Inspection Report Summary
The most recent inspection on September 3, 2025, found no deficiencies during the complaint investigation. Earlier inspections were consistently free of regulatory insufficiencies, with only one report in February 2012 citing documentation issues related to tenant health assessments that were subsequently addressed. The main theme of past deficiencies involved incomplete health status documentation and medical records. Complaint investigations in the available reports were either unsubstantiated or found no regulatory issues. The facility’s inspection history shows a pattern of compliance with improvements maintained over time.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
91% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
17 residents
Based on a September 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 0
Sep 3, 2025
Visit Reason
The inspection was conducted to investigate complaints #129267-C and #129341-C at the assisted living facility.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Complaint Details
Complaints #129267-C and #129341-C were investigated and found to have no regulatory insufficiencies.
Report Facts
Tenants without cognitive impairment: 17
Tenants with cognitive impairment: 0
Total census: 17
Inspection Report
Renewal
Census: 8
Deficiencies: 0
Dec 31, 2024
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Inspection Report
Renewal
Census: 8
Deficiencies: 0
Jun 1, 2022
Visit Reason
Recertification visit conducted to determine compliance with certification of an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Inspection Report
Renewal
Census: 15
Deficiencies: 0
Dec 5, 2019
Visit Reason
Recertification visit conducted to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive disorder: 12
Number of tenants with cognitive disorder: 3
Total census: 15
Inspection Report
Renewal
Census: 18
Deficiencies: 0
Nov 21, 2017
Visit Reason
Recertification 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.
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 0
Nov 3, 2016
Visit Reason
The inspection was conducted as an investigation of Incident #62892-I at the assisted living program.
Findings
No regulatory insufficiencies were cited during the investigation of the incident.
Complaint Details
Investigation of Incident #62892-I; no regulatory insufficiencies found.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 15
Inspection Report
Monitoring
Census: 13
Deficiencies: 0
Nov 16, 2015
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were found during this evaluation. The review of recertification documents was completed and accepted, including the State Fire Marshal's inspection report and Facility Engineer's approval of evacuation plans.
Report Facts
Number of tenants without cognitive disorder: 13
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 13
Inspection Report
Monitoring
Census: 14
Deficiencies: 0
Jun 19, 2013
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to assess compliance with Iowa Code and Administrative Code for the Westhaven Community Assisted Living program.
Findings
No regulatory insufficiencies were found during the evaluation. Tenant satisfaction was generally positive, with reports of respectful staff interaction, timely responses, and a clean and safe environment.
Report Facts
Number of tenants without cognitive disorder: 14
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 14
Tenants attending community meeting: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barb Wells | Program Director | Named as Program Director of Westhaven Community Assisted Living |
| Maribeth Freland | RN | Monitor conducting the evaluation |
| Jim Berkley | Program Coordinator | Author of the cover letter for the report |
Inspection Report
Monitoring
Census: 6
Deficiencies: 4
Feb 2, 2012
Visit Reason
The visit was a Final Initial Certification Monitoring Evaluation conducted to review the regulatory compliance and approve the plan of correction for Westhaven Community Assisted Living.
Findings
The report found regulatory insufficiencies that required correction, which were addressed by the facility's plan of correction. The monitoring visit included evaluation of tenant health and cognitive status, nurse review, and tenant satisfaction.
Deficiencies (4)
| Description |
|---|
| Lack of documentation of an assessment of Tenant #1's health status every 90 days. |
| Lack of documentation of an assessment of Tenant #2's health status every 90 days. |
| Incomplete medical history and physical exam form for Tenant #2, lacking documentation of review of systems. |
| File lacked documentation of an assessment of Tenant #2's health status every 90 days. |
Report Facts
Number of tenants without cognitive disorder: 5
Number of tenants with cognitive disorder: 1
Total census of Assisted Living Program: 6
Days for plan of correction submission: 10
Days for health evaluation completion: 30
Days for nurse review: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Miner | RN BSN | Monitor conducting the evaluation |
| Nan Sloan | Director of Operations | Facility director named in report |
Loading inspection reports...
