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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D24 | E3 | 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.
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 4, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Nov 25, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 25, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 25, 2025 | Health | Health Complaint, Health Standard | 9 | Actual harm | — | Open → |
| Feb 24, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Sep 26, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Sep 26, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| May 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 29, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 29, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 4, 2026 | Civil money penalty (fine) | $12,006 | — | 165607|Fine|140966 |
| Aug 25, 2025 | Civil money penalty (fine) | $26,800 | — | 165607|Fine|135101 |
| Feb 24, 2025 | Civil money penalty (fine) | $13,254 | — | 165607|Fine|79547 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D24 | E3 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 4, 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 | Past non-compliance May 18, 2026 | Complaint |
| Jun 4, 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 | D · Potential harm Isolated | Corrected Jun 12, 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.
10 facilities in 1 states. CMS chain ID 561.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hearthstone a Ministry of Wesleylife LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Sep 25, 2009 |
| Wesleylife | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Sep 21, 2010 |
| Wesley Retirement Services Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Sep 25, 2009 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hearthstone a Ministry of Wesleylife LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Sep 25, 2009 |
| Wesleylife | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Sep 21, 2010 |
| Wesley Retirement Services Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Sep 25, 2009 |
| Londa Hartsook | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Village 1203 North E Street, Indianola, IA 50125 CCN 165167 | 54 | Jan 15, 2026 | 221 harm | — | |
| Halcyon House 1015 South Iowa Avenue, Washington, IA 52353 CCN 165483 | 54 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Accura Healthcare of Knoxville, LLC 606 North Seventh Street, Knoxville, IA 50138 CCN 165382 | 18.4 km | 60 | Feb 19, 2026 | 311 IJ | $16k | |
| West Ridge Specialty Care 1904 West Howard Street, Knoxville, IA 50138 CCN 165308 | 20.8 km | 78 | Jul 2, 2026 | 24 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165607 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165607 | 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
| Nov 25, 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 Dec 11, 2025 | Complaint |
| Nov 25, 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 Dec 11, 2025 | Complaint |
| Aug 25, 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 | G · Actual harm Isolated | Corrected Sep 25, 2025 | Complaint |
| Aug 25, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2025 |
| Aug 25, 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 Aug 20, 2025 |
| Aug 25, 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 | Corrected Sep 25, 2025 |
| Aug 25, 2025 | 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 25, 2025 |
| Aug 25, 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 Sep 25, 2025 |
| Aug 25, 2025 | 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 Sep 25, 2025 | Complaint |
| Aug 25, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Aug 25, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Aug 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Aug 25, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Feb 24, 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 | K · Immediate jeopardy Pattern | Corrected Feb 25, 2025 | Complaint |
| Sep 26, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 26, 2024 |
| Sep 26, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 26, 2024 |
| Sep 26, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 26, 2024 |
| Sep 26, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Oct 31, 2024 |
| Sep 26, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 11, 2024 |
| Sep 26, 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 Oct 26, 2024 |
| Sep 26, 2024 | 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 Oct 26, 2024 |
| Sep 26, 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 Oct 21, 2024 |
| Sep 26, 2024 | 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 21, 2024 |
| Sep 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 21, 2024 |
| May 16, 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 Jun 4, 2024 | Complaint |
| Jun 29, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 29, 2023 |
| Jun 29, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 29, 2023 |
| Jun 29, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 29, 2023 |
| Jun 29, 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 Jul 20, 2023 |
| Jun 29, 2023 | 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 Jul 20, 2023 |
| Jun 29, 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 Jul 20, 2023 |
| Jun 29, 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 Jul 20, 2023 |
| Jun 29, 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 | D · Potential harm Isolated | Corrected Jul 20, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.81 (case-mix index 1.23).
| Apr 9, 2012 |
| Kermit Albertson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Abbey Gilroy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| Roger Lagree | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2015 |
| Joanne Lorence | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 25, 2009 |
| Chad Rasmussen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2011 |
| Robert Ruch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 25, 2009 |
| David Stout | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2011 |
| Christina Taylor | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Susan Watson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2014 |
| Robert Kretzinger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 25, 2009 |
| Nancy Hamilton | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Dec 7, 2009 |
| Mar 19, 2026 |
131 IJ |
| $51k |
| Wesley on Grand 3520 Grand Avenue, Des Moines, IA 50312 CCN 165487 | 80 | Jul 23, 2026 | 18 | — |
| Wesley Park Centre 500 First Street North, Newton, IA 50208 CCN 165543 | 66 | Jan 28, 2026 | 181 IJ1 harm | $17k |
| Heritage House 1200 Brookridge Circle, Atlantic, IA 50022 CCN 165561 | 61 | Sep 11, 2025 | 23 | — |
| Edgewater, a Wesleylife Community 9225 Cascade Avenue, West Des Moines, IA 50266 CCN 165597 | 40 | Aug 3, 2026 | 301 harm | — |
| Fieldstone of Dewitt 1301 Maynard Way, De Witt, IA 52742 CCN 165619 | 70 | May 21, 2026 | 13 | — |
| Brio of Johnston, LLC 6901 Peckham Street, Johnston, IA 50131 CCN 165624 | 36 | Apr 9, 2026 | 30 | — |