| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D19 | E3 | F8 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 17, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jun 30, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 30, 2026 | Health | Health Complaint, Health Standard | 7 | Actual harm | — | Open → |
| Feb 9, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 29, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Mar 12, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 30, 2026 | Denial of payment for new admissions | — | Jul 28, 2026 · 45 days | 165548|Payment Denial|2026-07-28 |
| Jun 30, 2026 | Civil money penalty (fine) | $35,316 | — | 165548|Fine|145193 |
| Jun 30, 2026 | Civil money penalty (fine) | $17,665 | — | 165548|Fine|145191 |
| Jun 30, 2026 | Civil money penalty (fine) | $13,065 | — | 165548|Fine|145192 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D19 | E3 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 17, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 11, 2026 | Complaint |
| Aug 17, 2026 | 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 Sep 11, 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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Integro Healthcare Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 14, 2018 |
| Rowan Farber | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | Nov 14, 2018 |
| Tracy Clark | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Nov 14, 2018 |
| Kenneth Dao | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | Nov 14, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Integro Healthcare Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 14, 2018 |
| Rowan Farber | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | Nov 14, 2018 |
| Tracy Clark | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Nov 14, 2018 |
| Kenneth Dao | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | Nov 14, 2018 |
| Integro Asset Management LLC | Organization |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cedar Ridge Village 8950 Coachlight Drive, West Des Moines, IA 50266 CCN 165790 | 1.1 km | 40 | Aug 12, 2025 | 25 | — | |
| Edgewater, a Wesleylife Community 9225 Cascade Avenue, West Des Moines, IA 50266 CCN 165597 | 2.2 km | 40 | Aug 3, 2026 | 301 harm | — | |
| Deerfield Health Care Center 13731 Hickman Road, Urbandale, IA 50323 CCN 165557 | 4.8 km | 30 | Jul 2, 2026 | 15 | — | |
| Walnut Ridge 1703 Campus Drive, Clive, IA 50325 CCN 165791 | 5.7 km | 60 | Jul 9, 2025 | 25 | — | |
| Harmony West Des Moines 5010 Grand Ridge Drive, West Des Moines, IA 50265 CCN 165601 | 5.8 km | 113 | May 20, 2026 | 591 harm | — | |
| Pine Acres Rehabilitation and Care Center 1501 Office Park Road, West Des Moines, IA 50265 CCN 165350SFFAbuse icon | 8.6 km | 140 | Not rated | Aug 12, 2026 | 1126 IJ5 harm | $517k |
| Karen Acres Care Center 3605 Elm Drive, Urbandale, IA 50322 CCN 165460 | 10.3 km | 35 | Jun 22, 2026 | 20 | — | |
| Royal Oaks Nursing and Rehabilitation Center 4614 NW 84th Street, Urbandale, IA 50322 CCN 165580SFF Candidate | 10.9 km | 115 | Aug 6, 2026 | 1002 IJ6 harm | $325k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165548 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165548 | 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
| Aug 17, 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 | Corrected Sep 11, 2026 | Complaint |
| Aug 17, 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 Sep 11, 2026 | Complaint |
| Jun 30, 2026 | 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 Jul 27, 2026 |
| Jun 30, 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 Sep 11, 2026 | Complaint |
| Jun 30, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 2, 2026 |
| Jun 30, 2026 | 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 6, 2026 |
| Jun 30, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 30, 2026 |
| Jun 30, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 11, 2026 | Complaint |
| Jun 30, 2026 | 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 Sep 11, 2026 |
| Jun 30, 2026 | 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 Jul 27, 2026 |
| Jun 30, 2026 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 27, 2026 |
| Jun 30, 2026 | 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 | F · Potential harm Widespread | Corrected Jul 27, 2026 |
| Feb 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 Mar 6, 2026 | Complaint |
| Feb 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 Mar 6, 2026 | Complaint |
| May 29, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 3, 2025 |
| May 29, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 3, 2025 |
| May 29, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 18, 2025 |
| May 29, 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 Jun 25, 2025 |
| May 29, 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 Jun 25, 2025 |
| May 29, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 2025 |
| May 29, 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 | Corrected Jun 25, 2025 | Complaint |
| May 29, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 25, 2025 |
| Mar 12, 2025 | 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 Mar 25, 2025 | Complaint |
| Nov 25, 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 Dec 3, 2024 | Complaint |
| Jun 6, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 21, 2024 |
| Jun 6, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 13, 2024 |
| Jun 6, 2024 | 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 Jul 13, 2024 |
| Jun 6, 2024 | 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 Jun 29, 2024 |
| Jun 6, 2024 | 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 Jun 29, 2024 |
| Jun 6, 2024 | 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 | D · Potential harm Isolated | Corrected Jun 29, 2024 |
| Jun 6, 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 | F · Potential harm Widespread | Corrected Jun 29, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.40 (case-mix index 1.24).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Mar 24, 2019 |
| Integro Healthcare Holdings LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 14, 2018 |
| Tracy Clark | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 14, 2018 |
| Kenneth Dao | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 14, 2018 |
| Rowan Farber | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 14, 2018 |
| Tracy Clark | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 14, 2018 |
| Kenneth Dao | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 14, 2018 |
| Rowan Farber | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 14, 2018 |