Kennybrook Village — nursing home in Grimes, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 40 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 36.3 CMS, MDS-derived
CMS Certification Number: 165605
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 23, 2012
Ownership type: For profit - Individual
Operator (legal business name): CCRC of Grimes, LLC
CMS chain: Pivotal Health Care 9 facilities
Phone: (515) 369-3900
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jan 22, 2026

Citations

19

12 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D5	E9	F5
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165605
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 40
First approved: Mar 23, 2012
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 22, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jan 22, 2026	Health	Health Standard	3	Potential harm	—	Open →
Jan 9, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jan 9, 2025	Health	Health Standard	4	Potential harm	—	Open →
Sep 28, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Sep 28, 2023	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D5	E9	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jan 22, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 27, 2026
Jan 22, 2026	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 Feb 4, 2026
Jan 22, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 6, 2026
Jan 22, 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	E · Potential harm Pattern	Corrected Feb 6, 2026
Jan 22, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 6, 2026
Jan 9, 2025	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jan 21, 2025
Jan 9, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted Feb 14, 2025
Jan 9, 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	Corrected Jan 31, 2025
Jan 9, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 31, 2025
Jan 9, 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	Corrected Jan 31, 2025
Jan 9, 2025	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Jan 31, 2025
Sep 28, 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 16, 2023
Sep 28, 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 16, 2023
Sep 28, 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 16, 2023
Sep 28, 2023	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	D · Potential harm Isolated	Corrected Oct 20, 2023
Sep 28, 2023	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 20, 2023
Sep 28, 2023	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	D · Potential harm Isolated	Corrected Oct 20, 2023
Sep 28, 2023	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 20, 2023
Sep 28, 2023	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	Corrected Oct 20, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing4.93

State avg 3.86US avg 3.90

Registered nurse (RN)0.89

State avg 0.74US avg 0.69

Licensed practical nurse0.79

State avg 0.56US avg 0.86

Nurse aide3.26

State avg 2.56US avg 2.35

Weekend total nurse4.38

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.35 (case-mix index 1.29).

Staff turnover

Total nursing staff turnover47.2%

State avg 44.1%US avg 45.3%

Registered nurse turnover33.3%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jan 22, 2026
Cycle 1 health score: 20
Total weighted score: 25

Operating entity

CCRC of Grimes, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Pivotal Health Care

9 facilities in 3 states. CMS chain ID 404.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.1

Ownership disclosures

Disclosures

30

Organizations

11

Individuals

17

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Scenic Development LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Scenic Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2018
3rk, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2021
5 R Cattle, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Cadet Investment LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Lmray, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Poky Feeders Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Wsg LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Jordan Anderson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2021
Marlene Anderson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Wayne Anderson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Scott Gulledge	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Travis Gulledge	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2021
Steven Howard	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Gilbert Wood	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Scenic Development LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Scenic Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2018
3rk, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2021
5 R Cattle, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Cadet Investment LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Lmray, LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Poky Feeders Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Wsg LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Jordan Anderson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2021
Marlene Anderson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Wayne Anderson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Scott Gulledge	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Travis Gulledge	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Oct 1, 2021
Steven Howard	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Gilbert Wood	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Mar 16, 2012
Pivotal Health Care LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 16, 2012
Scenic Development LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 16, 2012
Jordan Anderson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Scott Gulledge	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 16, 2012
Travis Gulledge	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Michael Oconner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 24, 2011
Spencer Vansickel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 20, 2026
Gilbert Wood	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 16, 2012
Iowa Physicians Clinic Medical Foundation	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2011
Pivotal Health Care LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 18, 2025
Summit Care, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 16, 2012
Scott Gulledge	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 16, 2012
Travis Gulledge	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Michael Oconner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2011
Spencer Vansickel	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 20, 2026

Same chain in Iowa

All 8 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Prairie Vista Village 2785 1st Avenue S, Altoona, IA 50009 CCN 165610	46	May 27, 2026	27	—
Northridge Village 3300 George Washington Carver Avenue, Ames, IA 50010 CCN 165613	38	Jan 29, 2026	131 harm	—
Terrace Glen Village 3400 Alburnett Road, Marion, IA 52302 CCN 165625	40	Nov 19, 2025	243 harm	—
Cedar Ridge Village 8950 Coachlight Drive, West Des Moines, IA 50266 CCN 165790	40	Aug 12, 2025	25	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 200 SW Brookside Drive, Grimes, IA 50111
ZIP: 50111
County: Polk County FIPS 19153
State: Iowa
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Brio of Johnston, LLC 6901 Peckham Street, Johnston, IA 50131 CCN 165624	5.1 km	36	Apr 9, 2026	30	—
Royal Oaks Nursing and Rehabilitation Center 4614 NW 84th Street, Urbandale, IA 50322 CCN 165580SFF Candidate	7.8 km	115	Aug 6, 2026	1002 IJ6 harm	$325k
Deerfield Health Care Center 13731 Hickman Road, Urbandale, IA 50323 CCN 165557	8.2 km	30	Jul 2, 2026	15	—
Granger Nursing & Rehabilitation Center 2001 Kennedy Street, Granger, IA 50109 CCN 165208	8.4 km	67	Feb 26, 2026	57	—
Bishop Drumm Retirement Center 5837 Winwood Drive, Johnston, IA 50131 CCN 165448SFF Candidate	9.1 km	150	Aug 13, 2026	972 IJ6 harm1 open	$258k
Childserve Habilitation Center 5900 Pioneer Parkway, Johnston, IA 50131 CCN 16A001	9.4 km	74	Jun 18, 2026	27	—
Walnut Ridge 1703 Campus Drive, Clive, IA 50325 CCN 165791	9.5 km	60	Jul 9, 2025	25	—
Karen Acres Care Center 3605 Elm Drive, Urbandale, IA 50322 CCN 165460	9.6 km	35	Jun 22, 2026	20	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165605	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165605	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

Record-level source links for CCN 165605

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction