The most recent inspection on October 9, 2025, was a complaint investigation that found the facility to be in substantial compliance with no deficiencies. Earlier inspections showed a pattern of isolated deficiencies related to inadequate supervision and assistance during resident transfers, which led to falls in January 2025 and October 2021. The facility responded to these issues with staff re-education and policy updates to prevent recurrence. Complaint investigations prior to the most recent one were generally unsubstantiated or found the facility in substantial compliance. The trend suggests that the facility has addressed prior deficiencies and maintained compliance in recent inspections.
Deficiencies (last 5 years)
Deficiencies (over 5 years)0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
91% better than Iowa average
Iowa average: 4.4 deficiencies/year
Deficiencies per year
43210
2020
2021
2022
2024
2025
Census
Latest occupancy rate44 residents
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The inspection visit was conducted as an annual recertification survey of Wheatland Manor from January 6, 2025 to January 9, 2025.
Findings
The facility failed to provide adequate supervision to prevent a fall resulting in a fracture for one resident. The investigation revealed that staff left the resident unattended during transfer, contrary to facility policy, leading to the fall. The facility provided re-education to nursing staff and updated policies to prevent recurrence.
Severity Breakdown
SS=G: 1
Deficiencies (1)
Description
Severity
Failure to provide adequate supervision and assistance devices to prevent accidents, resulting in a resident fall with fracture.
SS=G
Report Facts
Resident census: 44Brief for Mental Status (BIMS) score: 15Deficiencies cited: 1
Employees Mentioned
Name
Title
Context
Michael Weir
Administrator
Signed the statement of deficiencies and plan of correction
Staff A
Resident Care Technician (RCT)
Witnessed the resident fall and assisted with care
Staff C
Resident Care Technician (RCT)
Assisted Resident #5 with transfer during observation
Director of Nursing (DON)
Provided statements regarding the fall and staff expectations
A complaint investigation for complaints #121676-C was conducted on October 21, 2024.
Findings
The facility was found to be in substantial compliance.
Complaint Details
Complaint #121676-C was investigated and the facility was found to be in substantial compliance.
Inspection Report Plan of CorrectionDeficiencies: 0Feb 16, 2024
Visit Reason
The document reflects acceptance of a credible allegation of substantial compliance and the facility's Plan of Correction, resulting in certification of compliance.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction submitted, leading to certification effective February 16, 2024.
The visit was conducted as a Re-certification Survey and Investigation of Complaints #04025 and #00009 completed on 09/23/2021.
Findings
The facility failed to provide adequate supervision and assistance devices to prevent accidents, resulting in a resident falling due to not having a gait belt during transfer. The facility took corrective actions including counseling staff and re-educating nursing staff on gait belt usage.
Complaint Details
The investigation was related to complaints #04025 and #00009. The facility's Director of Nursing provided counseling to the employee involved, and the facility took steps to reinforce safety precautions and gait belt usage to prevent future incidents.
Deficiencies (1)
Description
The facility failed to provide adequate supervision and assistance devices to prevent accidents, evidenced by a resident falling during transfer without a gait belt.
Report Facts
Resident census: 36Date of resident assessment: Aug 25, 2021Date of observation: Sep 21, 2021Date of interviews: Sep 21, 2021
Employees Mentioned
Name
Title
Context
Michael J. Weich
Administrator
Signed the plan of correction document
Employee A
Employee counseled by the Director of Nursing regarding the incident
Director of Nursing
Director of Nursing
Provided counseling to Employee A and explained expectations for resident transfers
The inspection was a recertification survey conducted from 2/24 to 2/27/2020 to assess the facility's compliance with federal regulations.
Findings
The facility was found to be in substantial compliance with the Code of Federal Regulations (42CFR) Part 483, Subpart B-C at the time of the recertification survey.