Inspection Reports for The Rose of East Des Moines
1331 Idaho St, Des Moines, IA 50316, United States, IA, 50316
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 21, 2025, found no deficiencies during the complaint investigation. Earlier inspections generally showed compliance with certification rules and no regulatory insufficiencies in complaint investigations. Prior deficiencies primarily involved tenant rights, documentation and communication regarding tenant health status, and service plan development. Complaint investigations were mostly unsubstantiated, with no fines, immediate jeopardy findings, or license actions listed in the available reports. The inspection history indicates improvement over time, with recent inspections free of cited deficiencies.
Deficiencies (last 18 years)
Deficiencies (over 18 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
54 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: 54
Deficiencies: 0
Date: Apr 21, 2025
Visit Reason
Investigation of complaints #124062-C and #124450-C at the assisted living facility.
Complaint Details
Investigation of Complaint #124062-C and #124450-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants without cognitive impairment: 52
Number of tenants with cognitive impairment: 2
Total census: 54
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Date: Jan 22, 2024
Visit Reason
Investigation of complaints #115159-C, 117627-C, and 118078-C at the assisted living facility.
Complaint Details
Complaints #115159-C, 117627-C, and 118078-C were investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants without cognitive impairment: 52
Number of tenants with cognitive impairment: 0
Total census: 52
Inspection Report
Renewal
Census: 51
Deficiencies: 0
Date: Aug 28, 2023
Visit Reason
The visit was a recertification inspection to determine compliance with certification rules for an Assisted Living Program and to review complaints 110613-C, 113020-C, and 114969-C.
Findings
No regulatory insufficiencies were cited during the recertification visit, indicating compliance with certification rules for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 54
Number of tenants with cognitive impairment: 0
Total census: 51
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Date: Dec 5, 2022
Visit Reason
Investigation of complaints #104399-C, #104459-C, and #105200-C at the assisted living facility.
Complaint Details
Investigation of Complaint #104399-C, #104459-C, and #105200-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants without cognitive disorder: 58
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 58
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 0
Date: Sep 1, 2021
Visit Reason
Investigation of complaint #99081 and an infection control review at the assisted living facility.
Complaint Details
Complaint #99081 was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation or the infection control review.
Report Facts
Number of tenants without cognitive disorders: 46
Number of tenants with cognitive disorders: 0
Inspection Report
Renewal
Census: 46
Deficiencies: 0
Date: Mar 24, 2021
Visit Reason
The visit was conducted as a recertification to determine compliance with certification rules for an Assisted Living Program, including investigation of complaints #93105 and 94016, and an onsite infection control survey.
Complaint Details
Investigation of complaints #93105 and 94016 was conducted with no regulatory insufficiencies cited.
Findings
No regulatory insufficiencies were cited during the recertification visit, complaint investigations, or infection control survey.
Report Facts
Number of tenants without cognitive disorder: 0
Number of tenants with cognitive disorder: 46
Total census: 46
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 0
Date: Jan 16, 2020
Visit Reason
The inspection was conducted to investigate Complaints #87234-C and 87469-C at the assisted living program.
Complaint Details
Investigation of Complaints #87234-C and 87469-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants with cognitive disorder: 55
Number of tenants without cognitive disorder: 0
Total census: 55
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 0
Date: Apr 25, 2019
Visit Reason
Investigation of Complaint #82551-C at the assisted living facility Rose of East Des Moines.
Complaint Details
Complaint #82551-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Number of tenants without cognitive disorder: 54
Number of tenants with cognitive disorder: 0
Total Population: 54
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 2
Date: Mar 13, 2019
Visit Reason
A recertification visit was conducted to determine compliance with certification for an Assisted Living Program, including investigation of complaints #81508-C and #81530-C.
Complaint Details
Complaint #81508-C and Complaint #81530-C were investigated. No regulatory issues were cited for complaint #81530-C. The complaint investigation found failure to notify the Long-Term Care Ombudsman about an involuntary transfer, and staff failing to treat tenants with dignity and respect.
Findings
No regulatory issues were cited regarding complaint #81530-C. Deficiencies were identified related to tenant rights, specifically staff failing to treat tenants with dignity and respect, and failure to notify the Long-Term Care Ombudsman of an involuntary transfer.
Deficiencies (2)
Staff failed to treat tenants with dignity and respect, potentially affecting all 54 residents.
Failure to notify the Long-Term Care Ombudsman regarding an involuntary transfer for Client #8.
Report Facts
Tenant census: 54
Complaint numbers: 2
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 1
Date: Jan 3, 2019
Visit Reason
The inspection was conducted as an investigation of Complaint #80299-C regarding tenant rights and adequacy of care, treatment, and services provided to residents.
Complaint Details
The investigation was related to Complaint #80299-C. No regulatory insufficiencies were cited for Complaints #79904-C or #80576-C. The complaint was substantiated as evidenced by the cited deficiency.
Findings
The program failed to provide adequate care, treatment, and services for one of four tenants reviewed, including failure to discuss discharge planning and provide appropriate education related to physical therapy refusal and level of care exceedance.
Deficiencies (1)
Failure to provide care, treatment, and services which were adequate and appropriate for Tenant #1, including lack of discharge planning and education regarding physical therapy refusal.
Report Facts
Number of tenants without cognitive disorder: 55
Number of tenants with cognitive disorder: 0
Total population of program at time of on-site: 55
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 0
Date: Oct 2, 2018
Visit Reason
Investigation of Complaint #77803 at the assisted living program Rose of East Des Moines.
Complaint Details
Complaint #77803 was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of Complaint #77803. The census included 54 tenants without cognitive disorder and 0 with cognitive disorder.
Report Facts
Number of tenants without cognitive disorder: 54
Number of tenants with cognitive disorder: 0
Total population: 54
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 0
Date: Jul 18, 2018
Visit Reason
The inspection was conducted to investigate Complaint #76415-C at the assisted living program.
Complaint Details
Complaint #76415-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint.
Report Facts
Number of tenants without cognitive disorder: 54
Number of tenants with cognitive disorder: 0
Total census: 54
Inspection Report
Complaint Investigation
Census: 54
Deficiencies: 0
Date: Jun 28, 2018
Visit Reason
The inspection was conducted as an investigation of complaints numbered 75149-C and 75643-A at the assisted living program.
Complaint Details
Investigation of Complaints 75149-C and 75643-A found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants with cognitive disorder: 54
Number of tenants without cognitive disorder: 0
Total census: 54
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 0
Date: Jun 21, 2018
Visit Reason
Investigation of complaints #76326 and #76220 at the assisted living program Rose of East Des Moines.
Complaint Details
Complaints #76326 and #76220 were investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaints.
Report Facts
Number of tenants without cognitive disorder: 57
Number of tenants with cognitive disorder: 0
Total population: 57
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 1
Date: Jan 3, 2018
Visit Reason
The inspection was conducted as part of an investigation of complaint #72464 regarding the facility's failure to ensure proper written communication of changes in a tenant's health status.
Complaint Details
The complaint investigation revealed that Tenant #1 fell on 11/1/17, staff did not respond appropriately, and the incident was not properly documented. Staff A admitted to leaving the tenant without assistance and only writing the incident in a book that was not available. The tenant was hospitalized with a fractured arm and transferred to a skilled nursing facility. The former staffing policy allowed night staff to sleep, which was changed by new management.
Findings
The program failed to ensure written communication regarding a change in a tenant's health status was available for 1 of 1 tenants reviewed. Tenant #1 fell and sustained a fractured right arm, but staff failed to properly document and report the incident as required.
Deficiencies (1)
Failed to ensure written communication regarding a change in a tenant's health status was available.
Report Facts
Number of tenants without cognitive disorder: 57
Number of tenants with cognitive disorder: 0
Total population: 57
Date of tenant fall: Nov 1, 2017
Date of adverse event report: Oct 31, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Staff involved in incident with Tenant #1 and failure to properly document and respond | |
| Registered Nurse B | Registered Nurse | Confirmed Tenant #1's injury and lack of documentation |
Inspection Report
Complaint Investigation
Census: 57
Deficiencies: 1
Date: Jan 3, 2018
Visit Reason
The inspection was conducted as a complaint investigation related to complaint #72464 concerning a tenant's fall and related care issues at the assisted living program.
Complaint Details
The complaint investigation was triggered by complaint #72464. The tenant fell on 11/1/17, was hospitalized with a fractured right arm, and reported concerns about staff communication and truthfulness. The investigation found missing incident documentation and communication failures. The incident involved a change in contracted service providers and issues with overnight staff policies.
Findings
The program failed to ensure written communication regarding a change in a tenant's health status, specifically related to a tenant fall incident that resulted in a fractured arm and hospitalization. Documentation and communication deficiencies were noted, including missing incident reports and communication logs.
Deficiencies (1)
Failure to ensure written communication regarding a change in a tenant's health status, including documentation of a tenant fall incident and subsequent injury.
Report Facts
Census: 57
Number of tenants without cognitive disorder: 57
Number of tenants with cognitive disorder: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Staff involved in tenant fall incident and communication issues | |
| Registered Nurse (RN) B | Registered Nurse | Confirmed documentation issues regarding the incident |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 0
Date: Jun 14, 2017
Visit Reason
The inspection was conducted as an investigation of Incident #67896-I at the assisted living program.
Complaint Details
Investigation of Incident #67896-I with no regulatory insufficiencies found.
Findings
No regulatory insufficiencies were cited during the investigation of Incident #67896-I.
Inspection Report
Renewal
Census: 63
Deficiencies: 0
Date: Feb 28, 2017
Visit Reason
Recertification visit conducted to determine compliance with certification of 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 disorder: 62
Number of tenants with cognitive disorder: 1
Total Population of Program at time of on-site: 63
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 0
Date: Nov 8, 2016
Visit Reason
Investigation of Complaint #62905-C at the Assisted Living Program Rose of East Des Moines.
Complaint Details
Complaint #62905-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the investigation of the complaint. The census at the time of the on-site visit was 61 residents.
Report Facts
Number of tenants without cognitive disorder: 61
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 61
Inspection Report
Complaint Investigation
Census: 58
Deficiencies: 0
Date: May 25, 2016
Visit Reason
The inspection was conducted as a complaint/incident investigation regarding an allegation that a tenant was confined to their apartment.
Complaint Details
Allegation: Tenant Rights - It was alleged a tenant was confined to the apartment. Findings: Not Substantiated.
Findings
The allegation was found to be not substantiated. Observations, staff and tenant interviews, and review of records showed tenants were free to come and go, common areas were accessible, and no issues with tenant rights or missing items were identified. No regulatory insufficiencies were cited.
Report Facts
Number of tenants without cognitive disorder: 57
Number of tenants with cognitive disorder: 1
Total population of program: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed letter regarding the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 0
Date: Oct 26, 2015
Visit Reason
The inspection was conducted as a complaint/incident investigation based on allegations related to food quality, staffing, structural issues, and other concerns at the Rose of East Des Moines assisted living program.
Complaint Details
The investigation addressed multiple allegations including food alternatives, food quality, staffing in the kitchen, provision of ice machines, gluten-free meals, repair issues such as broken blinds and plaster on walls, mold or mildew in air conditioners, feral cats on property, and food being burned or served in odd combinations. All findings were either 'Not Substantiated' or 'Do not rise to the level of a regulatory insufficiency.'
Findings
No regulatory insufficiencies were identified. All allegations, including those related to food quality, staffing, structural repairs, and mold concerns, were found to be not substantiated or did not rise to the level of regulatory insufficiency.
Report Facts
Census: 61
Number of tenants without cognitive disorder: 60
Number of tenants with cognitive disorder: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Boccella | Program Coordinator | Signed the report and provided contact information |
Inspection Report
Complaint Investigation
Census: 63
Deficiencies: 2
Date: Feb 23, 2015
Visit Reason
A recertification visit and complaint investigation were conducted for the Assisted Living Program at Rose of East Des Moines following complaints #51519-C and #51285-C.
Complaint Details
Complaint #51519-C regarding Tenant Rights was investigated and found unsubstantiated. Complaint #51285-C involved issues with involuntary transfer notification and service plans, with regulatory insufficiencies cited.
Findings
No regulatory insufficiencies were found related to Complaint #51519-C (Tenant Rights), which was unsubstantiated. Regulatory insufficiencies were identified related to Complaint #51285-C and the recertification visit, specifically regarding involuntary transfer from the program and service plans.
Deficiencies (2)
The program failed to notify the tenant advocate and treating physician by certified mail immediately when an involuntary transfer was contested for one of two tenants.
The program failed to develop service plans that reflected the identified needs and preferences for assistance for five of six tenant files reviewed.
Report Facts
Number of tenants without cognitive disorder: 62
Number of tenants with cognitive disorder: 1
Total census of Assisted Living Program: 63
Tenant age: 86
Tenant age: 57
Tenant age: 72
Tenant age: 81
Tenant age: 88
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 0
Date: Jun 2, 2014
Visit Reason
The inspection was conducted as a complaint/incident investigation following a tenant death reported on April 1, 2014, to assess compliance with regulations and investigate the circumstances surrounding the incident.
Complaint Details
The complaint involved a tenant death on April 1, 2014. The investigation included interviews with staff and review of medical examiner's report. No regulatory insufficiencies were identified and the death was determined to be from natural causes.
Findings
The investigation found no regulatory insufficiencies. Tenant #1 died of natural causes with no evidence of intracranial pathology. The program had instituted a door flag system and followed policies related to tenant monitoring. Staff interviews and documentation indicated no concerns about the tenant's mental or physical state prior to death.
Report Facts
Number of tenants without cognitive disorder: 62
Number of tenants with cognitive disorder: 2
Total census of Assisted Living Program: 64
Tenant age: 68
Date of tenant death: Apr 1, 2014
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lori Miner | RN BSN | Monitor conducting the complaint/incident investigation |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 1
Date: Aug 26, 2013
Visit Reason
The inspection was conducted in response to a complaint alleging a tenant was unable to sleep well at night due to an infestation of mice in his/her apartment.
Complaint Details
Complaint/Incident Intake #44810-C involved allegations of a tenant unable to sleep due to mice infestation. The complaint was substantiated with findings of rodent presence in multiple apartments and the maintenance garage, tenant reports of sightings and fear, and ongoing pest control challenges.
Findings
The investigation found evidence of a rodent infestation primarily in the maintenance garage and some tenant apartments, with multiple mouse traps placed and several dead mice removed. The program had ongoing rodent control issues despite pest control efforts, and tenants reported fear and inability to sleep due to the infestation. A regulatory insufficiency was cited for failure to maintain the buildings and grounds in a clean, safe, and sanitary condition.
Deficiencies (1)
The buildings and grounds shall be well-maintained, clean, safe and sanitary. (IAC r. 481-69.35(1)(b))
Report Facts
Number of tenants without cognitive disorder: 64
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 64
Dead mice removed: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maribeth Freland | RN | Monitor conducting the complaint/incident investigation |
| Felicia Owens | Administrator | Administrator of the facility named in the report |
| Rose Boccella | Program Coordinator | Author of the cover letter for the amended final complaint/incident investigation report |
Inspection Report
Complaint Investigation
Census: 64
Deficiencies: 1
Date: Aug 26, 2013
Visit Reason
The inspection was conducted as a complaint/incident investigation regarding an alleged infestation of mice in a tenant's apartment at the Rose of East Des Moines assisted living program.
Complaint Details
The complaint alleged that a tenant was unable to sleep well at night due to an alleged infestation of mice in his/her apartment. The complaint was substantiated based on observations of mouse droppings, multiple mouse traps placed and checked, tenant and staff interviews confirming sightings and fear of mice, and ongoing rodent control issues despite pest control efforts.
Findings
The investigation found evidence of a rodent infestation problem primarily centered around the maintenance garage and multiple tenant apartments. The pest control company had placed numerous traps and removed dead mice, but the infestation persisted. Several tenants reported sightings of mice and expressed fear and inability to sleep due to the infestation. The program was cited for regulatory insufficiency related to maintaining clean, safe, and sanitary buildings and grounds.
Deficiencies (1)
Regulatory Insufficiency: The buildings and grounds shall be well-maintained, clean, safe and sanitary. (IAC r. 481-69.35(1)(b))
Report Facts
Number of tenants without cognitive disorder: 64
Number of tenants with cognitive disorder: 0
Total census of Assisted Living Program: 64
Number of dead mice removed: 15
Number of sticky mouse traps placed: 4
Number of mice caught: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Felicia Owens | Administrator | Administrator of Rose of East Des Moines, named in report heading |
| Maribeth Freland | RN | Monitor for the complaint/incident investigation |
| Rose Boccella | Program Coordinator | Signed cover letter for amended final complaint/incident investigation report |
| Staff #1 | Dietary Manager | Reported mouse droppings found in kitchen cupboards and pest control activities |
| Staff #2 | Previous maintenance personnel | Reported significant mice problems in maintenance garage and pest control efforts |
| Staff #3 | Previous Administrator | Reported rodent issues and tenant complaints, verified rodent trap placements |
| Staff #4 | Registered nurse/case manager | Reported tenant fear and mouse sightings, contacted previous Administrator about incident |
Inspection Report
Monitoring
Census: 62
Deficiencies: 2
Date: Aug 20, 2012
Visit Reason
The visit was a Final Recertification Monitoring Evaluation of the Assisted Living Program at Rose of East Des Moines to assess regulatory compliance and tenant service plans.
Findings
The program was found to have regulatory insufficiencies related to evaluation of tenant cognitive and functional status and service plans. A $500 civil penalty was assessed, and a Plan of Correction was submitted and accepted.
Deficiencies (2)
Failure to accurately evaluate tenants' cognitive and functional status using the Global Deterioration Scale (GDS) and Mini Mental Assessment, with incomplete documentation and inconsistent assessments.
Service plans did not reflect tenants' identified needs, including lack of assistance with toileting and incontinence management.
Report Facts
Civil penalty amount: 500
Total census: 62
Tenants without cognitive disorder: 61
Tenants with cognitive disorder: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Scott Berger | Administrator | Administrator of Rose of East Des Moines Assisted Living Program |
| Maribeth Freland | RN | Monitor during the inspection visit |
| Joyce Kix | RN | Monitor during the inspection visit |
| Rose Boccella | Program Coordinator mentioned in relation to penalty and appeals | |
| Ann Martin | Bureau Chief, Adult Services Bureau | Signed the demand letter |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 2
Date: Apr 30, 2012
Visit Reason
The inspection was conducted as a Final Complaint/Incident Investigation in response to allegations including tenant mistreatment, failure to report incidents, forged home health aide visit notes, and tenant mail being thrown away.
Complaint Details
The complaint investigation was substantiated with findings that some rule deviations occurred, such as failure to report a tenant fall and incomplete evaluations and service plans, but no regulatory insufficiencies were cited.
Findings
The investigation found no regulatory insufficiencies related to tenant rights, staffing, criteria for admission and retention, tenant documents, or mail handling. Some deviations from rules were noted but did not meet the standard for regulatory insufficiency.
Deficiencies (2)
A program shall evaluate each tenant’s functional, cognitive and health status within 30 days of occupancy and as needed; the evaluation was incomplete for Tenant #4.
A service plan shall be developed for each tenant based on evaluations and updated at least annually and when changes occur; deficiencies were found in service plans lacking specific interventions and signatures.
Report Facts
Tenant census: 66
Tenants without cognitive disorder: 65
Tenants with cognitive disorder: 1
Dates of complaint investigation: April 30 and May 1, 2012
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maribeth Freland | RN | Monitor involved in complaint/incident investigation |
| Joyce Kix | RN | Monitor involved in complaint/incident investigation |
Inspection Report
Complaint Investigation
Census: 70
Deficiencies: 0
Date: Aug 23, 2011
Visit Reason
The visit was conducted as a final incident investigation following a report that a tenant tripped over a cable securing patio furniture, leading to injury and hospitalization.
Complaint Details
The complaint involved an incident where Tenant #1 tripped over a cable securing patio furniture on the back patio. The tenant was hospitalized with a diagnosis of C-5-C6 Compression Fracture and Bilateral Broken Arms. The investigation found no regulatory insufficiencies and the cables were removed after the incident.
Findings
The investigation found that the tenant tripped over a cable attached to patio furniture, resulting in a hospital admission for fractures. The program had removed the cables after the incident and no regulatory insufficiencies were identified.
Report Facts
Current number of tenants without cognitive disorder: 70
Current number of tenants with cognitive disorder: 0
Total Population: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the incident investigation |
Inspection Report
Monitoring
Census: 67
Deficiencies: 0
Date: May 9, 2011
Visit Reason
The visit was a Final Recertification Monitoring Evaluation Revisit conducted to evaluate regulatory compliance and monitor corrective actions at The Rose of East Des Moines assisted living program.
Findings
No regulatory insufficiencies were found during this evaluation. The program had previously received regulatory insufficiencies related to service plans and staffing, but these were not noted during this revisit.
Report Facts
Current number of tenants without cognitive disorder: 67
Current number of tenants with cognitive disorder: 0
Total Population: 67
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the evaluation |
| Rose Bocella | Program Coordinator | Author of cover letter |
Inspection Report
Renewal
Census: 65
Deficiencies: 2
Date: Jan 10, 2011
Visit Reason
The inspection was a Final Recertification Monitoring Evaluation conducted at The Rose of East Des Moines to assess regulatory insufficiencies related to Service Plan and Staffing as part of the assisted living program recertification process.
Findings
The report identified regulatory insufficiencies in the service plan and staffing, including inadequate monitoring for signs and symptoms of hypoglycemia and hyperglycemia and insufficient nurse delegated training for staff. A $1,000 civil penalty was assessed, and a Plan of Correction was accepted.
Deficiencies (2)
Service plan did not direct staff to monitor for signs and symptoms of Hypoglycemia and Hyperglycemia despite tenant receiving accu-checks and insulin injections.
Staff personnel files indicated training on accu-checks but lacked nurse delegated training and competency demonstration on signs and symptoms of Hypoglycemia and Hyperglycemia.
Report Facts
Civil penalty amount: 1000
Tenant census: 65
Tenant census: 0
Tenant census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the Final Recertification Monitoring Evaluation |
| Vicki Truby | Administrator | Administrator of The Rose of East Des Moines named in the report |
Inspection Report
Complaint Investigation
Census: 67
Deficiencies: 0
Date: Apr 7, 2010
Visit Reason
A complaint investigation was conducted due to an allegation of a bed bug infestation at Rose of East Des Moines assisted living program.
Complaint Details
Complaint #28047-C alleged an infestation of bed bugs. The complaint was investigated with interviews and record reviews. The program was found to be actively addressing the issue with pest control treatments and guidance. No regulatory insufficiencies were substantiated.
Findings
The investigation found an ongoing concern with bed bug infestation, but the program had hired a pest control company that was treating affected areas and following recommended practices. No regulatory insufficiencies were identified.
Report Facts
Current number of tenants without cognitive disorder: 67
Current number of tenants with cognitive disorder: 0
Total Population: 67
Fine amount: 500
Fine amount: 5000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Streepy | RN | Monitor who conducted the complaint investigation |
| Connie Schaffer | Certification Coordinator - Central Iowa | Author of the final incident investigation report cover letter |
Inspection Report
Complaint Investigation
Census: 66
Deficiencies: 9
Date: Nov 4, 2009
Visit Reason
A complaint and incident investigation visit was conducted at the Rose of East Des Moines Assisted Living on November 4, 12, 19 & 23, 2009 to investigate regulatory insufficiencies related to evaluation of tenant, service plan, nurse review, and structural requirements.
Complaint Details
Complaint investigation involved allegations of regulatory insufficiencies in evaluation of tenant, service plan, nurse review, and structural requirements. The complaint was substantiated and a $5,000 civil penalty was assessed.
Findings
The investigation found regulatory insufficiencies in evaluation of tenant, service plan, nurse review, and structural requirements including incomplete evaluations, incomplete nurse reviews, and failure to complete required fire drills. The program was assessed a $5,000 civil penalty.
Deficiencies (9)
Evaluations were not completed prior to, within 30 days of admission or with a change of condition and the cognitive evaluation utilized was not based as an objective tool.
Service plans were not based on updated cognitive, health and functional evaluations.
Nurse reviews were not complete.
Six fire drills are to be completed bimonthly, with two conducted during the night when tenants can reasonably be expected to be sleeping; program did not complete at least two fire drills during the night.
The program did not complete functional, cognitive and health evaluations within 30 days of admission for multiple tenants.
The program did not evaluate each proposed tenant's functional, cognitive and health status prior to signing the occupancy agreement and taking occupancy.
The program did not develop or update service plans within required timeframes for multiple tenants.
The program did not complete a nurse review with changes in health status on 9-2-09 and when tenant refused to go to hospital after being light headed and having trouble breathing on 9-13-09.
The program did not conduct emergency egress and relocation drills not less than six times per year on a bimonthly basis, with not less than two drills conducted during the night when tenants are sleeping.
Report Facts
Civil penalty amount: 5000
Current number of tenants without cognitive disorder: 66
Current number of tenants with cognitive disorder: 0
Total Population: 66
Number of fire drills required: 6
Number of fire drills required during night: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vicki Truby | Administrator | Administrator of Rose of East Des Moines Assisted Living named in report |
| Hal L. Chase | RN BSN MPH | Monitor conducting the investigation |
| Ann Martin | Bureau Chief, Adult Services Bureau | Signed demand letter assessing civil penalty |
Inspection Report
Original Licensing
Census: 30
Deficiencies: 4
Date: Dec 24, 2008
Visit Reason
An on-site monitoring evaluation was conducted as part of the Final Initial Certification process for Rose of East Des Moines Assisted Living Program to assess regulatory compliance and approve the Plan of Correction.
Findings
The report identified multiple regulatory insufficiencies including incomplete functional evaluations prior to tenant admission, inconsistent development and updating of individualized service plans, and failure to complete required employee record checks prior to hire. The Plan of Correction submitted by the program was accepted.
Deficiencies (4)
The program did not consistently complete functional evaluations prior to tenant admission to determine eligibility and needed services.
The program did not consistently complete functional and cognitive evaluations within 30 days and with changes in health status to determine continued eligibility and service modifications.
The program did not consistently develop individualized service plans based on evaluations and did not update service plans within 30 days or as needed to meet tenant needs.
The program did not complete applicable employee record checks, including criminal background and dependent adult abuse checks, prior to hire as required.
Report Facts
Civil penalty amount: 500
Current number of tenants without cognitive disorder: 30
Current number of tenants with cognitive disorder: 0
Total population: 30
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