatory insufficiencies.

Investigation of complaints #76326 and #76220 at the assisted living program Rose of East Des Moines.

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

Complaints #76326 and #76220 were investigated and found to have no regulatory insufficiencies.

The inspection was conducted as part of an investigation of complaint #72464 regarding the facility's failure to ensure proper written communication of changes in a tenant's health status.

The program failed to ensure written communication regarding a change in a tenant's health status was available for 1 of 1 tenants reviewed. Tenant #1 fell and sustained a fractured right arm, but staff failed to properly document and report the incident as required.

The complaint investigation revealed that Tenant #1 fell on 11/1/17, staff did not respond appropriately, and the incident was not properly documented. Staff A admitted to leaving the tenant without assistance and only writing the incident in a book that was not available. The tenant was hospitalized with a fractured arm and transferred to a skilled nursing facility. The former staffing policy allowed night staff to sleep, which was changed by new management.

The inspection was conducted as a complaint investigation related to complaint #72464 concerning a tenant's fall and related care issues at the assisted living program.

The program failed to ensure written communication regarding a change in a tenant's health status, specifically related to a tenant fall incident that resulted in a fractured arm and hospitalization. Documentation and communication deficiencies were noted, including missing incident reports and communication logs.

The complaint investigation was triggered by complaint #72464. The tenant fell on 11/1/17, was hospitalized with a fractured right arm, and reported concerns about staff communication and truthfulness. The investigation found missing incident documentation and communication failures. The incident involved a change in contracted service providers and issues with overnight staff policies.

The inspection was conducted as an investigation of Incident #67896-I at the assisted living program.

No regulatory insufficiencies were cited during the investigation of Incident #67896-I.

Investigation of Incident #67896-I with no regulatory insufficiencies found.

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

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

Investigation of Complaint #62905-C at the Assisted Living Program Rose of East Des Moines.

No regulatory insufficiencies were cited during the investigation of the complaint. The census at the time of the on-site visit was 61 residents.

Complaint #62905-C was investigated and found to have no regulatory insufficiencies.

The inspection was conducted as a complaint/incident investigation regarding an allegation that a tenant was confined to their apartment.

The allegation was found to be not substantiated. Observations, staff and tenant interviews, and review of records showed tenants were free to come and go, common areas were accessible, and no issues with tenant rights or missing items were identified. No regulatory insufficiencies were cited.

Allegation: Tenant Rights - It was alleged a tenant was confined to the apartment. Findings: Not Substantiated.

The inspection was conducted as a complaint/incident investigation based on allegations related to food quality, staffing, structural issues, and other concerns at the Rose of East Des Moines assisted living program.

No regulatory insufficiencies were identified. All allegations, including those related to food quality, staffing, structural repairs, and mold concerns, were found to be not substantiated or did not rise to the level of regulatory insufficiency.

The investigation addressed multiple allegations including food alternatives, food quality, staffing in the kitchen, provision of ice machines, gluten-free meals, repair issues such as broken blinds and plaster on walls, mold or mildew in air conditioners, feral cats on property, and food being burned or served in odd combinations. All findings were either 'Not Substantiated' or 'Do not rise to the level of a regulatory insufficiency.'

A recertification visit and complaint investigation were conducted for the Assisted Living Program at Rose of East Des Moines following complaints #51519-C and #51285-C.

No regulatory insufficiencies were found related to Complaint #51519-C (Tenant Rights), which was unsubstantiated. Regulatory insufficiencies were identified related to Complaint #51285-C and the recertification visit, specifically regarding involuntary transfer from the program and service plans.

Complaint #51519-C regarding Tenant Rights was investigated and found unsubstantiated. Complaint #51285-C involved issues with involuntary transfer notification and service plans, with regulatory insufficiencies cited.

The inspection was conducted as a complaint/incident investigation following a tenant death reported on April 1, 2014, to assess compliance with regulations and investigate the circumstances surrounding the incident.

The investigation found no regulatory insufficiencies. Tenant #1 died of natural causes with no evidence of intracranial pathology. The program had instituted a door flag system and followed policies related to tenant monitoring. Staff interviews and documentation indicated no concerns about the tenant's mental or physical state prior to death.

The complaint involved a tenant death on April 1, 2014. The investigation included interviews with staff and review of medical examiner's report. No regulatory insufficiencies were identified and the death was determined to be from natural causes.

The inspection was conducted in response to a complaint alleging a tenant was unable to sleep well at night due to an infestation of mice in his/her apartment.

The investigation found evidence of a rodent infestation primarily in the maintenance garage and some tenant apartments, with multiple mouse traps placed and several dead mice removed. The program had ongoing rodent control issues despite pest control efforts, and tenants reported fear and inability to sleep due to the infestation. A regulatory insufficiency was cited for failure to maintain the buildings and grounds in a clean, safe, and sanitary condition.

Complaint/Incident Intake #44810-C involved allegations of a tenant unable to sleep due to mice infestation. The complaint was substantiated with findings of rodent presence in multiple apartments and the maintenance garage, tenant reports of sightings and fear, and ongoing pest control challenges.

The inspection was conducted as a complaint/incident investigation regarding an alleged infestation of mice in a tenant's apartment at the Rose of East Des Moines assisted living program.

The investigation found evidence of a rodent infestation problem primarily centered around the maintenance garage and multiple tenant apartments. The pest control company had placed numerous traps and removed dead mice, but the infestation persisted. Several tenants reported sightings of mice and expressed fear and inability to sleep due to the infestation. The program was cited for regulatory insufficiency related to maintaining clean, safe, and sanitary buildings and grounds.

The complaint alleged that a tenant was unable to sleep well at night due to an alleged infestation of mice in his/her apartment. The complaint was substantiated based on observations of mouse droppings, multiple mouse traps placed and checked, tenant and staff interviews confirming sightings and fear of mice, and ongoing rodent control issues despite pest control efforts.

The visit was a Final Recertification Monitoring Evaluation of the Assisted Living Program at Rose of East Des Moines to assess regulatory compliance and tenant service plans.

The program was found to have regulatory insufficiencies related to evaluation of tenant cognitive and functional status and service plans. A $500 civil penalty was assessed, and a Plan of Correction was submitted and accepted.

The inspection was conducted as a Final Complaint/Incident Investigation in response to allegations including tenant mistreatment, failure to report incidents, forged home health aide visit notes, and tenant mail being thrown away.

The investigation found no regulatory insufficiencies related to tenant rights, staffing, criteria for admission and retention, tenant documents, or mail handling. Some deviations from rules were noted but did not meet the standard for regulatory insufficiency.

The complaint investigation was substantiated with findings that some rule deviations occurred, such as failure to report a tenant fall and incomplete evaluations and service plans, but no regulatory insufficiencies were cited.

The visit was conducted as a final incident investigation following a report that a tenant tripped over a cable securing patio furniture, leading to injury and hospitalization.

The investigation found that the tenant tripped over a cable attached to patio furniture, resulting in a hospital admission for fractures. The program had removed the cables after the incident and no regulatory insufficiencies were identified.

The complaint involved an incident where Tenant #1 tripped over a cable securing patio furniture on the back patio. The tenant was hospitalized with a diagnosis of C-5-C6 Compression Fracture and Bilateral Broken Arms. The investigation found no regulatory insufficiencies and the cables were removed after the incident.

The visit was a Final Recertification Monitoring Evaluation Revisit conducted to evaluate regulatory compliance and monitor corrective actions at The Rose of East Des Moines assisted living program.

No regulatory insufficiencies were found during this evaluation. The program had previously received regulatory insufficiencies related to service plans and staffing, but these were not noted during this revisit.

The inspection was a Final Recertification Monitoring Evaluation conducted at The Rose of East Des Moines to assess regulatory insufficiencies related to Service Plan and Staffing as part of the assisted living program recertification process.

The report identified regulatory insufficiencies in the service plan and staffing, including inadequate monitoring for signs and symptoms of hypoglycemia and hyperglycemia and insufficient nurse delegated training for staff. A $1,000 civil penalty was assessed, and a Plan of Correction was accepted.

A complaint investigation was conducted due to an allegation of a bed bug infestation at Rose of East Des Moines assisted living program.

The investigation found an ongoing concern with bed bug infestation, but the program had hired a pest control company that was treating affected areas and following recommended practices. No regulatory insufficiencies were identified.

Complaint #28047-C alleged an infestation of bed bugs. The complaint was investigated with interviews and record reviews. The program was found to be actively addressing the issue with pest control treatments and guidance. No regulatory insufficiencies were substantiated.

A complaint and incident investigation visit was conducted at the Rose of East Des Moines Assisted Living on November 4, 12, 19 & 23, 2009 to investigate regulatory insufficiencies related to evaluation of tenant, service plan, nurse review, and structural requirements.

The investigation found regulatory insufficiencies in evaluation of tenant, service plan, nurse review, and structural requirements including incomplete evaluations, incomplete nurse reviews, and failure to complete required fire drills. The program was assessed a $5,000 civil penalty.

Complaint investigation involved allegations of regulatory insufficiencies in evaluation of tenant, service plan, nurse review, and structural requirements. The complaint was substantiated and a $5,000 civil penalty was assessed.

An on-site monitoring evaluation was conducted as part of the Final Initial Certification process for Rose of East Des Moines Assisted Living Program to assess regulatory compliance and approve the Plan of Correction.

The report identified multiple regulatory insufficiencies including incomplete functional evaluations prior to tenant admission, inconsistent development and updating of individualized service plans, and failure to complete required employee record checks prior to hire. The Plan of Correction submitted by the program was accepted.