Inspection Reports for Independence Village of Ankeny
1275 SW State St, Ankeny, IA 50023, United States, IA, 50023
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 24, 2025, cited a deficiency for failing to include durable power of attorney documentation in a tenant’s record. Earlier inspections showed a pattern of deficiencies related mainly to tenant care, documentation, service plan updates, and staff training, with some issues also involving medication security and incident reporting. Complaint investigations were mostly unsubstantiated, though several substantiated complaints identified repeated regulatory insufficiencies, including failures in evaluations, nurse reviews, and adherence to policies, sometimes resulting in civil penalties. Enforcement actions included fines ranging from $750 to $1,500 in earlier years, but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows some improvement in recent years with fewer and less extensive deficiencies noted compared to earlier inspections.
Deficiencies (last 12 years)
Deficiencies (over 12 years)
4.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
7% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
14 residents
Based on a April 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 14
Deficiencies: 1
Date: Apr 24, 2025
Visit Reason
The inspection was conducted to investigate Complaint #124565-C regarding regulatory compliance related to tenant documentation.
Complaint Details
Investigation of Complaint #124565-C found the program did not have a copy of the power of attorney document for Tenant C1 in the tenant's record.
Findings
The program failed to ensure tenant records included copies of durable power of attorney documentation for tenants, specifically for one former tenant (Tenant C1). This deficiency was confirmed during the exit interview with the Director and delegating nurse.
Deficiencies (1)
Failure to ensure tenant records included copies of durable power of attorney documentation.
Report Facts
Number of tenants with cognitive impairment: 14
Total census: 14
Number of tenants without cognitive impairment: 0
Number of former tenants reviewed: 1
Global Deterioration Scale (GDS) score: 4
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 3
Date: May 1, 2024
Visit Reason
The inspection was conducted as a complaint investigation (#116472-C) and recertification visit to determine compliance with certification rules for an Assisted Living Program for People with Dementia.
Complaint Details
Complaint #116472-C triggered the investigation. The complaint involved concerns about occupancy agreements, tenant care, and service plan updates.
Findings
The program failed to ensure one tenant signed the occupancy agreement prior to move-in, failed to provide appropriate care including timely nursing assessments and documentation of vital signs for tenants, and failed to update and obtain signatures on service plans for tenants who experienced significant changes.
Deficiencies (3)
Failure to ensure Tenant #4 signed the occupancy agreement prior to moving into the apartment.
Failure to provide appropriate care to Tenant #3 and Tenant #4, including lack of timely nursing assessments and failure to document vital signs.
Failure to update service plans within 30 days of significant changes and failure to obtain signatures on service plans for Tenant #2, Tenant #3, and Tenant #4.
Report Facts
Total census: 17
Tenants reviewed: 4
Date of tenant #4 move-in: Dec 14, 2023
Date of tenant #4 occupancy agreement signature: Dec 19, 2023
Date of tenant #3 fall incident: Mar 2, 2024
Date of tenant #2 fall incident: Mar 15, 2024
Date of tenant #3 service plan: Apr 29, 2024
Date of tenant #4 service plan revision: Jan 29, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Consultant Registered Nurse | Consultant RN | Confirmed lack of timely nursing assessments and follow-up for Tenant #3's fall and verified failure to document vital signs for Tenant #4. |
| Executive Director | Confirmed deficiencies related to nursing assessments, service plan signatures, and occupancy agreement timing. | |
| Licensed Practical Nurse | LPN | Contacted Tenant #2's guardian and PCP regarding fall and received orders for x-rays and therapies. |
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 12
Date: Jul 25, 2023
Visit Reason
The inspection was conducted as part of an investigation of Complaint #114056-C regarding regulatory insufficiencies at the assisted living program.
Complaint Details
The inspection was triggered by Complaint #114056-C. The complaint involved concerns about incident reporting, tenant care, medication security, staff training, and other regulatory compliance issues.
Findings
The Program failed to consistently follow established policies and procedures including incident reporting, ensuring adequate and appropriate care, medication security, staff training, tenant evaluations, nurse reviews, emergency procedures, and dementia-specific education. Multiple deficiencies were cited across these areas.
Deficiencies (12)
Failed to consistently follow established policy/procedure for incident reports, including lack of notification to responsible parties and lack of follow-up from Wellness Director or Executive Director.
Failed to ensure tenants received adequate and appropriate care, including medication availability and housekeeping services.
Medications were not consistently kept locked and accessible only to authorized personnel; medication cart lock was broken for 1-2 weeks.
Delegating nurse failed to ensure staff were sufficiently trained and competent within required timeframes.
Failed to ensure staff received dependent adult abuse training within required timeframes.
Failed to utilize the Global Deterioration Scale for tenants with moderate cognitive decline as required.
Failed to complete evaluations within 30 days of occupancy for some tenants.
Failed to complete evaluations annually and with significant change for some tenants.
Failed to complete 90-day nurse reviews for multiple tenants as required.
Failed to implement/document staff procedures addressing emergency needs of tenants with cognitive disorders or dementia.
Failed to ensure all personnel, including agency/contract staff, received appropriate training to meet tenant needs.
Failed to ensure staff received eight hours of dementia-specific education and training within 30 days of employment or contract start.
Report Facts
Total census: 15
Tenants without cognitive impairment: 7
Tenants with cognitive impairment: 8
Incident reports reviewed: 6
Staff reviewed for training: 4
Agency staff reviewed: 2
Tenants reviewed for evaluations: 6
Tenants reviewed for nurse reviews: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Named in findings related to nurse delegation, dependent adult abuse training, dementia-specific training, and staff training deficiencies. | |
| Staff D | Named in findings related to nurse delegation and dependent adult abuse training deficiencies. | |
| Staff B | Named in findings related to dementia-specific training deficiencies. | |
| Staff C | Named in findings related to dementia-specific training deficiencies. | |
| Agency Staff E | Named in findings related to dementia-specific training and staff training deficiencies. | |
| Agency Staff F | Named in findings related to dementia-specific training deficiencies. | |
| Regional Wellness Director | Acknowledged multiple deficiencies including broken medication cart lock, failure to follow incident report policy, and training documentation. | |
| Clinical Operations Nurse | Confirmed use of emergency procedures policy and acknowledged training deficiencies. |
Inspection Report
Complaint Investigation
Census: 13
Deficiencies: 0
Date: Aug 24, 2022
Visit Reason
The inspection was conducted to investigate Complaint #100886-C at the Assisted Living Program.
Complaint Details
Complaint #100886-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 0
Date: Sep 9, 2021
Visit Reason
Investigation of complaint #96841 regarding the Assisted Living Program for people with Dementia.
Complaint Details
Complaint #96841 was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of complaint #96841.
Report Facts
Number of tenants with cognitive disorders: 17
Number of tenants without cognitive disorders: 0
Inspection Report
Renewal
Census: 15
Deficiencies: 0
Date: Mar 22, 2021
Visit Reason
The visit was a recertification inspection to determine compliance with certification of an Assisted Living Program for People with Dementia, including an onsite infection control visit and investigation of a complaint.
Complaint Details
Investigation of Incident #93417-I and Complaint #93426-C resulted in no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the recertification visit, infection control visit, or the complaint investigation.
Report Facts
Number of tenants with cognitive disorder: 15
Number of tenants without cognitive disorder: 0
Inspection Report
Complaint Investigation
Census: 16
Deficiencies: 5
Date: Aug 20, 2020
Visit Reason
The inspection was conducted as an onsite infection control survey and investigation of multiple complaints related to the Assisted Living Program for People with Dementia at Vintage Hills at Prairie Trail Memory Care.
Complaint Details
The investigation was triggered by complaints #88833-C, 90669-C, 91508-C, and 92296-C related to infection control and tenant care.
Findings
The program failed to follow standard operating procedures for preventing respiratory outbreaks, including improper staff mask use and movement restrictions. Additionally, the program failed to complete required tenant evaluations, service plans, and updates within required timeframes for recently admitted tenants.
Deficiencies (5)
Failed to follow Standard Operating Procedure for preventing respiratory outbreak.
Failed to complete evaluations prior to occupancy for 1 of 2 recently admitted tenants.
Failed to complete evaluations within 30 days of occupancy for 2 of 2 recently admitted tenants.
Failed to develop preliminary service plans for 2 of 2 recently admitted tenants.
Failed to update service plans within 30 days of occupancy for 2 of 2 recently admitted tenants.
Report Facts
Number of tenants with cognitive disorder: 16
Number of tenants without cognitive disorder: 0
Total Census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jim Clindaniel | Executive Director | Named in Plan of Correction response and responsible for corrective actions |
Inspection Report
Complaint Investigation
Census: 10
Deficiencies: 2
Date: Dec 2, 2019
Visit Reason
The inspection was conducted as a complaint investigation related to regulatory insufficiencies cited during the investigation of Complaint #86552-C at Vintage Hills at Prairie Trail ALP/D.
Complaint Details
The investigation was triggered by Complaint #86552-C. The findings included failure to follow incident reporting policies and failure to provide adequate care and treatment. The complaint was substantiated as evidenced by the cited deficiencies.
Findings
The program failed to consistently follow the Fall Reduction Program and Incident Reporting Policies for 2 of 6 tenants reviewed, including inadequate documentation of vital signs after incidents. Tenant #1 had two unwitnessed falls with a severe cognitive decline and was not sent out for evaluation per policy. Tenant #2 lost balance and hit her head, with delayed notification to the primary care provider. The program also failed to consistently provide adequate care, treatment, and services to Tenant #1.
Deficiencies (2)
Program failed to ensure consistent follow of Fall Reduction Program and Incident Reporting Policies for tenants.
Failure to provide adequate care, treatment, and services to Tenant #1 as required by tenant rights.
Report Facts
Number of tenants with cognitive disorder: 10
Number of tenants without cognitive disorder: 0
Tenants reviewed for Fall Reduction Program and Incident Reporting Policies: 6
Unwitnessed falls for Tenant #1: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jim Clindaniel | Executive Director | Named in Plan of Correction as responsible for corrective actions |
| Staff A | Assisted Tenant #1 after fall and confirmed incident details | |
| Director of Nursing | Director of Nursing (DON) | Assisted Tenant #1 after fall and confirmed incident details |
| Registered Nurse | Registered Nurse (RN) | Confirmed Tenant #1 had two unwitnessed falls and severe cognitive decline |
Inspection Report
Renewal
Census: 56
Deficiencies: 0
Date: Mar 19, 2018
Visit Reason
Recertification visit conducted to determine compliance with certification of an Assisted Living Program for People with Dementia.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program for People with Dementia.
Report Facts
Number of tenants without cognitive disorder in general population: 36
Number of tenants with cognitive disorder in general population: 3
Number of tenants without cognitive disorder in memory care unit: 0
Number of tenants with cognitive disorder in memory care unit: 17
Total census of Assisted Living Program for People with Dementia: 56
Inspection Report
Routine
Census: 55
Deficiencies: 0
Date: Oct 6, 2016
Visit Reason
Routine inspection of the assisted living program at Vintage Hills at Prairie Trail to assess census and regulatory compliance.
Findings
No regulatory insufficiencies were cited during the investigation of incidents #63188-I and #62065-I. The census included 39 tenants in the General Population Program and 16 tenants in the Dementia-Specific Program, totaling 55 residents.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 38
Number of tenants with cognitive disorder in General Population Program: 1
Total population of General Population Program: 39
Number of tenants without cognitive disorder in Dementia-Specific Program: 0
Number of tenants with cognitive disorder in Dementia-Specific Program: 16
Total population of Dementia-Specific Program: 16
Total census of Assisted Living Program: 55
Inspection Report
Monitoring
Census: 56
Deficiencies: 0
Date: Mar 23, 2016
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification requirements for an Assisted Living Program.
Findings
No regulatory insufficiencies were found during this evaluation. The review of recertification documents and related inspections were accepted, resulting in certification approval.
Report Facts
Number of tenants without cognitive disorder: 41
Number of tenants with cognitive disorder: 15
Total Population of Program at time of on-site: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed letter regarding Final Recertification Monitoring Evaluation Report |
Inspection Report
Complaint Investigation
Census: 56
Deficiencies: 6
Date: May 12, 2014
Visit Reason
The visit was a Final Recertification and Complaint/Incident Investigation Revisit conducted following a complaint and regulatory insufficiencies noted in prior visits. The revisit focused on evaluation, service plans, nurse review, policies and procedures, and compliance with the plan of correction.
Complaint Details
Complaint/Incident Investigation Revisit following regulatory insufficiencies identified in January 2014 related to evaluations, service plans, nurse review, medications, food service, record checks, policies and procedures, tenant documents, and tenant rights.
Findings
The program was assessed a $1,000 civil penalty due to repeated regulatory insufficiencies in evaluation, service plans, nurse review, and policies and procedures. The report noted failures to update nurse reviews, evaluations, and service plans as required, along with other regulatory insufficiencies in medication administration, food service, record checks, and tenant rights.
Deficiencies (6)
Failure to update nurse reviews, evaluations, and service plans as required.
Medication administration records not properly documented for certain tenants.
Food safety training not completed timely for staff.
Background checks not completed prior to hire for some staff.
Policies and procedures not followed regarding narcotics administration and documentation.
Tenant rights violated as evidenced by wandering tenant and property damage.
Report Facts
Civil penalty amount: 1000
Reduced civil penalty amount: 650
Inspection visit dates: 3
Census count: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Ethofer | Executive Director | Named as Executive Director of Vintage Hills at Prairie Trail Assisted Living. |
| Lori Miner | RN BSN | Monitor conducting the inspection. |
| Rose Boccella | Program Coordinator | Contact person for questions and informal conference. |
| Jim Friberg | Acting Bureau Chief, Adult Services Bureau | Author of the demand letter. |
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 7
Date: Jan 8, 2014
Visit Reason
The inspection was conducted as a Final Recertification and Complaint/Incident Investigation following complaints and regulatory insufficiencies noted in tenant rights, tenant documents, service plans, medications, nurse review, food service, record checks, policies and procedures, and tenant rights.
Complaint Details
The complaint investigation was substantiated with findings of repeated regulatory insufficiencies in tenant rights, tenant documents, policies and procedures, evaluations, service plans, nurse review, medications, food service, record checks, and tenant rights.
Findings
The program was assessed a $1,500 civil penalty due to repeated regulatory insufficiencies including failure to perform evaluations, service plans, nurse review, and record checks as required. Deficiencies included incomplete documentation, failure to follow policies related to narcotics, disrespectful treatment of tenants, and inadequate staff training and record keeping.
Deficiencies (7)
Failure to perform evaluations, service plans, nurse review, and record checks as required.
Doctor ordered tasks were not included on the Medication Administration Record.
Two tenants were treated disrespectfully by a tenant whose service plan was not updated.
Policies and procedures were not followed in relation to narcotics.
Incomplete documentation of tenant evaluations and service plans.
Food safety training was not completed by three employees prior to working in food service.
Background checks for staff lacked response from Department of Human Services.
Report Facts
Civil penalty amount: 1500
Reduced civil penalty amount: 975
Census: 59
General Population Program tenants without cognitive disorder: 37
General Population Program tenants with cognitive disorder: 4
Dementia-Specific Program tenants without cognitive disorder: 1
Dementia-Specific Program tenants with cognitive disorder: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Ethofer | Executive Director | Named as Executive Director of Vintage Hills at Prairie Trail Assisted Living. |
| Lori Miner | RN BSN | Monitor conducting the investigation. |
| Rose Boccella | Program Coordinator | Contact person for appeal and payment of civil penalty. |
| Jim Friberg | Acting Bureau Chief, Adult Services Bureau | Signed the demand letter. |
Inspection Report
Complaint Investigation
Census: 49
Deficiencies: 0
Date: Jun 5, 2013
Visit Reason
The visit was a complaint/incident investigation revisit to Vintage Hills at Prairie Trail Assisted Living following a complaint investigation regarding tenant rights, tenant documents, policy and procedures, evaluation, service plans, nurse review, dementia-specific education, and dependent adult abuse training.
Complaint Details
The complaint investigation involved allegations related to sexual intimacy between tenants, documentation deficiencies, medication incident reporting, incomplete evaluations, service plan updates, nurse reviews, dementia training, and dependent adult abuse training. The revisit confirmed that all previously identified regulatory insufficiencies were corrected.
Findings
No regulatory insufficiencies were identified during the revisit investigation. The program had previously received regulatory insufficiencies in various areas during the initial complaint investigation, but corrective actions were implemented and verified during this revisit.
Report Facts
Number of tenants without cognitive disorder: 28
Number of tenants with cognitive disorder: 4
Total Population of General Population Program at time of on-site: 32
Number of tenants without cognitive disorder: 0
Number of tenants with cognitive disorder: 17
Total Population of Dementia-Specific Program at time of on-site: 17
TOTAL census of Assisted Living Program: 49
Age of Tenant #1: 79
Age of Tenant #2: 79
Age of Tenant #5: 69
Age of Tenant #4: 77
Age of Tenant #8: 80
Age of Tenant #9: 83
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the complaint/incident investigation revisit |
| Rose Boccella | Program Coordinator | Author of the cover letter and contact for the report |
Inspection Report
Complaint Investigation
Census: 44
Deficiencies: 6
Date: Feb 26, 2013
Visit Reason
The inspection was conducted as a complaint/incident investigation related to allegations of tenant rights violations, missing documentation, possible medication theft, inadequate evaluations, and staff training deficiencies at Vintage Hills at Prairie Trail Assisted Living.
Complaint Details
The complaint involved allegations of sexual intimacy between tenants in the dementia unit without proper documentation or consent determination, missing nurse notes, failure to complete required evaluations and follow-ups, possible medication theft, staff absence, incomplete dementia training, missing criminal background checks, and failure to comply with the Plan of Correction.
Findings
The investigation found multiple regulatory insufficiencies including failure to complete required evaluations and service plans, missing nurse notes, inadequate incident reporting, failure to follow policies related to medication theft, incomplete staff dementia training, and missing criminal background checks. A $750 civil penalty was assessed due to repeated regulatory insufficiencies.
Deficiencies (6)
Failure to complete evaluations and update service plans as required.
Missing nurse notes and incomplete incident reports related to sexual intimacy incidents between tenants.
Failure to investigate and report possible theft of medications.
Incomplete staff training on dementia-specific education and dependent adult abuse.
Failure to complete criminal background checks prior to employment.
Failure to follow Plan of Correction related to nurse delegated medication administration training.
Report Facts
Civil penalty amount: 750
Reduced civil penalty amount: 487.5
Total census: 44
General Population Program tenants without cognitive disorder: 26
General Population Program tenants with cognitive disorder: 2
Dementia-Specific Program tenants without cognitive disorder: 1
Dementia-Specific Program tenants with cognitive disorder: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Ethofer | Administrator | Named as administrator of Vintage Hills at Prairie Trail Assisted Living. |
| Hal L. Chase | RN BSN MPH | Monitor involved in complaint/incident investigation. |
| Joyce Kix | RN | Monitor involved in complaint/incident investigation. |
| Rose Boccella | Program Coordinator | Contact person for the program regarding the report and penalty. |
| Ann Martin | Bureau Chief, Adult Services Bureau | Signed the demand letter regarding the civil penalty. |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 6
Date: Dec 12, 2012
Visit Reason
The inspection was conducted as a complaint/incident investigation following allegations related to medication administration errors and failure to assess a tenant's condition properly.
Complaint Details
The complaint alleged medication errors involving narcotics and failure of nursing staff to assess a tenant's swollen ankles and toes. The investigation substantiated these concerns with findings of medication mismanagement and inadequate tenant assessments.
Findings
The investigation found multiple regulatory insufficiencies including improper medication administration procedures, inadequate staff training on medication policies, failure to complete timely cognitive and health evaluations, and incomplete or unsupported service plans for tenants.
Deficiencies (6)
Medication administration errors involving narcotics and improper transcription by non-nursing staff.
Insufficient number of trained staff to meet tenants' identified needs.
Medication policies did not describe or identify procedures for transcribing medication orders.
Program failed to use a scored, objective cognitive evaluation tool at admission and did not complete functional, cognitive, and health evaluations within 30 days.
Service plans were not supported by evaluations and were not updated within required timeframes.
Failure to assess a tenant's swollen ankles and toes despite staff reports.
Report Facts
Number of tenants without cognitive disorder: 27
Number of tenants with cognitive disorder: 12
Total census: 39
Number of staff files reviewed: 16
Date of initial certification on-site visit with regulatory insufficiency: May 24, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor for the complaint/incident investigation |
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 0
Date: Jul 13, 2012
Visit Reason
The inspection was conducted as a complaint/incident investigation following an on-site monitoring visit triggered by a complaint regarding tenant interactions and safety at Vintage Hills at Prairie Trail Assisted Living.
Complaint Details
The complaint alleged Tenant #1 squeezed Tenant #2 in a bear hug, broke a window jam, and exited through a window. Tenant #1 was diagnosed with multiple conditions including Alzheimer's disease and had a history of wandering and vivid dreams. The incident report indicated Tenant #1 physically attacked Tenant #2 with a 'bear hug' but Tenant #2 sustained no injury. Tenant #1's behavior was monitored and interventions were updated accordingly. No regulatory insufficiencies were noted.
Findings
No regulatory insufficiencies were identified during the investigation. The complaint involved an incident between two tenants, but after review, no violations were found. The program nurse and staff reported appropriate behavior and interventions related to the incident.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 13
Number of tenants with cognitive disorder in General Population Program: 2
Total Population of General Population Program: 15
Number of tenants without cognitive disorder in Dementia-Specific Program: 2
Number of tenants with cognitive disorder in Dementia-Specific Program: 6
Total Population of Dementia-Specific Program: 8
Total census of Assisted Living Program: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the complaint/incident investigation |
| Rose Boccella | Program Coordinator | Author of the cover letter and contact person for the report |
| Julie Waterman | Administrator | Administrator of Vintage Hills at Prairie Trail Assisted Living, recipient of the report |
Inspection Report
Complaint Investigation
Census: 23
Deficiencies: 0
Date: Jun 5, 2012
Visit Reason
The inspection was conducted as a complaint/incident investigation following allegations related to staff behavior and missing money at Vintage Hills at Prairie Trail Assisted Living.
Complaint Details
The complaint investigation involved allegations that a staff person had been in a tenant's room without valid reason and asked other staff for money and cigarettes, and that Staff #2 was aggressive toward Tenant #3. Another allegation involved tenants in the dementia unit missing money. Interviews with staff, tenants, and family members, as well as monitoring observations, found no evidence of regulatory insufficiencies.
Findings
No regulatory insufficiencies were identified during the investigation. Allegations included staff asking tenants for money and aggressive behavior, but interviews and observations did not substantiate these claims. Another allegation of missing money was also investigated with no regulatory insufficiencies noted.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 15
Number of tenants with cognitive disorder in General Population Program: 1
Total Population of General Population Program at time of on-site: 16
Number of tenants without cognitive disorder in Dementia-Specific Program: 1
Number of tenants with cognitive disorder in Dementia-Specific Program: 6
Total Population of Dementia-Specific Program at time of on-site: 7
Total census of Assisted Living Program: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed cover letter and contact for questions |
| Hal L. Chase | RN BSN MPH | Monitor conducting the complaint/incident investigation |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 1
Date: May 24, 2012
Visit Reason
The inspection was conducted as a Final Initial Certification and Complaint/Incident Investigation at Vintage Hills at Prairie Trail Assisted Living, triggered by complaints and incidents reported regarding medication administration, staff behavior, and structural concerns.
Complaint Details
The complaint involved allegations that a recently hired staff person was acting suspiciously, asking other staff for money, and management watching tenants' wallets for missing money. Another complaint alleged bugs throughout the building. The investigation found no regulatory insufficiencies related to these allegations.
Findings
The investigation found a regulatory insufficiency related to medication administration practices. No regulatory insufficiencies were noted regarding staff behavior allegations or structural pest issues. Tenant satisfaction was generally positive, and no prior regulatory insufficiencies were reported during the certification period.
Deficiencies (1)
When medications are administered traditionally by the program, the administration of medications shall be provided by a registered nurse, licensed practical nurse or advanced registered nurse practitioner or by unlicensed assistive personnel in accordance with requirements governing nurse delegation.
Report Facts
Number of tenants without cognitive disorder in General Population Program: 11
Number of tenants with cognitive disorder in General Population Program: 1
Total Population of General Population Program: 12
Number of tenants without cognitive disorder in Dementia-Specific Program: 1
Number of tenants with cognitive disorder in Dementia-Specific Program: 6
Total Population of Dementia-Specific Program: 7
Total census of Assisted Living Program: 19
Number of tenants attending community meeting: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the complaint/incident investigation |
| Julie Waterman | Administrator | Administrator interviewed during investigation |
| Staff #1 | Interviewed regarding staff behavior allegations | |
| Staff #2 | Observed administering medications and interviewed regarding staff behavior allegations | |
| Staff #3 | Interviewed regarding pest control and structural issues |
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