Inspection Report Summary
The most recent inspection on June 30, 2025, found no deficiencies during the recertification visit for the Assisted Living Program. Earlier inspections showed a pattern of deficiencies primarily related to incomplete or outdated service plans and staff training, including issues with nurse delegated training and individualized tenant care plans. Complaint investigations substantiated concerns about service plan updates and hand hygiene practices, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Most complaints were unsubstantiated or involved minor documentation issues, and the facility addressed safety concerns such as tenant elopement with additional measures. The inspection history indicates improvement over time, with recent inspections showing no regulatory insufficiencies.
Deficiencies (last 12 years)
Deficiencies (over 12 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
66% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
30 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 30
Deficiencies: 0
Date: Jun 30, 2025
Visit Reason
The recertification visit was conducted to determine compliance with certification rules 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 impairment: 30
Number of tenants with cognitive impairment: 0
Total census: 30
Inspection Report
Renewal
Census: 28
Deficiencies: 0
Date: Dec 14, 2022
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 for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 28
Number of tenants with cognitive impairment: 0
Total census: 28
Inspection Report
Renewal
Census: 29
Deficiencies: 3
Date: Dec 11, 2018
Visit Reason
The inspection was a recertification visit to determine compliance with certification rules for an Assisted Living Program.
Findings
The inspection found regulatory insufficiencies related to staffing, specifically that non-certified staff did not receive required training on activities of daily living, medication administration, and treatments. Additionally, service plans did not reflect all identified tenant needs and preferences.
Deficiencies (3)
Program failed to ensure non-certified staff received training on activities of daily living, including toileting assistance and perineal care.
Program failed to ensure staff received nurse delegated training on all medications administered and treatments completed.
Program failed to develop service plans reflecting all identified needs of tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 29
Number of tenants with cognitive disorder: 0
Total census: 29
Non-certified staff reviewed: 6
Non-licensed staff reviewed: 2
Tenants reviewed for service plans: 3
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 1
Date: May 25, 2017
Visit Reason
The inspection was conducted as a complaint investigation (#66094-C) at Melrose Meadows Assisted Living Community to evaluate regulatory compliance related to service plans for tenants.
Complaint Details
Complaint investigation #66094-C was substantiated with findings that service plans did not meet regulatory requirements for individualized care and updates based on tenant needs and changes.
Findings
The investigation found that the program failed to ensure individualized service plans included identified needs for 3 of 5 tenants reviewed, including lack of updates for incontinence, medication administration, hospitalization, and interventions for confusion and exit seeking behaviors.
Deficiencies (1)
Service plans were not individualized or updated to reflect tenants' identified needs and preferences, including toileting assistance, medication administration, hospitalization changes, and interventions for confusion and elopement.
Report Facts
Number of tenants without cognitive disorder: 31
Number of tenants with cognitive disorder: 2
Total census of Assisted Living Program: 33
Tenants reviewed for service plans: 5
Tenants with unmet service plan needs: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jody Thomas | Executive Director | Named as Executive Director of Melrose Meadows Assisted Living Community |
Inspection Report
Renewal
Census: 32
Deficiencies: 0
Date: Dec 7, 2016
Visit Reason
The visit was conducted as a recertification 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 at Melrose Meadows Retirement Community.
Report Facts
Number of tenants without cognitive disorder: 31
Number of tenants with cognitive disorder: 1
Total Population of Program at time of on-site: 32
Total census of Assisted Living Program: 32
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 1
Date: Aug 22, 2016
Visit Reason
The inspection was conducted as part of the investigation of Complaint #62042-C regarding regulatory insufficiency in the assisted living program.
Complaint Details
Investigation of Complaint #62042-C revealed regulatory insufficiency related to program policies and procedures, specifically in hand hygiene and glove use during medication passes.
Findings
The inspection revealed that staff failed to follow proper hand washing and glove use procedures during medication administration, including not washing hands before and after glove use and improper use of hand sanitizer. These deficiencies were observed multiple times during medication passes to various tenants.
Deficiencies (1)
Failure to follow policy and procedure regarding hand washing, gloving, and use of hand sanitizer during medication administration.
Report Facts
Number of tenants without cognitive disorder: 31
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 31
Inspection Report
Monitoring
Census: 23
Deficiencies: 1
Date: Dec 17, 2014
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted by the Department of Inspections and Appeals (DIA) following a survey on December 17, 2014, to evaluate regulatory compliance regarding record checks at Melrose Meadows Retirement Community.
Findings
The report identified a regulatory insufficiency related to record checks, specifically that a staff member with a criminal record was employed without a current evaluation of the record check. The facility failed to maintain a copy of the previous evaluation and did not complete the required background check evaluation prior to employment.
Deficiencies (1)
Failure to complete a current record check evaluation for a staff member with a criminal record employed by another certified program before hiring at this facility.
Report Facts
Number of tenants without cognitive disorder: 23
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jody Thomas | RN Executive Director | Named as Executive Director in Plan of Correction and response letter |
| Rose Boccella | Program Coordinator | Author of the Final Recertification Monitoring Evaluation Report |
| Staff A | Staff member with a criminal record whose background check evaluation was not completed prior to employment |
Inspection Report
Monitoring
Census: 23
Deficiencies: 1
Date: Dec 17, 2014
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted by the Department of Inspections and Appeals (DIA) following a survey on December 17, 2014, to evaluate regulatory compliance related to record checks at Melrose Meadows Retirement Community.
Findings
The report identified a regulatory insufficiency regarding record checks, specifically that a staff member with a criminal record was employed without a current evaluation of the record check. The facility failed to maintain or provide a copy of the previous evaluation for the staff member, and the Director did not ensure clearance before employment.
Deficiencies (1)
Failure to complete a current record check evaluation for a staff member previously employed by another certified program before employment at the facility.
Report Facts
Number of tenants without cognitive disorder: 23
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jody Thomas | RN Executive Director | Named as Executive Director in the Plan of Correction and correspondence |
| Rose Boccella | Program Coordinator | Author of the Final Recertification Monitoring Evaluation Report |
| Staff A | Staff member with a criminal record whose background check evaluation was not completed prior to employment |
Inspection Report
Complaint Investigation
Census: 22
Deficiencies: 4
Date: Jul 24, 2013
Visit Reason
The inspection was conducted as a complaint/incident investigation following a tenant elopement incident reported by the program.
Complaint Details
The complaint involved a tenant elopement incident on 7-8-13. Tenant #1, an 89-year-old with severe cognitive decline, left the facility and was found by police approximately two miles away. The tenant was unharmed and returned to the program. The program implemented additional safety measures including door alarms and increased monitoring. The complaint was investigated and regulatory insufficiencies were identified related to nurse reviews and service plan updates, but no insufficiency was noted regarding the elopement itself.
Findings
The investigation found no regulatory insufficiencies related to the elopement incident. Tenant #1 eloped but was found unharmed and returned safely. Nurse reviews and service plans for tenants were not consistently completed as required, resulting in regulatory insufficiencies related to nurse reviews and service plan updates.
Deficiencies (4)
Nurse reviews were not completed as needed when changes were added to the service plan.
Service plans were updated without nurse reviews and did not reflect the identified needs of tenants.
Service plans were not updated within 30 days of tenant occupancy or significant change as required.
Service plans lacked individualization and did not indicate tenant needs and preferences for assistance as required.
Report Facts
Number of tenants without cognitive disorder: 21
Number of tenants with cognitive disorder: 1
Total census: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jody Thomas | RN Manager | Named as RN/Manager involved in notification and handling of the tenant elopement incident |
| Stephanie Cummins | MA | Monitor conducting the complaint/incident investigation |
Inspection Report
Monitoring
Census: 24
Deficiencies: 0
Date: Oct 23, 2012
Visit Reason
The visit was a final recertification monitoring evaluation conducted to assess compliance with Iowa Administrative Code chapters 481-67 and 481-69 for the Assisted Living Program at Melrose Meadows Retirement Community.
Findings
No regulatory insufficiencies were found during this evaluation. The program demonstrated general tenant satisfaction, respectful staff interactions, and a clean and safe environment. The review of recertification documents was completed and accepted.
Report Facts
Number of tenants without cognitive disorder: 24
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 24
Number of tenants and family members attending community meeting: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Kix | RN | Monitor for the evaluation visit |
Inspection Report
Monitoring
Census: 22
Deficiencies: 4
Date: Jan 4, 2011
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals to review the Plan of Correction and regulatory compliance of Melrose Meadows Assisted Living Program.
Findings
The report found no regulatory insufficiencies during the certification period. Tenant and family satisfaction was generally positive, though some regulatory insufficiencies were noted related to tenant evaluations and service plans, which were addressed in the Plan of Correction accepted by DIA.
Deficiencies (4)
Failure to evaluate each tenant's functional, cognitive, and health status within 30 days of occupancy and annually as needed.
The tenant's service plan did not address the tenant's behavior and interventions related to the behavior and was not updated as needed.
Service plan was not updated within 30 days of tenant's occupancy or with significant change.
Service plan was not individualized to indicate tenant's identified needs and preferences for assistance.
Report Facts
Current number of tenants without cognitive disorder: 22
Current number of tenants with cognitive disorder: 0
Total Population: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jody Thomas | RN Manager | Named as manager of Melrose Meadows Assisted Living Program |
| Stephanie Cummins | MA | Monitor conducting the on-site monitoring evaluation |
| Jim Berkley | Program Coordinator | Signed letter regarding certification and Plan of Correction acceptance |
Inspection Report
Complaint Investigation
Census: 24
Deficiencies: 0
Date: May 24, 2010
Visit Reason
A complaint investigation was conducted due to allegations that tenants of the assisted living area wander without supervision and concerns about staffing levels during certain hours.
Complaint Details
Complaint Allegation: Tenants wander without supervision and only one licensed practical nurse on duty from 5 p.m. to 8 a.m. Monitoring observations found no tenants scored above a three on the Global Deterioration Scale and staffing met requirements. No regulatory insufficiencies were noted.
Findings
The investigation found no regulatory insufficiencies related to tenant wandering or staffing levels. The program staffed at least one person 24 hours a day, and no tenants scored above a three on the Global Deterioration Scale indicating safety concerns.
Report Facts
Current number of tenants without cognitive disorder: 24
Current number of tenants with cognitive disorder: 0
Total Population: 24
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jody Thomas | RN Administrator | Named as facility administrator in complaint investigation |
| Joyce Kix | RN | Monitor conducting the complaint investigation |
Inspection Report
Monitoring
Census: 18
Deficiencies: 2
Date: Aug 21, 2008
Visit Reason
The visit was a recertification monitoring evaluation conducted to review the facility's Plan of Correction in response to previously identified regulatory insufficiencies.
Findings
The monitoring evaluation found that the medication administration had documentation errors but was appropriately supervised and administered. There were no substantiated regulatory insufficiencies during this certification period.
Deficiencies (2)
Administration of tenant's insulin was not consistently documented on the MAR, with missing initials on several dates.
Regulatory Insufficiency: Medication administration must be provided by a licensed nurse or authorized agent in accordance with Iowa Code and nursing practice standards.
Report Facts
Current number of tenants without cognitive disorder: 18
Current number of tenants with cognitive disorder: 0
Total Population: 18
Tenant age: 71
Insulin units: 5
Inspection Report
Monitoring
Census: 20
Deficiencies: 1
Date: Aug 16, 2004
Visit Reason
An on-site monitoring evaluation was conducted at Melrose Meadows to assess compliance with assisted living program regulations during the re-certification period.
Findings
The evaluation found that the program did not maintain documentation of staff training for nurse delegated duties and lacked training and staffing plans on file. Tenant satisfaction was generally positive with no complaints on file during the certification period.
Deficiencies (1)
The program did not have training and staffing plans on file and did not maintain documentation of staff training for nurse delegated duties to ensure competency.
Report Facts
Current number of tenants without cognitive disorder: 17
Current number of tenants with cognitive disorder: 3
Total General Population: 20
Viewing
Loading inspection reports...
