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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D35 | E11 | F5 |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Aug 27, 2026 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| Jun 3, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 16, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Sep 16, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| May 7, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 17, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Oct 17, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Oct 5, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D35 | E11 | F5 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 27, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | No plan of correction | Complaint |
| Aug 27, 2026 | 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 | No plan of correction |
“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 | Mar 27, 2017 |
| The Ensign Group Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 27, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gateway Healthcare LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 27, 2017 |
| The Ensign Group Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 27, 2017 |
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Aug 8, 2025 |
| Elizabeth Hayden | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | 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 | |
| Greater Southside Health and Rehabilitation 5608 SW 9th Street, Des Moines, IA 50315 CCN 165175 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| University Park Nursing and Rehabilitation Center 233 University Avenue, Des Moines, IA 50314 CCN 165272 | 0.9 km | 91 | Mar 5, 2026 | 24 | — | |
| Azria Health Park Place 2401 East Eighth Street, Des Moines, IA 50316 CCN 165202 | 1.4 km | 70 | May 5, 2026 | 912 IJ1 harm | $32k | |
| Trinity Center at Luther Park 1555 Hull Avenue, Des Moines, IA 50316 CCN 165612 | 2.4 km | 120 | Aug 26, 2026 | 291 IJ3 open | $162k | |
| Ramsey Village 1611 27th Street, Des Moines, IA 50310 CCN 165514 | 3.7 km | 78 | Apr 23, 2026 | 601 harm | — | |
| Valley View Village 2571 Guthrie Avenue, Des Moines, IA 50317 CCN 165507 | 3.8 km | 79 | Apr 30, 2026 | 403 harm | $9,110 | |
| Scottish Rite Park Inc 2909 Woodland Avenue, Des Moines, IA 50312 CCN 165593 | 4.3 km | 51 | Aug 13, 2026 | 153 harm1 open | $47k | |
| Wesley on Grand 3520 Grand Avenue, Des Moines, IA 50312 CCN 165487 | 5 km | 80 | Jul 23, 2026 | 18 | — | |
| Calvin Community 4210 Hickman Road, Des Moines, IA 50310 CCN 165479 | 5.6 km | 59 | Dec 18, 2025 | 33 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165268 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165268 | 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
| Complaint |
| Jun 3, 2026 | 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 Jun 26, 2026 | Complaint |
| Jun 3, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 26, 2026 | Complaint |
| Sep 16, 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 | D · Potential harm Isolated | Corrected Sep 11, 2025 |
| Sep 16, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 19, 2025 |
| Sep 16, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 19, 2025 |
| Sep 16, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 12, 2025 |
| Sep 16, 2025 | 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 Sep 11, 2025 |
| Sep 16, 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 Sep 11, 2025 |
| Sep 16, 2025 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 11, 2025 |
| Sep 16, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 15, 2025 |
| Sep 16, 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 Oct 15, 2025 |
| Sep 16, 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 | Corrected Oct 15, 2025 |
| Sep 16, 2025 | 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 15, 2025 |
| Sep 16, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 15, 2025 |
| Sep 16, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 15, 2025 |
| Sep 16, 2025 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 15, 2025 |
| May 7, 2025 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2025 | Complaint |
| May 7, 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 | Corrected May 24, 2025 | Complaint |
| May 7, 2025 | 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 May 24, 2025 | Complaint |
| Oct 17, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Nov 13, 2024 |
| Oct 17, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 25, 2024 |
| Oct 17, 2024 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 5, 2024 |
| Oct 17, 2024 | 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 Nov 17, 2024 | Complaint |
| Oct 17, 2024 | 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 Nov 17, 2024 |
| Oct 17, 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 Nov 17, 2024 | Complaint |
| Oct 17, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2024 | Complaint |
| Oct 17, 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 Nov 17, 2024 |
| Oct 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 17, 2024 |
| Jun 6, 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 | G · Actual harm Isolated | Corrected Jun 28, 2024 | Complaint |
| Jun 6, 2024 | 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 | Corrected Jun 28, 2024 | Complaint |
| Jun 6, 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 28, 2024 | Complaint |
| Jun 6, 2024 | 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 Jun 28, 2024 | Complaint |
| Jun 6, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| Oct 5, 2023 | 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 Oct 18, 2023 |
| Oct 5, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 11, 2023 |
| Oct 5, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2023 |
| Oct 5, 2023 | 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 Oct 21, 2023 |
| Oct 5, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2023 |
| Oct 5, 2023 | 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 Nov 5, 2023 | Complaint |
| Oct 5, 2023 | 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 5, 2023 | Complaint |
| Oct 5, 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 Nov 5, 2023 |
| Oct 5, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 5, 2023 |
| Oct 5, 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 Nov 5, 2023 |
| Oct 5, 2023 | 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 Nov 5, 2023 |
| Oct 5, 2023 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 5, 2023 |
| Oct 5, 2023 | 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 5, 2023 | Complaint |
| Oct 5, 2023 | 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 5, 2023 |
| Oct 5, 2023 | 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 | Corrected Nov 5, 2023 | Complaint |
| Oct 5, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 5, 2023 | Complaint |
| Oct 5, 2023 | 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 Nov 5, 2023 | Complaint |
| Oct 5, 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 | B · Minimal Pattern | Corrected Nov 5, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.71 (case-mix index 1.46).
| Apr 1, 2017 |
| Shipeng Wei | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 19, 2023 |
| Elizabeth Hayden | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Shipeng Wei | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2023 |
| David Jorgensen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 27, 2017 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Debra Koenig | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2020 |
| Ami Sato | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 30, 2016 |
| Elizabeth Hayden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |
| Shipeng Wei | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2023 |
| 80 |
| Jul 22, 2026 |
925 IJ3 harm13 open |
| $223k |
| Hillcrest Health Care Center 2121 Avenue L, Hawarden, IA 51023 CCN 165245Abuse icon | 64 | May 6, 2026 | 962 IJ1 harm | $94k |
| 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 |