Inspection Reports for Willow Winds Assisted Living
121 Bremer Avenue, Denver, IA, 50622
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 2, 2024, found no deficiencies during the recertification visit. Earlier inspections identified some issues, including deficiencies related to employment background checks, nurse delegation training, medication administration, service plans, and food service training in 2021, as well as incomplete nurse reviews and documentation in 2018. Complaint investigations were not listed in the available reports. No fines, immediate jeopardy findings, or enforcement actions were noted in any report. The inspection history shows improvement over time, with the most recent visit meeting all certification requirements.
Deficiencies (last 3 years)
Deficiencies (over 3 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
23 residents
Based on a October 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 23
Deficiencies: 0
Date: Oct 2, 2024
Visit Reason
Recertification visit conducted 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: 17
Deficiencies: 5
Date: Jul 28, 2021
Visit Reason
The inspection was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program.
Findings
The inspection found several regulatory insufficiencies related to employment background checks, nurse delegation training, medication administration, service plans, and food service training. No deficiencies were cited during the onsite infection control survey.
Deficiencies (5)
Program failed to request the Department of Human Services to complete an evaluation to determine if a crime warranted prohibition of employment for a person considered for employment with a criminal conviction.
Program failed to complete nurse delegated training within 30 days of employment for one staff member.
Program failed to provide services in accordance with training during medication pass for one staff member.
Program failed to develop service plans reflecting identified needs of 3 tenants reviewed.
Program failed to ensure orientation on sanitation and safe food handling prior to handling food and failed to ensure annual in-service training for food service staff.
Report Facts
Number of tenants without cognitive disorder: 13
Number of tenants with cognitive disorder: 4
Total census: 17
Number of tenants with service plan deficiencies: 3
Number of staff observed without completed food safety training: 1
Number of staff observed without orientation on sanitation and safe food handling: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Observed administering medications and involved in medication administration deficiencies | |
| Staff C | Staff member hired 5-26-21 without nurse delegated training completed within 30 days | |
| Staff D | Staff member with missing documentation for criminal history background check evaluation | |
| Staff E | Staff employed longer than a year without annual food safety training | |
| RN Director | RN Director | Confirmed findings during interviews and exit meeting |
Inspection Report
Original Licensing
Census: 14
Deficiencies: 1
Date: Jul 3, 2018
Visit Reason
The visit was an initial certification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
The facility failed to complete nurse reviews as required for 2 of 3 tenants reviewed, with issues including incomplete documentation of wound care and medication errors. The RN Director is implementing corrective actions including nurse review systems and training.
Deficiencies (1)
Failure to complete nurse reviews as required for tenants, including incomplete documentation of wound care and medication errors.
Report Facts
Number of tenants without cognitive disorder: 14
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 14
Tenants reviewed for nurse reviews: 3
Units of Lantus Solostar remaining: 8
Units of Lantus administered: 8
Units of Basaglar administered: 11
Total units administered: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Margaret Jorgensen | Director of Assisted Living | Signed the statement of deficiencies and plan of correction |
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