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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E5 | F17 |
| Minimal | A· | B4 | 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 | |
|---|---|---|---|---|---|---|
| Jun 3, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 12, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 12, 2026 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Apr 18, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 18, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 3, 2026 | Civil money penalty (fine) | $9,347 | — | 165446|Fine|144225 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E5 | F17 |
| Minimal | A· | B4 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 3, 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 | G · Actual harm Isolated | Corrected Jun 9, 2026 | Complaint |
| Mar 12, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 23, 2026 | |
| Mar 12, 2026 |
“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 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Crystal Even | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jul 1, 2013 |
| Randall Lange | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 1, 1998 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Crystal Even | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jul 1, 2013 |
| Randall Lange | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 1, 1998 |
| Molly Barker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 5, 2024 |
| Elizabeth Brubaker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2021 |
| Steven Scurr | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Karen Acres Care Center 3605 Elm Drive, Urbandale, IA 50322 CCN 165460 | 35 | Jun 22, 2026 | 20 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Oakview Nursing Home 511 East Center, Conrad, IA 50621 CCN 165254 | 12.9 km | 46 | Jul 15, 2026 | 121 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165446 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165446 | 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
| K-0345 |
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Mar 20, 2026 |
| Mar 12, 2026 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 19, 2026 |
| Mar 12, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2026 |
| Mar 12, 2026 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2026 |
| Mar 12, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 30, 2026 |
| Mar 12, 2026 | 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 | Corrected Mar 30, 2026 |
| Mar 12, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 30, 2026 | Complaint |
| Mar 6, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 18, 2025 |
| Mar 6, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 18, 2025 |
| Mar 6, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 17, 2025 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 6, 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 Mar 10, 2025 |
| Mar 6, 2025 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2025 |
| Mar 6, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 10, 2025 |
| Mar 6, 2025 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2025 |
| Mar 6, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2025 |
| Mar 6, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 11, 2025 |
| Mar 6, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 14, 2025 |
| Mar 6, 2025 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Mar 6, 2025 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Mar 6, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Mar 6, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Mar 21, 2025 |
| Mar 6, 2025 | 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 Mar 21, 2025 |
| Mar 6, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 21, 2025 |
| Apr 18, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 22, 2024 |
| Apr 18, 2024 | 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 May 3, 2024 |
| Apr 18, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 3, 2024 |
| Apr 18, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 10, 2024 |
| Apr 18, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 10, 2024 |
| Apr 18, 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 May 3, 2024 |
| Apr 18, 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 May 1, 2024 |
| Apr 18, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 1, 2024 |
| Apr 18, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected May 1, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.37 (case-mix index 1.08).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Nov 30, 2011 |
| Brett Thomsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 24, 2018 |
| Keya Thomsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 18, 2020 |
| Crystal Even | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2013 |
| Randall Lange | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 1998 |
| Brighton Consulting Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Careserv Technologies LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 2, 2018 |
| Cattail Bcg LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Cattail Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 30, 2022 |
| Cattail Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Denman Cpa LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2011 |
| Ecsi Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Fox Rehab Ot Ia LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2024 |
| Fox Rehab Pt Ia PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2024 |
| Fox Rehab Slp Ia PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2024 |
| Iowa Health Care Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Pm Acquisition LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 31, 2022 |
| Sharon Broome | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Elizabeth Brubaker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2025 |
| Crystal Even | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2013 |
| Thomas Johnsrud | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 31, 2022 |
| Randall Lange | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 1998 |
| Steven Scurr | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2025 |