Cycle 1
Health 2025-06-11 · Fire 2025-06-11
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Urbandale, IA
Karen Acres Care Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
3605 Elm Drive, Urbandale, IA
(515) 276-4969
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
35
Certified beds
Average residents
30
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-06-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.55
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.09
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
0.98
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,440
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.23
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.65
Baseline 22.11% · Performance 20.51% · Measure score 2.65 · Achievement 2 · Improvement 2.65
Healthcare-associated infections
0
Baseline 8.13% · Performance 8.34% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.46
Baseline 45.45% · Performance 57.69% · Measure score 1.46 · Achievement 1.46 · Improvement 0
Adjusted total nurse staffing
0.77
Baseline 3.44 hours · Performance 3.30 hours · Measure score 0.77 · Achievement 0.77 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.69% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 89 · Observed rate 10.11% · Lower 95% interval 7.56% |
| Discharge to community | 46.82% |
50.57%
3.8 pts worse
|
No Different than the National Rate · Eligible stays 78 · Observed rate 38.46% · Lower 95% interval 37.52% |
| Medicare spending per beneficiary | 0.86 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.51% |
95.27%
3.2 pts better
|
Numerator 66 · Denominator 67 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 67 |
| Discharge self-care score | 38.64% |
53.69%
15 pts worse
|
Numerator 17 · Denominator 44 |
| Discharge mobility score | 43.18% |
50.94%
7.8 pts worse
|
Numerator 19 · Denominator 44 |
| Pressure ulcers or injuries, new or worsened | 4.48% |
2.29%
2.2 pts worse
|
Numerator 3 · Denominator 67 · Adjusted rate 4.32% |
| Healthcare-associated infections requiring hospitalization | 8.34% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 12.07% · Lower 95% interval 4.81% |
| Staff COVID-19 vaccination coverage | 14.89% |
8.2%
6.7 pts better
|
Numerator 7 · Denominator 47 |
| Staff flu vaccination coverage | 32.65% |
42%
9.4 pts worse
|
Numerator 16 · Denominator 49 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 22 · Denominator 44 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 44 · Denominator 44 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 20.69% |
25.2%
4.5 pts worse
|
Numerator 6 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0 |
1.5
1.5 pts better
|
1.9
1.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0 |
2.1
2.1 pts better
|
1.8
1.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
94.0%
2.9 pts better
|
93.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 96.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.0% |
95.2%
7.2 pts worse
|
95.5%
7.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
3.7%
2.5 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 9.1% · Q3 7.4% · Q4 4.0% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
4.0%
0.3 pts worse
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 11.5% · Q4 0.0% · 4Q avg 4.3% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
4.9%
0.8 pts worse
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 5.0% · Q3 4.2% · Q4 4.3% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
20.6%
7 pts better
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 15.0% · Q3 12.5% · Q4 13.0% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.6% |
19.8%
17.2 pts better
|
16.7%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.8% · Q4 4.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.4% |
18.5%
1.1 pts better
|
16.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
18.3%
4 pts better
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q3 17.4% · Q4 18.2% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.7%
0.5 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
2.5%
1.5 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.0% |
26.0%
4 pts worse
|
19.8%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 51.7% · Q2 45.3% · Q3 19.3% · Q4 9.2% · 4Q avg 30.0% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
4.3%
1.7 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 12.0% · Q3 6.1% · Q4 3.1% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.3% |
84.3%
22 pts worse
|
81.7%
19.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 63.3% · Q3 68.6% · Q4 57.1% · 4Q avg 62.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
13.1%
7.2 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.9%
0.8 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 6.1% |
73.3%
67.2 pts worse
|
79.7%
73.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 6.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.1% |
21.3%
10.8 pts worse
|
23.9%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 28.6% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-07 · Fire 2024-07-07
6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2023-10-12 · Fire 2023-10-12
2 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-11
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-06-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-13
F · Potential for more than minimal harm
2024-07-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-23
F · Potential for more than minimal harm
2024-07-07
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-07-19
E · Potential for more than minimal harm
2024-07-07
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-07-19
F · Potential for more than minimal harm
2023-10-12
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-10-25
F · Potential for more than minimal harm
2023-10-12
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-10-19
F · Potential for more than minimal harm
2023-10-12
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-10-19
E · Potential for more than minimal harm
2023-10-12
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-25
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-26
D · Potential for more than minimal harm
2025-06-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-12
E · Potential for more than minimal harm
2024-07-07
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-07-10
E · Potential for more than minimal harm
2024-07-07
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2024-07-10
E · Potential for more than minimal harm
2024-07-07
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-07-07
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-07-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-03-12
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-26
E · Potential for more than minimal harm
2023-10-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-25
D · Potential for more than minimal harm
2023-10-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-25
Penalties and ownership
What sits behind the stars
Ownership
Even, Crystal
5% Or Greater Direct Ownership Interest · Individual
Lange, Randall
5% Or Greater Direct Ownership Interest · Individual
Booker, Janyia
Operational/Managerial Control · Individual
Dayton, John
Operational/Managerial Control · Individual
Even, Crystal
Corporate Officer · Individual
Harned, Pamela
Operational/Managerial Control · Individual
Lange, Randall
Corporate Officer · Individual
Moulton, Christopher
Operational/Managerial Control · Individual
Oconner, Michael
Operational/Managerial Control · Individual
Waltersdorf, Myra
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Royal Oaks Nursing and Rehabilitation Center
Urbandale, IA
1-star overall rating with 1-star inspections with $122,691 in total fines with 15 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Pine Acres Rehabilitation and Care Center
West Des Moines, IA
0-star overall rating with 0-star inspections with Special Focus status with $353,109 in total fines with 23 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Calvin Community
Des Moines, IA
4-star overall rating with 3-star inspections with $4,233 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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