Inspection Reports for Traditions Memory Care of Newton
2130 West 18th Street, Newton, IA, 502085607
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 11, 2025, found the facility in compliance based on acceptance of a plan of correction. Earlier inspections showed a pattern of deficiencies related mainly to care planning, resident safety, and abuse prevention, with substantiated complaints involving failure to develop effective care plans and inadequate supervision to prevent resident-to-resident altercations. Prior citations also included issues with mechanical lift use, immunizations, and oral hygiene assistance. Complaint investigations were mostly unsubstantiated except for the substantiated findings in October 2025 regarding abuse prevention and accident hazards. The facility appears to have made improvements following earlier more extensive deficiencies, with recent plans of correction accepted and certification maintained.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
3.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
46 residents
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Dec 11, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's compliance certification.
Findings
Based on acceptance of the facility's credible allegation of substantial compliance and Plan of Correction, the facility will be certified in compliance effective December 11, 2025.
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 2
Date: Oct 28, 2025
Visit Reason
The inspection was conducted as a result of investigation of facility reported incidents #2648877-I and #2649213-I from October 27 to October 28, 2025, focusing on allegations of physical abuse and failure to develop effective care plan interventions to protect residents.
Complaint Details
The complaint investigation was based on facility reported incidents #2648877-I and #2649213-I involving physical abuse and inadequate care planning. The facility was found to have substantiated deficiencies related to abuse prevention and accident hazards.
Findings
The facility failed to develop effective care plan interventions to protect residents from physical abuse, as evidenced by incidents involving resident-to-resident altercations. The facility also failed to provide adequate supervision to prevent accidents and injuries. Multiple behavioral and physical incidents were documented involving several residents.
Deficiencies (2)
Failure to develop effective care plan interventions to protect residents' rights to be free from physical abuse.
Failure to ensure the resident environment remains as free of accident hazards as possible and provide adequate supervision to prevent accidents.
Report Facts
Residents reviewed for resident to resident altercations: 7
Facility reported census: 46
MDS BIMS scores: 0
MDS BIMS scores: 3
MDS BIMS score: 13
MDS BIMS score: 4
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jul 31, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction indicating acceptance of a credible allegation of substantial compliance and certification of the facility in compliance with health requirements.
Findings
The facility was found to be in substantial compliance based on the credible allegation and plan of correction, resulting in certification effective July 31, 2025. No specific deficiencies are detailed in this document.
Inspection Report
Annual Inspection
Census: 44
Deficiencies: 3
Date: Jul 3, 2025
Visit Reason
The inspection was conducted as part of the facility's Annual Recertification Survey and investigation of Facility Reported Incidents #128467-1 and #128680-1 from June 30, 2025 to July 3, 2025.
Findings
The facility was found deficient in ensuring proper mechanical lift transfers for residents, specifically Resident #27, and in providing adequate influenza and pneumococcal immunizations and education for residents. The facility failed to follow manufacturer instructions for mechanical lifts and lacked updated policies on mechanical lift operation and vaccination procedures.
Deficiencies (3)
Failure to properly transfer a resident with a mechanical lift, resulting in unsafe use of the lift's stability legs during transfers.
Facility's undated Mechanical Lift Policy lacked information related to operation of the mechanical lift.
Failure to ensure residents received influenza and pneumococcal immunizations or education regarding benefits and side effects.
Report Facts
Facility reported incidents: 2
Census: 44
Residents reviewed for immunizations: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Certified Nurses Aide (CNA) | Performed mechanical lift transfer and provided education on sling placement and lift legs positioning |
| Staff C | Certified Nurses Aide (CNA) | Performed mechanical lift transfer and reported on mechanical lift use |
| Staff D | Certified Nurses Aide (CNA) | Performed mechanical lift transfer |
| Staff E | Certified Nurses Aide (CNA) | Performed mechanical lift transfer |
| Director of Nursing | Director of Nursing (DON) | Reported on nursing staff competency checks and audit plans for mechanical lifts and vaccinations |
| Staff A | Assistant Director of Nursing (ADON) | Provided statements regarding vaccination documentation and efforts to obtain consents |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Aug 19, 2024
Visit Reason
The document is a Plan of Correction submitted following a survey, indicating acceptance of credible allegation of substantial compliance and certification of the facility in compliance effective August 19, 2024.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction, resulting in certification of compliance effective August 19, 2024.
Inspection Report
Annual Inspection
Census: 44
Deficiencies: 3
Date: Aug 11, 2024
Visit Reason
The inspection was conducted as the facility's annual recertification survey from August 9, 2024 to August 11, 2024.
Findings
The facility was found deficient in developing and implementing comprehensive care plans that included targeted behaviors, goals, and interventions for residents. Additionally, care plans were not revised timely to reflect recent orders, and staff failed to provide necessary assistance with oral hygiene for a dependent resident.
Deficiencies (3)
Failed to develop a comprehensive care plan including targeted behaviors for unnecessary medication and edema for residents #19 and #37.
Failed to revise care plans timely to reflect recent orders for residents #31 and #37.
Failed to provide staff assistance for oral hygiene for resident #197.
Report Facts
Census: 44
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Luke Skinner | Administrator | Signed the report and involved in plan of correction |
| MDS Coordinator, LPN | Interviewed regarding care plan deficiencies and care plan revisions | |
| Director of Nursing (DON) | Interviewed regarding care plan deficiencies, care plan revisions, and oral hygiene assistance | |
| Staff C | CNA | Interviewed regarding oral hygiene assistance for resident #197 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 21, 2023
Visit Reason
A complaint investigation for complaint #113501-C and multiple facility reported incidents was conducted from December 11, 2023 to December 21, 2023.
Complaint Details
Complaint #113501-C was investigated along with facility reported incidents #113542-I, #114087-I, 114526-I, 115837-I, 116197-I, and 117418-I. The facility was found to be in substantial compliance.
Findings
The facility was found to be in substantial compliance. Findings for additional facility reported incidents and complaints will be sent to the facility at a later date under separate cover.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 8, 2023
Visit Reason
A re-certification health survey with intakes 112192-C, 112498-I and 113330-I was conducted from 6/5 to 6/8/2023.
Findings
The survey resulted in no deficiencies.
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jun 2, 2022
Visit Reason
A revisit of the survey ending April 14, 2022 and investigation of multiple complaints and facility reported incidents was conducted from June 1, 2022 to June 2, 2022.
Complaint Details
The visit included investigation of complaints #103622-C, #103592-C, 101437-C, 100107-C, 91519-C and facility reported incidents #103661-I, #101166-I, #100492-I, #98696-I, #97682-I, #89720-I.
Findings
All deficiencies identified in the prior survey and complaint investigations were corrected, and the facility was found to be in substantial compliance effective April 22, 2022.
Inspection Report
Annual Inspection
Census: 41
Deficiencies: 10
Date: Apr 20, 2022
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey and investigation of complaints and facility reported incidents.
Findings
The facility was found to have multiple deficiencies including failure to ensure residents' advance directives were properly documented and followed, failure to prevent abuse and neglect, failure to provide restorative nursing care, failure to ensure quality of care including wound care and medication management, and failure to provide adequate nursing coverage. Several residents experienced injuries including fractures and inadequate pain management.
Deficiencies (10)
Failure to ensure residents' Iowa Physician Orders for Scope of Treatment (IPOST) forms contained mandatory signatures and accurate documentation.
Failure to ensure residents remained free from abuse for 3 of 15 residents reviewed.
Failure to develop and implement abuse/neglect policies and procedures and provide required training.
Failure to provide restorative nursing care activities to maintain residents' functional abilities.
Failure to provide care and services to maintain residents' abilities in activities of daily living (ADLs).
Failure to provide quality of care including following physician orders for wound treatments and ensuring qualified staff provided wound assessments and treatments.
Failure to ensure residents were free of accident hazards and received adequate supervision and assistance to prevent injuries.
Failure to provide adequate nursing coverage with a registered nurse for 8 consecutive hours 7 days a week.
Failure to provide pharmacy services including proper medication administration and documentation.
Failure to provide food in a form that met individual needs for 2 of 5 residents observed.
Report Facts
Residents reviewed for abuse: 15
Residents reviewed for restorative care: 16
Residents reviewed for wound care: 3
Residents reviewed for nursing coverage: 41
Residents observed for food needs: 5
Residents with fractures: 2
Residents with fall incidents: 1
Residents with cognitive impairment: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff O | Certified Nursing Assistant (CNA) | Named in abuse incident involving yelling profanity and calling resident profane names. |
| Staff M | Licensed Practical Nurse (LPN) | Named in abuse incident and investigation involving Staff O and residents. |
| Staff N | Certified Nursing Assistant (CNA) | Named in abuse incident and investigation involving Staff O and residents. |
| Director of Nursing | DON | Verified conflicting documentation regarding resident's advance directives and acknowledged importance of consistent information. |
| Executive Director | ED | Responsible for education and auditing related to abuse policies and other corrective actions. |
| Staff A | Certified Medication Aide (CMA) | Named in wound care observations and medication administration. |
| Staff B | Certified Medication Aide (CMA) | Named in wound care observations and medication administration. |
| Staff F | Certified Nursing Assistant (CNA) | Named in grooming and hygiene deficiencies. |
| Staff S | Licensed Practical Nurse (LPN) | Named in fall incident and medication administration. |
| Staff H | Licensed Practical Nurse (LPN) | Named in fall incident and medication administration. |
| Staff R | Certified Nursing Assistant (CNA) | Named in fall incident and medication administration. |
| Staff U | Certified Nursing Assistant (CNA) | Named in fall incident and medication administration. |
| Staff Q | Certified Nursing Assistant (CNA) | Named in fall incident and medication administration. |
| Staff I | Licensed Practical Nurse (LPN) | Named in fall incident and medication administration. |
| Staff T | Registered Nurse (RN) | Named in fall incident and medication administration. |
| Staff C | Certified Nurse Aide (CNA) | Named in food service observations. |
| Staff G | Certified Nurse Aide (CNA) | Named in fall incident and medication administration. |
| Staff K | Registered Nurse (RN) | Named in fall incident and medication administration. |
| Staff L | Certified Nurse Aide (CNA) | Named in fall incident and medication administration. |
| Staff V | Certified Nursing Assistant (CNA) | Named in fall incident and medication administration. |
| Director of Clinical Services | Named in education and supervision related to accident hazards. | |
| Director of Rehab | Named in incident investigation and therapy supervision. | |
| Director of Nursing | DON | Named in multiple findings including abuse investigation, wound care, nursing coverage, and medication management. |
| Director of Nursing | DON | Named in education and supervision related to accident hazards. |
| Director of Nursing | DON | Named in education and supervision related to medication management. |
| Director of Nursing | DON | Named in education and supervision related to wound care. |
| Director of Nursing | DON | Named in education and supervision related to abuse policies. |
| Director of Nursing | DON | Named in education and supervision related to restorative nursing. |
| Director of Nursing | DON | Named in education and supervision related to nursing coverage. |
| Director of Nursing | DON | Named in education and supervision related to medication management. |
| Director of Nursing | DON | Named in education and supervision related to wound care. |
| Director of Nursing | DON | Named in education and supervision related to abuse policies. |
| Director of Nursing | DON | Named in education and supervision related to restorative nursing. |
| Director of Nursing | DON | Named in education and supervision related to nursing coverage. |
| Director of Nursing | DON | Named in education and supervision related to medication management. |
| Director of Nursing | DON | Named in education and supervision related to wound care. |
| Director of Nursing | DON | Named in education and supervision related to abuse policies. |
| Director of Nursing | DON | Named in education and supervision related to restorative nursing. |
| Director of Nursing | DON | Named in education and supervision related to nursing coverage. |
| Director of Nursing | DON | Named in education and supervision related to medication management. |
| Director of Nursing | DON | Named in education and supervision related to wound care. |
| Director of Nursing | DON | Named in education and supervision related to abuse policies. |
| Director of Nursing | DON | Named in education and supervision related to restorative nursing. |
| Director of Nursing | DON | Named in education and supervision related to nursing coverage. |
| Director of Nursing | DON | Named in education and supervision related to medication management. |
Inspection Report
Abbreviated Survey
Census: 34
Deficiencies: 0
Date: Jun 11, 2020
Visit Reason
A COVID 19 Focused Infection Control Survey was conducted by the Department of Inspections and Appeals on 6/11/2020 to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 34
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 7, 2020
Visit Reason
The inspection was conducted to investigate Complaint #87681 and the Facility's Self-Reported Incident #87691 during the period 12/26/19 to 1/7/20.
Complaint Details
Complaint #87681 and the Facility's Self-Reported Incident #87691 were investigated from 12/26/19 to 1/7/20 and were not substantiated.
Findings
The complaint and self-reported incident were investigated and found to be not substantiated according to the code of Federal Regulations (42 CFR), Part 483, Subpart B-C.
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