Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of South Des Moines
4911 SW 19th Street, Des Moines, IA · (515) 285-2559
- Certified beds
- 89
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1996
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Accura Healthcare of South Des Moines carries 135 inspection points. That is fewer than 8% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
67 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Assessment and Care Planning13E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care13E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights12E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- B
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.
Nursing and Physician Services9F
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
- C
Post nurse staffing information every day.
Pharmacy Service5E
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary1E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-07-24
3 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-08-22
16 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-11-02
48 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 10 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
4 h 10 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 46% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$52,632 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-25 | Fine | $30,675 |
| 2024-04-25 | Payment Denial · 30 day denial | $0 |
| 2023-11-02 | Fine | $21,957 |
| 2023-11-02 | Payment Denial · 28 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts worse | 86.8% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts worse | 93.6% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts worse | 6.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptomsAbout the same | 4.2% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts worse | 6.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts better | 19.7% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.9 pts worse | 31.7% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.1 pts worse | 17.3% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.4 pts worse | 26.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.3% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse | 26.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts worse | 79.9% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts worse | 17.5% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.1 pts worse | 74.3% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.8 pts worse | 34.5% | 20.7% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Babb, Kevin | 5% Or Greater Direct Ownership Interest · Individual | 49% | 1 facilities |
| American Healthcare Management Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| American Healthcare Management Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Babb, Kevin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Conner, Jennifer | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Conner, Jennifer | Corporate Officer · Individual | 0% | 1 facilities |
| Conner, Robert | Corporate Director · Individual | 0% | 13 facilities |
| Conner, Robert | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Conner, Robert | Adp Of The SNF · Individual | 0% | 13 facilities |
| First Interstate Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 5 facilities |
| Herst, Joseph | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Herst, Joseph | Adp Of The SNF · Individual | 0% | 1 facilities |
| Leneave, Ted | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 facilities |
| Martens & Company Cpa, Llp | Adp Of The SNF · Organization | 0% | 1 facilities |
| Toti, Lisa | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
Egress2D
- D
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.
- D
Install proper backup exit lighting.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
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Greater Southside Health and Rehabilitation
Des Moines, IA · The Ensign Group · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 38 min
- Fines
- $222,681
-
Wesley on Grand
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 10 min
- Fines
- $0
-
Scottish Rite Park Inc
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 28 min
- Fines
- $46,911