Inspection Reports for Tower Living Center
103 E Centre St, Garnavillo, IA 52049, IA, 52049
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 30, 2024, found no deficiencies during the recertification visit or the complaint investigation. Earlier inspections generally showed no regulatory insufficiencies during certification periods, though monitoring visits identified issues such as incomplete documentation, medication administration errors, nurse review gaps, and food service menu concerns. Complaint investigations were completed with no substantiated deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history shows improvement over time, with recent inspections free of cited deficiencies after earlier monitoring visits noted some issues.
Deficiencies (last 7 years)
Deficiencies (over 7 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
3 residents
Based on a July 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 3
Deficiencies: 0
Date: Jul 30, 2024
Visit Reason
The visit was conducted as a recertification to determine compliance with certification rules for an Assisted Living Program and included an investigation of Complaint #116875-C.
Complaint Details
Investigation of Complaint #116875-C was completed with no regulatory insufficiencies cited.
Findings
No regulatory insufficiencies were cited during the recertification visit or as a result of the complaint investigation.
Report Facts
Number of tenants without cognitive impairment: 3
Number of tenants with cognitive impairment: 0
Total census: 3
Inspection Report
Renewal
Census: 3
Deficiencies: 0
Date: Dec 1, 2022
Visit Reason
Recertification conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification inspection.
Inspection Report
Renewal
Census: 5
Deficiencies: 0
Date: Jan 24, 2017
Visit Reason
Recertification inspection conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification inspection for the Assisted Living Program at Tower Living Center.
Report Facts
Number of tenants without cognitive disorder: 4
Number of tenants with cognitive disorder: 1
Total population of program at time of on-site: 5
Total census of Assisted Living Program: 5
Inspection Report
Monitoring
Census: 5
Deficiencies: 0
Date: Jan 22, 2015
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to review recertification documents and compliance with Iowa Administrative Code chapters 481-67 and 481-69 for the Assisted Living Program at Tower Living Center.
Findings
No regulatory insufficiencies or deficiencies were found during the evaluation. The recertification documents were accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans were received.
Report Facts
Number of tenants without cognitive disorder: 4
Number of tenants with cognitive disorder: 1
Total census of Assisted Living Program: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed the Final Recertification Monitoring Evaluation Report |
Inspection Report
Monitoring
Census: 4
Deficiencies: 4
Date: Oct 24, 2012
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review the Plan of Correction in response to a Preliminary Recertification Monitoring Evaluation Report and to evaluate compliance with regulatory requirements for the Assisted Living Program.
Findings
The report found several regulatory insufficiencies related to service plans, medication administration, nurse reviews, and staffing. The program did not receive any regulatory insufficiencies during the certification period, but the monitoring visit identified issues such as incomplete nurse reviews, medication administration documentation errors, and lack of nurse delegation training for universal workers.
Deficiencies (4)
Service plans were updated without nurse reviews and did not identify needs and preferences for assistance.
Medication administration documentation was incomplete, and bulk medications were not kept locked or inaccessible to unauthorized persons.
Nurse reviews were not completed as needed, including reviews related to urinary tract infections and healed sores.
Nursing services were not provided in accordance with Iowa Code chapter 152 and 655-Chapter 6; nurse delegations were not found for staff providing dressing and toileting assistance.
Report Facts
Total census: 4
Tenants without cognitive disorder: 4
Tenants with cognitive disorder: 0
Inspection Report
Monitoring
Census: 5
Deficiencies: 4
Date: Mar 30, 2011
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review the Plan of Correction and regulatory compliance of the Tower Living Center assisted living program.
Findings
The monitoring evaluation found regulatory insufficiencies related to tenant documentation, medication administration, food service, and record checks, but the Plan of Correction was accepted and no substantiated regulatory insufficiencies were noted for the certification period.
Deficiencies (4)
Documentation for each tenant was incomplete, including missing physician signatures and mismatched medication orders.
Medication records did not document which medications were given at scheduled times and lacked documentation of program nurse setup.
Personnel responsible for food preparation lacked documentation of state-approved food safety and sanitation training.
Background checks and documentation for Staff #1 were incomplete or missing.
Report Facts
Current number of tenants without cognitive disorder: 5
Current number of tenants with cognitive disorder: 0
Total Population: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary Eulberg | RN Owner | Owner of Tower Living Center named in report header |
| Lori Miner | RN BSN | Monitor conducting the evaluation |
| Jim Berkley | Program Coordinator | Signed letter transmitting the report |
Inspection Report
Monitoring
Census: 4
Deficiencies: 1
Date: Nov 6, 2008
Visit Reason
The monitoring visit was conducted as part of the recertification process to evaluate the Plan of Correction and ensure compliance with regulatory requirements at Tower Living Center.
Findings
The program was found to have no substantiated regulatory insufficiencies during this certification period, but a regulatory insufficiency was noted regarding the food service menus not meeting dietary allowance requirements. Tenant and family satisfaction was positive overall.
Deficiencies (1)
The program did not provide menus planned to meet the required percentage of daily recommended dietary allowances as established by the Food and Nutrition Board of the National Research Council.
Report Facts
Current number of tenants without cognitive disorder: 4
Current number of tenants with cognitive disorder: 0
Total Population: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lincoln Newsom | RN | Monitor conducting the evaluation |
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