Inspection Report Summary
The most recent inspection on January 25, 2023, found no deficiencies during a complaint investigation. Earlier inspections showed a pattern of occasional deficiencies primarily related to documentation of service plans, staff training in dementia care, and maintaining secure environments in the dementia unit, including issues with door alarms and tenant elopements. Complaint investigations sometimes substantiated these issues, such as failures to follow incident reporting policies and maintain safety measures, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Most complaints were unsubstantiated or involved minor regulatory insufficiencies, with no enforcement actions noted. The facility’s inspection history suggests some improvement over time, with the most recent visit showing no cited deficiencies.
Deficiencies (last 13 years)
Deficiencies (over 13 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
13 residents
Based on a January 2023 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 13
Deficiencies: 0
Date: Jan 25, 2023
Visit Reason
Investigation of Incident #105263 and Complaint #105304 at Whispering Creek Senior Living MC.
Complaint Details
Investigation of Incident #105263 and Complaint #105304 found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of Incident #105263 or Complaint #105304.
Report Facts
Number of tenants without cognitive disorder: 1
Number of tenants with cognitive disorder: 12
Total census: 13
Inspection Report
Renewal
Census: 12
Deficiencies: 1
Date: May 18, 2022
Visit Reason
The visit was a recertification inspection conducted to determine compliance with certification for an Assisted Living Program for People with Dementia.
Complaint Details
No regulatory insufficiencies were cited during the investigation of complaints 103865-C or 103943-C.
Findings
No regulatory insufficiencies were cited during complaint investigations, but one deficiency was cited during the recertification visit related to preliminary service plans not being signed by those who developed the plan for 2 of 3 tenants reviewed.
Deficiencies (1)
Preliminary service plans were not signed by those who developed the plan for 2 of 3 tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 0
Number of tenants with cognitive disorder: 12
Total Census: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joni Ogden | Executive Director | Signed Plan of Correction response letter |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 2
Date: Aug 25, 2021
Visit Reason
The inspection was conducted as an investigation of Mandatory Report #98878-M related to regulatory insufficiencies in the Assisted Living Program for People with Dementia at Whispering Creek Senior Living MC.
Complaint Details
The visit was triggered by a complaint investigation of Mandatory Report #98878-M. The findings were substantiated as confirmed by the Executive Director.
Findings
The inspection found deficiencies including failure to follow program policies and procedures regarding incident reports, specifically a delayed incident report for bruising on a tenant, and failure to ensure dementia-specific continuing education for direct-contact personnel employed by a contracting agency.
Deficiencies (2)
Program failed to ensure the policy regarding incident reports was followed for 1 of 1 tenants reviewed, including delayed documentation of bruising and incident report completion.
Program failed to ensure staff employed by a contracting agency received the required minimum of eight hours of dementia-specific continuing education annually.
Report Facts
Total Census: 51
Number of tenants without cognitive disorder: 39
Number of tenants with cognitive disorder: 12
Number of tenants with cognitive disorder: 0
Number of tenants without cognitive disorder: 0
Dementia training hours required: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Interviewed regarding incident report documentation and bruising on Tenant #2 | |
| Staff G | Certified Nurse Aide | Employed by contracting agency, failed to receive required dementia training |
| Jacque Kreber | Executive Director | Confirmed findings and signed Plan of Correction |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 2
Date: Aug 25, 2021
Visit Reason
The inspection was conducted as an investigation of Incident #99172-1, related to safety and security concerns in the dementia-specific program and memory care unit.
Complaint Details
The visit was complaint-related, investigating Incident #99172-1 involving tenant elopement through an unlocked courtyard gate. The incident was self-reported by the program, and no injuries were noted. The complaint was substantiated based on observations and interviews.
Findings
The program failed to ensure an operating alarm system was connected to the exit door in the dementia unit, and the courtyard gate was left unlocked, allowing a tenant to elope. The facility did not maintain the courtyard off the memory care unit as safe and secure at all times.
Deficiencies (2)
Failure to ensure the exit door in the dementia unit had an operating alarm system connected at all times.
Failure to maintain the courtyard off the memory care unit safe and secure, resulting in an unlocked gate and tenant elopement.
Report Facts
Total Census: 51
Number of tenants without cognitive disorder in General Population Program: 39
Number of tenants with cognitive disorder in General Population Program: 0
Number of tenants without cognitive disorder in Memory Care Unit: 0
Number of tenants with cognitive disorder in Memory Care Unit: 12
GDS score of Tenant #1: 7
GDS score threshold for memory care unit: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacque Kreber | Executive Director | Confirmed finding of propped open exit door on 08/25/21 and signed Plan of Correction letter |
| Deb Dixon | Program Coordinator | Recipient of Plan of Correction letter |
Inspection Report
Renewal
Census: 9
Deficiencies: 1
Date: Jan 8, 2020
Visit Reason
The recertification visit was conducted to determine compliance with certification requirements for the Assisted Living Program for People with Dementia.
Findings
The program failed to ensure that staff received the required eight hours of dementia-specific education within 30 days of employment for 2 of 3 staff reviewed, as evidenced by record reviews and interviews.
Deficiencies (1)
Program failed to ensure staff received eight hours of dementia-specific education within 30 days of employment for 2 of 3 staff reviewed.
Report Facts
Number of tenants without cognitive disorder: 1
Number of tenants with cognitive disorder: 8
Total census: 9
Number of staff reviewed: 3
Number of staff not completing required training within 30 days: 2
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Date: Mar 7, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to Incident 81675-I and Complaint 81275-C at Whispering Creek Assisted Living Program for People with Dementia.
Complaint Details
The complaint investigation 81275-C found no regulatory insufficiencies. The incident investigation 81675-I found the program failed to follow door alarm policies, leading to a resident eloping from the memory care unit.
Findings
No regulatory insufficiencies were cited during the complaint investigation 81275-C. However, a regulatory insufficiency was cited during the investigation of Incident 81675-I related to failure to follow policies and procedures for door alarms, resulting in a resident eloping from the memory care unit.
Deficiencies (1)
Failure to follow the policy and procedures for door alarms for one tenant, resulting in the tenant exiting the memory care unit door and being outside unattended for 5 to 10 minutes.
Report Facts
Number of tenants without cognitive disorder in general population: 31
Number of tenants with cognitive disorder in general population: 5
Number of tenants without cognitive disorder in memory care unit: 0
Number of tenants with cognitive disorder in memory care unit: 10
Total census of Assisted Living Program for People with Dementia: 46
Global Deterioration Scale score: 5
Temperature: 10
Wind chill: -9
Wind speed: 21
Wind gusts: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline Kreber | Executive Director | Signed the report and plan of correction |
| Assistant Director of Nursing | Stated policy and procedure for door alarms requiring immediate staff response | |
| Staff A | Reported failure to respond to door alarm and admitted should have responded or called for assistance | |
| Staff B | Returned from break, heard alarm, found tenant outside, and reported observations |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 1
Date: Jan 8, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to regulatory insufficiencies cited during complaint 79696-C.
Complaint Details
The complaint investigation found that the program did not meet tenant rights requirements under 481-67.3(2) related to receiving adequate and appropriate care, treatment, and services.
Findings
The program failed to provide services as directed by service plans for one of two reviewed tenants. Specifically, housekeeping logs were missing for Tenant #1, and the program could not provide documentation of weekly cleaning as required by the service plan and occupancy agreement.
Deficiencies (1)
Failure to provide services as directed by service plans, specifically lack of housekeeping logs and documentation of weekly cleaning for Tenant #1.
Report Facts
Number of tenants without cognitive disorder in general population: 32
Number of tenants with cognitive disorder in general population: 8
Number of tenants without cognitive disorder in memory care unit: 0
Number of tenants with cognitive disorder in memory care unit: 11
Total census of Assisted Living Program for People with Dementia: 51
Inspection Report
Renewal
Census: 59
Deficiencies: 1
Date: Dec 14, 2017
Visit Reason
The visit was conducted as a recertification to determine compliance with certification for an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the investigation of a prior incident. However, during the recertification visit, a regulatory insufficiency was cited related to failure to obtain a Department of Human Services evaluation prior to employment for one staff member with a record of child abuse.
Deficiencies (1)
Failed to obtain a Department of Human Services evaluation prior to employment for 1 of 1 staff reviewed with a record of child abuse.
Report Facts
Number of tenants without cognitive disorder in general population: 41
Number of tenants with cognitive disorder in general population: 4
Number of tenants without cognitive disorder in memory care unit: 0
Number of tenants with cognitive disorder in memory care unit: 14
Total census of Assisted Living Program for People with Dementia: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in deficiency for failure to obtain DHS evaluation prior to employment | |
| Executive Director | Interviewed confirming the finding about employment evaluation |
Inspection Report
Renewal
Census: 59
Deficiencies: 1
Date: Dec 14, 2017
Visit Reason
The visit was conducted as a recertification to determine compliance with certification for an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the investigation of Incident #72660-I. However, a regulatory insufficiency was cited during the recertification visit related to record checks, specifically the failure to obtain a Department of Human Services evaluation prior to employment for one staff member.
Deficiencies (1)
Failure to obtain a Department of Human Services evaluation prior to employment for one staff member with a record of child abuse.
Report Facts
Number of tenants without cognitive disorder (General Population): 41
Number of tenants with cognitive disorder (General Population): 4
Number of tenants without cognitive disorder (Memory Care Unit): 0
Number of tenants with cognitive disorder (Memory Care Unit): 14
Total Census of Assisted Living Program for People with Dementia: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Ellermeier | Executive Director | Confirmed the finding regarding failure to obtain DHS evaluation prior to employment and signed the plan of correction. |
| Staff A | Staff member who was hired without prior DHS evaluation despite having a record of child abuse. |
Inspection Report
Monitoring
Census: 50
Deficiencies: 0
Date: Jan 20, 2016
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 included recertification documents, State Fire Marshal inspection report, and Facility Engineer's approval of evacuation plans.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 37
Number of tenants with cognitive disorder in General Population Program: 3
Total Population of General Population Program: 40
Number of tenants without cognitive disorder in Dementia-Specific Program: 0
Number of tenants with cognitive disorder in Dementia-Specific Program: 10
Total Population of Dementia-Specific Program: 10
Total census of Assisted Living Program: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator, Adult Services Bureau | Author of the Final Recertification Monitoring Evaluation Report letter |
Inspection Report
Complaint Investigation
Census: 51
Deficiencies: 0
Date: May 27, 2015
Visit Reason
The inspection was conducted as a complaint/incident investigation based on a monitoring visit from May 20 - 27, 2015, to evaluate allegations related to service plans at Whispering Creek Assisted Living in Sioux City, IA.
Complaint Details
Allegation: Service Plans. Findings: Unsubstantiated. Comments: Cognitive, functional, and health evaluations were conducted prior to and upon admission. Evaluations were conducted as needed with change of condition and service plans were developed and updated appropriately.
Findings
The investigation found the allegation regarding service plans to be unsubstantiated. Cognitive, functional, and health evaluations were conducted appropriately prior to and upon admission, with updates as needed. No regulatory insufficiencies were identified.
Report Facts
General Population Program tenants without cognitive disorder: 34
General Population Program tenants with cognitive disorder: 3
General Population Program total population: 37
Dementia-Specific Program tenants without cognitive disorder: 4
Dementia-Specific Program tenants with cognitive disorder: 10
Dementia-Specific Program total population: 14
Total census of Assisted Living Program: 51
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 3
Date: Jun 17, 2014
Visit Reason
The inspection was conducted following complaints and allegations regarding tenant rights violations, documentation alterations, and safety concerns at Whispering Creek Assisted Living. The investigation focused on incidents involving tenants in the dementia unit and general population.
Complaint Details
The complaint investigation was triggered by allegations including two tenants found in bed with clothes off, sexual contact between tenants, and altered documentation related to tenant interactions. The investigation substantiated regulatory insufficiencies in tenant rights, evaluations, and service plans.
Findings
The report found multiple regulatory insufficiencies related to tenant rights, evaluations, service plans, and policies and procedures. Specific incidents included inappropriate tenant interactions, failure to update service plans, inadequate documentation, and failure to follow policies on door alarms and tenant privacy.
Deficiencies (3)
Failure to comply with regulatory requirements related to tenant rights, evaluations, service plans, and policies and procedures.
Inadequate documentation and failure to update service plans to meet tenant needs.
Failure to follow policy and procedure on checking doors and ensuring doors were alarmed in the dementia unit.
Report Facts
Civil penalty amount: 1000
Reduced civil penalty amount: 650
Total census: 46
Number of tenants without cognitive disorder (general population): 32
Number of tenants with cognitive disorder (general population): 3
Number of tenants with cognitive disorder (dementia-specific program): 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Miner | RN BSN | Monitor for the complaint/incident investigation |
| Nicole Ellermeier | Executive Director | Named in report as Executive Director of Whispering Creek Assisted Living |
| Jim Friberg | Acting Bureau Chief, Adult Services Bureau | Author of demand letter |
| Rose Boccella | Program Coordinator | Contact for questions regarding the letter and report |
Inspection Report
Renewal
Census: 42
Deficiencies: 5
Date: Jan 23, 2014
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation and Incident Investigation following a survey by the Department of Inspections and Appeals (DIA) on January 23, 27, 28, and 29, 2014, to assess regulatory compliance and investigate incidents at Whispering Creek Assisted Living.
Complaint Details
The visit included an incident investigation related to a staff member reported to have been verbally and possibly physically inappropriate with tenants in the dementia unit. The staff member was suspended pending investigation and subsequently terminated.
Findings
The report identified regulatory insufficiencies in the areas of Tenant Documents, Evaluations, Criteria for Admission and Retention, Service Plan, Tenant Rights, and Record Checks. Specific concerns included incomplete functional assessments, inadequate service plans, incidents of tenant aggression, and issues with staff interactions and documentation.
Deficiencies (5)
Program records relating to tenants were not retained for a minimum of three years after transfer or death.
Evaluations of tenant function, cognition, and health were not completed within required timeframes or with changes in condition.
Service plans were not individualized or updated to meet tenant needs, including those with dementia and history of falls.
Tenant rights were violated by a staff member verbally and possibly physically inappropriate with tenants; staff member was terminated after investigation.
Background checks for staff were completed appropriately but some staff had paid time prior to completion.
Report Facts
Number of tenants at time of visit: 42
Dates of monitoring visit: 4
Number of two or three person transfers: 15
Number of two or three person transfers: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Miner | RN BSN | Monitor conducting the evaluation and investigation |
| Jim Berkley | Program Coordinator, Adult Services Bureau | Author of the cover letter for the report |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 1
Date: Oct 1, 2013
Visit Reason
The inspection was conducted as a complaint/incident investigation regarding allegations of tenant rights violations and other concerns at Whispering Creek Assisted Living.
Complaint Details
The complaint alleged that two unrelated cognitively impaired tenants participated in an intimate relationship without consent and that tenant rights were violated when they were separated. Additional complaints included a tenant expressing suicidal ideations and refusal of personal care assistance resulting in sores.
Findings
The investigation found that the program failed to uphold tenant rights related to two tenants who had an ongoing intimate relationship, which was disrupted when they were transferred to a secured dementia unit. Additional findings included issues related to suicidal ideations, refusal of personal care assistance, and appropriate service plans. No regulatory insufficiencies were noted in service plans.
Deficiencies (1)
Failure to uphold tenant rights related to tenants' intimate relationship after transfer to secured dementia unit.
Report Facts
Census: 40
Tenants without cognitive disorder: 24
Tenants with cognitive disorder: 1
Tenants without cognitive disorder: 0
Tenants with cognitive disorder: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jim Berkley | Program Coordinator, Adult Services Bureau | Contact person for questions regarding the report |
| Maribeth Freland | RN Monitor | Monitor who conducted the complaint/incident investigation |
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 0
Date: Jan 28, 2013
Visit Reason
The inspection was conducted as a complaint/incident investigation following a report that a tenant eloped from the assisted living program.
Complaint Details
The complaint involved a tenant eloping from the program on 12-25-12. The investigation included review of tenant files, staff interviews, and environmental assessments. No regulatory insufficiencies were substantiated.
Findings
The investigation found no regulatory insufficiencies despite a deviation from rules regarding door checks documentation. The tenant elopement was investigated thoroughly with staff interviews and environmental checks, and corrective actions were taken to prevent recurrence.
Report Facts
Tenant census: 34
Dates of investigation: January 28, 29, 30 and February 4, 2013
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | Monitor | Conducted complaint/incident investigation |
| Lori Miner | RN BSN Monitor | Conducted complaint/incident investigation |
| Jim Berkley | Program Coordinator | Signed cover letter for report |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 0
Date: Oct 31, 2012
Visit Reason
The inspection was conducted as a final complaint/incident investigation following a complaint regarding medication discrepancies at Whispering Creek Assisted Living.
Complaint Details
The complaint involved Tenant #1 reporting missing tablets of Oxycontin and other narcotics. Investigations revealed medication storage and administration issues, tenant confusion, and family concerns about missing pills. Despite these issues, no regulatory insufficiencies were substantiated.
Findings
The investigation found no regulatory insufficiencies. The report detailed medication management issues involving tenants, including missing narcotics and medication storage concerns, but no violations were identified.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 18
Number of tenants with cognitive disorder in General Population Program: 6
Total Population of General Population Program: 24
Number of tenants without cognitive disorder in Dementia-Specific Program: 0
Number of tenants with cognitive disorder in Dementia-Specific Program: 12
Total Population of Dementia-Specific Program: 12
Total census of Assisted Living Program: 36
Missing hydrocodone tablets reported by Tenant #1: 33
Missing oxycodone tablets reported by Tenant #1: 86
Missing hydrocodone tablets reported by Tenant #2: 4
Missing oxycodone tablets reported by Tenant #2: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jim Berkley | Program Coordinator | Signed cover letter for the report |
| Lori Miner | RN BSN | Monitor for the complaint/incident investigation |
| Joyce Kix | RN | Monitor for the complaint/incident investigation |
| James Berkley | RN BS | Monitor for the complaint/incident investigation |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 3
Date: Apr 23, 2012
Visit Reason
The inspection was conducted as a complaint/incident investigation regarding allegations that the program's nurses did not assess tenant changes in health status, did not evaluate tenant changes in a timely manner, did not provide assistance with bathing as needed, did not follow physician's orders for medications, and staff borrowed other tenants' medications.
Complaint Details
The complaint investigation was substantiated with findings that the program nurses did not assess tenant changes in health status timely, did not evaluate tenants properly, did not notify family members timely, and medication errors occurred including borrowing medications from other tenants.
Findings
The investigation found regulatory insufficiencies in nurse review, evaluations, and medication administration. Specific issues included failure to complete timely nurse reviews after incidents, incomplete evaluations of tenants' health status, medication errors including failure to follow physician orders, and inadequate assistance with bathing. No deficiencies were noted related to staffing or bed linens.
Deficiencies (3)
Failure to complete timely nurse reviews and evaluations following tenant incidents and changes in condition.
Medication administration errors including failure to follow physician orders and borrowing medications from other tenants.
Failure to provide assistance with bathing as identified in tenant service plans.
Report Facts
Census: 40
Civil penalty amount: 1000
Dates of investigation: April 23 and 24, 2012
Medication errors: 7
Inspection Report
Renewal
Census: 47
Deficiencies: 0
Date: Oct 26, 2011
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation for Whispering Creek Assisted Living to review recertification documents and ensure compliance with Iowa Code and Administrative Code regulations.
Findings
No regulatory insufficiencies were found during the evaluation. The program was found to be clean, safe, and sanitary, with tenant satisfaction reported as good and no regulatory insufficiencies noted during the onsite investigation.
Report Facts
General Population Program tenants without cognitive disorder: 27
General Population Program tenants with cognitive disorder: 4
General Population Program total population: 31
Dementia-Specific Program tenants without cognitive disorder: 0
Dementia-Specific Program tenants with cognitive disorder: 16
Dementia-Specific Program total population: 16
Total census of Assisted Living Program: 47
Tenant meeting attendance: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Ellermeier | Executive Director | Named as Executive Director of Whispering Creek Assisted Living |
| Lori Miner | RN BSN | Monitor conducting the evaluation |
| Hal Chase | RN BSN MPH | Monitor conducting the evaluation |
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 0
Date: Jun 8, 2011
Visit Reason
The inspection was conducted as a final incident investigation following a complaint alleging that a staff member accepted money from a tenant and borrowed the tenant's vehicle.
Complaint Details
The complaint alleged that Staff Member #1 accepted money from the tenant and borrowed the tenant's vehicle. The investigation included interviews with the tenant and staff member, and a police investigation. No evidence of misappropriation or wrongdoing was found, and no regulatory insufficiencies were noted.
Findings
The investigation found no regulatory insufficiencies. The tenant and staff member interviews revealed no evidence of misappropriation of money or funds, and local police concluded no wrongdoing occurred.
Report Facts
Current number of tenants without cognitive disorder: 21
Current number of tenants with cognitive disorder: 3
Total Population of General Population Program: 24
Total Population of Dementia Specific Program: 12
Total Census of Assisted Living Program: 36
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 4
Date: Mar 23, 2011
Visit Reason
A complaint investigation on-site visit was conducted at Whispering Creek Assisted Living on March 23, 2011, in response to allegations including a tenant leaving the dementia unit unaccompanied and phone numbers to the Department of Inspections and Appeals not being posted.
Complaint Details
Complaint Allegation #33193-C involved a tenant leaving the dementia unit unaccompanied by staff with no alarms sounding, and phone numbers to the Department of Inspections and Appeals and the long term care Ombudsman not being posted. The tenant was returned to the dementia unit by staff. The complaint was substantiated with findings related to service plans and staffing but not for the phone number posting.
Findings
The investigation found regulatory insufficiencies related to service plans not adequately addressing tenant needs and staffing levels insufficient to fully meet tenants' identified needs. There was no regulatory insufficiency noted regarding the posting of phone numbers to the Department of Inspections and Appeals and the long term care Ombudsman.
Deficiencies (4)
A service plan shall be developed for each tenant based on evaluations and updated as needed; service plans reviewed did not fully support functional, cognitive, and health evaluations or establish interventions related to wandering and exit seeking.
The service plan shall be individualized and indicate tenant needs and preferences for assistance; deficiencies were noted in this regard.
A sufficient number of trained staff shall be available at all times to fully meet tenants' identified needs; staffing was found insufficient to meet these needs.
Phone numbers to the Department of Inspections and Appeals and the long term care Ombudsman were not posted; however, no regulatory insufficiency was noted for this issue.
Report Facts
Current number of tenants without cognitive disorder: 21
Current number of tenants with cognitive disorder: 4
Total Population of General Population Program: 25
Total Population of Dementia Specific Program: 9
Total Census of Assisted Living Program: 34
Inspection Report
Original Licensing
Census: 16
Deficiencies: 0
Date: Aug 18, 2010
Visit Reason
The visit was conducted as a Final Initial Certification and Incident Investigation at Whispering Creek Assisted Living to evaluate regulatory compliance and investigate an incident.
Findings
No regulatory insufficiencies were found during the evaluation. The program demonstrated compliance with Iowa Code and Administrative Code requirements, and the certification will continue for two years without interruption.
Report Facts
Current number of tenants without cognitive disorder: 9
Current number of tenants with cognitive disorder: 3
Total Population of General Population Program: 12
Total Population of Dementia Specific Program: 4
Total Census of Assisted Living Program: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the incident investigation |
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