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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K2 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D56 | E17 | F11 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 22, 2026 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| May 14, 2026 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Apr 9, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Oct 27, 2025 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Sep 3, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jun 10, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jun 10, 2025 | Health | Health Complaint, Health Standard | 13 | Potential harm | 13 | Open → |
| Apr 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Nov 13, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Oct 2, 2024 | Health | Health Complaint | 10 | Actual harm | — | Open → |
| Aug 29, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jul 12, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 12, 2024 | Health | Health Complaint, Health Standard | 4 | Immediate jeopardy | — | Open → |
| Jun 3, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 19, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 11, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 7, 2023 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Sep 7, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 14, 2026 | Civil money penalty (fine) | $56,238 | — | 165175|Fine|140373 |
| Oct 2, 2024 | Civil money penalty (fine) | $85,810 | — | 165175|Fine|79535 |
| Aug 29, 2024 | Civil money penalty (fine) | $25,454 | — | 165175|Fine|79478 |
| Jul 12, 2024 | Civil money penalty (fine) | $26,374 | — | 165175|Fine|79458 |
| Apr 19, 2024 | Denial of payment for new admissions | — | May 28, 2024 · 17 days | 165175|Payment Denial|2024-05-28 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K2 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D56 | E17 | F11 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 22, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 17, 2026 | Complaint |
| Jul 22, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 17, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gateway Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 17, 2024 |
| The Ensign Group Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 17, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gateway Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 17, 2024 |
| The Ensign Group Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 17, 2025 |
| David Jorgensen | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 2, 2025 |
| Chad Keetch | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Fort Dodge Health and Rehabilitation 728 14th Avenue North, Fort Dodge, IA 50501 CCN 165156 | 65 | Feb 26, 2026 | 631 IJ5 harm | $166k | |
| Hillcrest Health Care Center 2121 Avenue L, Hawarden, IA 51023 CCN 165245 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Accura Healthcare of South Des Moines 4911 SW 19th Street, Des Moines, IA 50315 CCN 165273 | 1.5 km | 89 | Sep 18, 2025 | 852 IJ2 harm | $53k | |
| Wesley on Grand 3520 Grand Avenue, Des Moines, IA 50312 CCN 165487 | 6.5 km | 80 | Jul 23, 2026 | 18 | — | |
| Scottish Rite Park Inc 2909 Woodland Avenue, Des Moines, IA 50312 CCN 165593 | 6.6 km | 51 | Aug 13, 2026 | 153 harm1 open | $47k | |
| Regency Care Center 815 High Road, Norwalk, IA 50211 CCN 165399Abuse icon | 7.2 km | 101 | May 12, 2026 | 541 IJ2 harm | $110k | |
| University Park Nursing and Rehabilitation Center 233 University Avenue, Des Moines, IA 50314 CCN 165272 | 7.4 km | 91 | Mar 5, 2026 | 24 | — | |
| Rehabilitation Center of Des Moines 701 Riverview, Des Moines, IA 50316 CCN 165268 | 7.9 km | 74 | Aug 27, 2026 | 531 harm2 open | — | |
| Iowa Jewish Senior Life Center 900 Polk Boulevard, Des Moines, IA 50312 CCN 165006 | 8.1 km | 46 | Apr 2, 2026 | 39 | — | |
| Ramsey Village 1611 27th Street, Des Moines, IA 50310 CCN 165514 | 8.7 km | 78 | Apr 23, 2026 | 601 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165175 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165175 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 19, 2024 | Civil money penalty (fine) | $28,805 | — | 165175|Fine|79417 |
| Jul 22, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 17, 2026 | Complaint |
| May 14, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Jun 12, 2026 | Complaint |
| May 14, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jun 12, 2026 | Complaint |
| Apr 9, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 29, 2026 | Complaint |
| Apr 9, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2026 | Complaint |
| Apr 9, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2026 | Complaint |
| Apr 9, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2026 | Complaint |
| Apr 9, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 29, 2026 | Complaint |
| Oct 27, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Nov 6, 2025 | Complaint |
| Oct 27, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 14, 2025 | Complaint |
| Oct 27, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 14, 2025 | Complaint |
| Oct 27, 2025 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2025 | Complaint |
| Oct 27, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2025 | Complaint |
| Sep 3, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2025 | Complaint |
| Sep 3, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2025 | Complaint |
| Sep 3, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 18, 2025 | Complaint |
| Sep 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 18, 2025 | Complaint |
| Jun 10, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 11, 2025 |
| Jun 10, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| Jun 10, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2025 |
| Jun 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| Jun 10, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| Jun 10, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| Jun 10, 2025 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 5, 2025 |
| Jun 10, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| Jun 10, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 |
| Jun 10, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 |
| Jun 10, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 |
| Jun 10, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 |
| Jun 10, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 |
| Jun 10, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 |
| Jun 10, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 | Complaint |
| Jun 10, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 |
| Jun 10, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Plan of correction, not yet verified Jun 23, 2025 | Complaint |
| Jun 10, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 | Complaint |
| Jun 10, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Plan of correction, not yet verified Jun 23, 2025 | Complaint |
| Jun 10, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Jun 23, 2025 | Complaint |
| Jun 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Plan of correction, not yet verified Jun 23, 2025 |
| Apr 24, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 13, 2025 | Complaint |
| Mar 20, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Mar 20, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Mar 20, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Mar 20, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 31, 2025 | Complaint |
| Nov 13, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Nov 16, 2024 | Complaint |
| Nov 13, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2024 | Complaint |
| Oct 2, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0642 | Ensure a qualified health professional conducts resident assessments. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 10, 2024 | Complaint |
| Oct 2, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 10, 2024 | Complaint |
| Aug 29, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 12, 2024 | Complaint |
| Jul 12, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | K · Immediate jeopardy Pattern | Corrected Jul 23, 2024 | Complaint |
| Jul 12, 2024 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 29, 2024 |
| Jul 12, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 29, 2024 |
| Jul 12, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2024 |
| Jul 12, 2024 | K-0226 | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2024 |
| Jul 12, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2024 |
| Jul 12, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2024 |
| Jul 12, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 29, 2024 |
| Jul 12, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 29, 2024 |
| Jul 12, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 23, 2024 |
| Jul 12, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 23, 2024 | Complaint |
| Jul 12, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 23, 2024 |
| Jun 3, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 14, 2024 | Complaint |
| Jun 3, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 14, 2024 | Complaint |
| Jun 3, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 14, 2024 | Complaint |
| Jun 3, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 14, 2024 | Complaint |
| Apr 19, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 24, 2024 | Complaint |
| Mar 11, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 2, 2024 | Complaint |
| Mar 11, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 2, 2024 | Complaint |
| Sep 7, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 13, 2023 |
| Sep 7, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 13, 2023 |
| Sep 7, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 13, 2023 |
| Sep 7, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 13, 2023 |
| Sep 7, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 13, 2023 |
| Sep 7, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 13, 2023 |
| Sep 7, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 13, 2023 |
| Sep 7, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 11, 2023 |
| Sep 7, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 11, 2023 |
| Sep 7, 2023 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 13, 2023 |
| Sep 7, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 11, 2023 |
| Sep 7, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 11, 2023 |
| Sep 7, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 11, 2023 |
| Sep 7, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 11, 2023 |
| Sep 7, 2023 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 11, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.89 (case-mix index 1.31).
| Jun 2, 2025 |
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 5, 2025 |
| Soon Burnam | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 17, 2024 |
| Michael Oconner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2024 |
| Dirk Timm | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2024 |
| Dirk Timm | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 17, 2024 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Skywalk Health Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Standard Bearer Healthcare Op, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| The Ensign Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2024 |
| Michael Oconner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 20, 2025 |
| Dirk Timm | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 2025 |
| 64 |
| May 6, 2026 |
962 IJ1 harm |
| $94k |
| Rehabilitation Center of Des Moines 701 Riverview, Des Moines, IA 50316 CCN 165268 | 74 | Aug 27, 2026 | 531 harm2 open | — |
| Clarion Wellness and Rehabilitation Center 110 13th Avenue SW, Clarion, IA 50525 CCN 165362 | 76 | Nov 25, 2025 | 534 IJ | $24k |
| Careage Hills Rehabilitation and Healthcare 725 North Second Street, Cherokee, IA 51012 CCN 165428 | 44 | Mar 5, 2026 | 202 harm | — |
| West Bend Health and Rehabilitation 203 Fourth Street NW, West Bend, IA 50597 CCN 165444 | 45 | Jun 25, 2026 | 26 | — |
| Spencer Post Acute Rehabilitation Center 711 West 11th Street, Spencer, IA 51301 CCN 165449 | 82 | Jun 4, 2026 | 812 IJ1 harm | $25k |
| Woodland Health and Rehabilitation 701 East Mapleleaf Drive, Mount Pleasant, IA 52641 CCN 165478 | 62 | Apr 22, 2026 | 181 IJ | $11k |