Inspection Reports for River Living Center

831 US-52, Guttenberg, IA 52052, IA, 52052

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Inspection Report Summary

The most recent inspection on September 2, 2025, found no deficiencies during a complaint investigation. Earlier inspections generally showed compliance with certification requirements, with no regulatory insufficiencies cited in the last several visits. Past deficiencies primarily involved staffing issues, incomplete record checks, and service plan documentation, with some earlier concerns about medication reminders and cognitive evaluations. A $500 civil penalty was issued in 2008 related to food service menu oversight and employee background checks, but no enforcement actions were listed in more recent reports. The inspection history indicates improvement over time, with recent inspections showing no cited deficiencies.

Deficiencies (last 8 years)

Deficiencies (over 8 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

77% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2008
2010
2012
2014
2016
2018
2022
2025

Census

Latest occupancy rate 9 residents

Based on a September 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 4 8 12 16 Nov 2008 Apr 2012 Sep 2016 Aug 2022 Sep 2025

Inspection Report

Complaint Investigation
Census: 9 Deficiencies: 0 Date: Sep 2, 2025

Visit Reason
Investigation of Complaint #129322-C regarding the assisted living program at River Living Center.

Complaint Details
Complaint #129322-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.

Report Facts
Tenants without cognitive impairment: 9 Tenants with cognitive impairment: 0 Total census: 9

Inspection Report

Renewal
Census: 8 Deficiencies: 0 Date: Apr 3, 2025

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.

Report Facts
Number of tenants without cognitive impairment: 8 Number of tenants with cognitive impairment: 0 Total census: 8

Inspection Report

Renewal
Census: 8 Deficiencies: 0 Date: Aug 30, 2022

Visit Reason
Recertification visit conducted 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.

Inspection Report

Renewal
Census: 8 Deficiencies: 0 Date: Sep 18, 2018

Visit Reason
Recertification conducted to determine compliance with certification for an Assisted Living Program.

Findings
No regulatory insufficiencies were cited during the recertification for the Assisted Living Program.

Report Facts
Number of tenants without cognitive disorder: 8 Number of tenants with cognitive disorder: 0 Total census: 8

Inspection Report

Complaint Investigation
Census: 8 Deficiencies: 3 Date: Sep 20, 2016

Visit Reason
A recertification visit and investigation of Complaint #61297-C was completed at River Living Center.

Complaint Details
Investigation of Complaint #61297-C was conducted. Deficiencies were cited related to staffing, record checks, and service plans.
Findings
The inspection found deficiencies related to staffing, record checks, and service plans. Specific issues included failure to provide services according to training, incomplete criminal and abuse record checks, and inadequate individualized service plans for tenants.

Deficiencies (3)
Program failed to provide services to one tenant in accordance with the training provided related to nurse delegation and administration of eye drops.
Program failed to secure an evaluation from the Department of Human Services prior to employment for one staff member, violating record check requirements.
Program failed to develop and/or amend individualized service plans as needed for three tenants reviewed.
Report Facts
Number of tenants without cognitive disorder: 8 Number of tenants with cognitive disorder: 0 Total population at time of on-site: 8

Employees mentioned
NameTitleContext
Mary EulbergRNSigned the plan of correction for service plans deficiency.

Inspection Report

Monitoring
Census: 6 Deficiencies: 1 Date: Jul 24, 2014

Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted by the Iowa Department of Inspections and Appeals to evaluate regulatory compliance related to tenant evaluations at River Living Center.

Findings
The report found a Regulatory Insufficiency regarding the evaluation of tenants, specifically that initial cognitive evaluations were not completed by a registered nurse as required. The program must submit a Plan of Correction to address this insufficiency.

Deficiencies (1)
Initial cognitive evaluations were not completed by a registered nurse or appropriate health care professional as required.
Report Facts
Number of tenants without cognitive disorder: 6 Total census of Assisted Living Program: 6

Employees mentioned
NameTitleContext
Stephanie RadabaughPhD MonitorMonitor conducting the evaluation
Mary EulbergDirectorFacility Director named in the report

Inspection Report

Monitoring
Census: 8 Deficiencies: 2 Date: Apr 19, 2012

Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review the Plan of Correction in response to a Preliminary Recertification Monitoring Evaluation Report and to ensure compliance with Iowa Administrative Code chapters 481-67 and 481-69.

Findings
The report found no regulatory insufficiencies during the certification period. Tenant satisfaction was positive, and the program was compliant with service plan and medication administration requirements, although some documentation deficiencies were noted in medication reminders and service plan updates.

Deficiencies (2)
The service plan did not reflect medication reminders and wound care orders and was not updated when changes were needed.
Medications and medication reminders were not documented after administration as required by the medication administration protocol.
Report Facts
Number of tenants without cognitive disorder: 8 Number of tenants with cognitive disorder: 0 Total census of Assisted Living Program: 8

Employees mentioned
NameTitleContext
Joy MeyerManagerManager of River Living Center, mentioned in relation to medication administration and service plan findings
Stephanie CumminsMAMonitor conducting the evaluation
Margaret KaltefleiterRN MSMonitor conducting the evaluation
Jim BerkleyProgram CoordinatorSigned the cover letter for the report

Inspection Report

Monitoring
Census: 8 Deficiencies: 0 Date: Sep 27, 2010

Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review recertification documents and evaluate compliance with Iowa Code and Administrative Code for the River Living Center assisted living program.

Findings
No regulatory insufficiencies were found during the evaluation. The program was accepted, and the State Fire Marshal's inspection and Facility Engineer's approval of evacuation plans were also received. Tenant satisfaction was positive with no issues reported.

Report Facts
Current number of tenants without cognitive disorder: 8 Current number of tenants with cognitive disorder: 0 Total Population: 8

Employees mentioned
NameTitleContext
Stephanie CumminsMonitorConducted the monitoring visit
Tamara HalvorsonASB Lead Certification CoordinatorSigned the cover letter for the report

Inspection Report

Monitoring
Census: 5 Deficiencies: 2 Date: Nov 7, 2008

Visit Reason
An on-site monitoring evaluation was conducted at River Living Center to assess regulatory compliance related to assisted living programs, including monitoring, civil penalties, and complaints.

Findings
The program had regulatory insufficiencies in food service menu oversight and employee record checks, including incomplete background checks prior to hire. A civil penalty of $500 was assessed, and the Plan of Correction was accepted.

Deficiencies (2)
The program provided hand written menus that were not developed by a registered dietician and did not meet required dietary allowances.
The program did not complete required Department of Public Safety, criminal history, and Department of Human Services dependent adult abuse checks prior to hiring an employee.
Report Facts
Civil penalty amount: 500 Current number of tenants without cognitive disorder: 5 Current number of tenants with cognitive disorder: 0 Total population: 5

Employees mentioned
NameTitleContext
Lincoln NewsomRNMonitor conducting the evaluation

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