Inspection Reports for The Meadows
200 McCarren Dr, Manchester, IA 52057, IA, 52057
Back to Facility ProfileInspection Report Summary
The most recent inspection on January 18, 2024, found no deficiencies during the recertification visit. Earlier inspections generally showed a clean record with no regulatory insufficiencies cited in multiple recertification and monitoring visits dating back several years. Prior to that, inspections in 2006 and 2008 noted deficiencies related mainly to tenant evaluations, service plan updates, and staffing levels, but these issues were addressed over time. Complaint investigations were conducted in 2012 regarding tenant elopement and rights, but no deficiencies were identified and tenant rights were upheld. The inspection history shows improvement, with no deficiencies found in recent years and no enforcement actions or fines listed in the available reports.
Deficiencies (last 10 years)
Deficiencies (over 10 years)
1.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
38 residents
Based on a January 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 38
Deficiencies: 0
Date: Jan 18, 2024
Visit Reason
The visit was a recertification inspection 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: 37
Number of tenants with cognitive impairment: 1
Total census: 38
Inspection Report
Renewal
Census: 38
Deficiencies: 0
Date: Sep 29, 2020
Visit Reason
The visit was conducted as a recertification visit to determine compliance with certification for an Assisted Living Program, including an onsite infection control survey.
Findings
No regulatory insufficiencies were cited during the onsite infection control survey completed on 9/28/20 and 9/29/20, nor during the recertification visit.
Report Facts
Number of tenants without cognitive disorder: 38
Number of tenants with cognitive disorder: 0
Total census: 38
Inspection Report
Renewal
Census: 40
Deficiencies: 0
Date: Mar 21, 2018
Visit Reason
Recertification visit conducted to determine compliance with certification for an Assisted Living Program.
Findings
There were no regulatory insufficiencies cited during the recertification visit.
Report Facts
Number of tenants without cognitive disorder: 40
Number of tenants with cognitive disorder: 0
Total census: 40
Inspection Report
Renewal
Census: 41
Deficiencies: 0
Date: May 3, 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 of recertification documents was completed and accepted, and the State Fire Marshal's inspection report and Facility Engineer's approval of Evacuation Plans were received.
Report Facts
Number of tenants without cognitive disorder: 41
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 41
Total census of Assisted Living Program: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed letter regarding the Final Recertification Monitoring Evaluation Report |
Inspection Report
Monitoring
Census: 41
Deficiencies: 0
Date: Jun 3, 2014
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation for Meadows Assisted Living to assess compliance with Iowa Administrative Code and to review recertification documents and fire safety approvals.
Findings
No regulatory insufficiencies were found during the onsite recertification monitoring evaluation. Tenant and family satisfaction was positive, with services meeting or exceeding expectations.
Report Facts
Tenant census: 41
Tenant meeting attendance: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wendy E. Kuhse | RN BS | Monitor conducting the evaluation |
Inspection Report
Complaint Investigation
Census: 40
Deficiencies: 0
Date: Dec 7, 2012
Visit Reason
The inspection was conducted as a final complaint/incident investigation following complaints regarding tenant elopement and tenant rights at Meadows Assisted Living in Manchester, IA.
Complaint Details
The complaint investigation involved two allegations: one regarding a tenant eloping from the facility and another concerning tenant rights related to the discharge process. The investigation included review of tenant files, staff interviews, and incident reports. The tenant elopement was documented with safety checks added afterward, and the tenant was considered a voluntary transfer. Tenant rights were upheld with no concerns identified during the transfer process.
Findings
No regulatory insufficiencies were identified during the investigation. The report detailed the circumstances of a tenant elopement and concerns about tenant rights during discharge, with thorough monitoring observations and interviews conducted. Safety checks and updated service plans were implemented following the incidents.
Report Facts
Number of tenants without cognitive disorder: 38
Number of tenants with cognitive disorder: 2
Total census: 40
Dates of complaint/incident investigation: December 7 & 10, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | MA | Monitor during complaint/incident investigation |
| Margaret Kaltefleiter | RN MS | Monitor during complaint/incident investigation |
| Cheri Orcutt | Director | Named in relation to tenant elopement and tenant rights findings |
Inspection Report
Monitoring
Census: 37
Deficiencies: 0
Date: Nov 15, 2011
Visit Reason
The visit was a final recertification monitoring evaluation of Meadows Assisted Living to assess compliance with Iowa Administrative Code chapters 481-67 and 481-69 and to review recertification documents and evacuation plans.
Findings
No regulatory insufficiencies were found during this evaluation. The program was accepted for recertification, and tenants expressed satisfaction with the services and environment.
Report Facts
Number of tenants without cognitive disorder: 35
Number of tenants with cognitive disorder: 2
Total Population of Program at time of on-site: 37
Community meeting attendance: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cummins | MA | Monitor for the evaluation |
| Margaret Kaltefleiter | RN MS | Monitor for the evaluation |
| Cheri Orcutt | Director | Facility Director named in report |
| Jim Berkley | Program Coordinator | Author of the cover letter |
Inspection Report
Monitoring
Census: 44
Deficiencies: 0
Date: Mar 25, 2010
Visit Reason
The visit was a recertification monitoring evaluation conducted by the Iowa Department of Inspections and Appeals to assess compliance with assisted living program regulations.
Findings
No regulatory insufficiencies were found during the visit. Tenant satisfaction was positive, with tenants feeling safe and well cared for, and there were no substantiated regulatory insufficiencies during the certification period.
Report Facts
Tenants without cognitive disorder: 43
Tenants with cognitive disorder: 1
Total population: 44
Tenant meeting attendance: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the evaluation |
Inspection Report
Monitoring
Census: 32
Deficiencies: 6
Date: Apr 7, 2008
Visit Reason
The visit was conducted as a recertification monitoring evaluation to review the facility's Plan of Correction in response to previously identified regulatory insufficiencies.
Findings
The program had several regulatory insufficiencies including inconsistent evaluation of tenants' functional and cognitive status, incomplete service plan updates, lack of nurse reviews, and insufficient trained staffing to meet tenant needs. However, there were no substantiated regulatory insufficiencies during this certification period.
Deficiencies (6)
The program did not consistently evaluate each tenants’ functional, cognitive and health status as needed.
The program did not consistently update a tenant’s service plan when needed by a multidisciplinary team.
The program did not consistently develop service plans that identified tenant needs and tenants’ requests for assistance and expected outcomes.
The program did not consistently develop service plans for each tenant based on evaluations conducted.
The program did not consistently assess and document the health status of each tenant, make recommendations and referrals as appropriate, and monitor progress on previous recommendations.
The program did not consistently provide sufficient trained staff available at all times to fully meet the tenants’ identified needs.
Report Facts
Current number of tenants without cognitive disorder: 32
Current number of tenants with cognitive disorder: 0
Total Population: 32
Number of tenant files reviewed: 4
Number of employee files reviewed: 5
Inspection Report
Monitoring
Census: 33
Deficiencies: 5
Date: Jan 24, 2006
Visit Reason
The visit was a recertification monitoring evaluation conducted to assess compliance with Iowa assisted living program regulations and to evaluate tenant care and program operations.
Complaint Details
No substantiated complaints during this certification period.
Findings
The evaluation found multiple regulatory insufficiencies including incomplete health and functional evaluations prior to or within 30 days of occupancy, lack of comprehensive health evaluations, improper documentation of physician orders, and missing proof of mandatory dependent adult abuse reporting training for some employees.
Deficiencies (5)
The program does not complete health evaluations prior to taking occupancy.
The program does not complete functional evaluations within 30 days of taking occupancy.
The program does not complete a comprehensive health evaluation within 30 days of taking occupancy.
The program does not appropriately document physician orders.
The program does not have proof of Mandatory Dependent Adult Abuse Reporting training for all employees.
Report Facts
Current number of tenants without cognitive disorder: 29
Current number of tenants with cognitive disorder: 4
Total Population: 33
Tenant community meeting participants: 17
Tenant interviews: 2
Family interviews: 2
Employee files reviewed: 3
Tenant files reviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Nussle | Director | Named as Director of The Meadows Assisted Living |
| Stephanie Cummins | SW MA | Monitor conducting the evaluation |
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