Grimes, IA

Kennybrook Village

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

200 SW Brookside Drive, Grimes, IA

(515) 369-3900

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

36

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pivotal Health Care

Operator or chain grouping

Approved since

2012-03-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.06

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

3.11

Nurse aide staffing

Weekend hours

4.43

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

57%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	2.1 1.6 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.7% 0.6 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.8%	4.0% 3.2 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	5.3%	4.9% 0.4 pts worse	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.1%	20.6% 6.5 pts worse	19.6% 7.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	6.2%	19.8% 13.6 pts better	16.7% 10.5 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	15.2%	18.5% 3.3 pts better	16.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	12.6%	18.3% 5.7 pts better	14.9% 2.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	2.3%	2.5% 0.2 pts better	1.7% 0.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.4%	26.0% 1.4 pts worse	19.8% 7.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	3.0%	4.3% 1.3 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.2%	84.3% 13.9 pts better	81.7% 16.5 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	13.3%	13.1% 0.2 pts worse	12.0% 1.3 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	3.0%	1.9% 1.1 pts worse	1.6% 1.4 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.5%	73.3% 22.2 pts better	79.7% 15.8 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.3%	21.3% 3 pts worse	23.9% 0.4 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

4 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-09-28 · Fire 2023-09-28

5 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-06-23 · Fire 2022-06-23

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-01-21

F · Potential for more than minimal harm 2025-01-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-14

E · Potential for more than minimal harm 2023-09-28

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 2023-10-16

E · Potential for more than minimal harm 2023-09-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-10-16

E · Potential for more than minimal harm 2023-09-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-16

F · Potential for more than minimal harm 2022-06-23

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2022-07-01

F · Potential for more than minimal harm 2022-06-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-06-24

F · Potential for more than minimal harm 2022-06-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-06-24

D · Potential for more than minimal harm 2022-06-23

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-07-01

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-09

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-01-31

E · Potential for more than minimal harm 2025-01-09

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 2025-01-31

E · Potential for more than minimal harm 2025-01-09

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-01-31

E · Potential for more than minimal harm 2025-01-09

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 2025-01-31

E · Potential for more than minimal harm 2023-09-28

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 2023-10-20

D · Potential for more than minimal harm 2023-09-28

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 2023-10-20

D · Potential for more than minimal harm 2023-09-28

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-28

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 2023-10-20

D · Potential for more than minimal harm 2023-09-28

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-10-20

D · Potential for more than minimal harm 2022-06-23

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 2022-07-11

B · Minimal harm 2022-06-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-07-11

Penalties and ownership

What sits behind the stars

Ownership

Anderson, Jordan

Operational/Managerial Control · Individual

0% 9 facilities 2025-01-01

Gulledge, Scott

Operational/Managerial Control · Individual

0% 8 facilities 2012-03-16

Gulledge, Travis

Operational/Managerial Control · Individual

0% 10 facilities 2025-01-01

Oconner, Michael

Operational/Managerial Control · Individual

0% 9 facilities 2011-10-24

Pivotal Health Care LLC

Operational/Managerial Control · Organization

0% 9 facilities 2012-03-16

Scenic Development LLC

Operational/Managerial Control · Organization

0% 9 facilities 2012-03-16

Wilson, Jayce

Operational/Managerial Control · Individual

0% 1 facilities 2021-04-16

Wood, Gilbert

Operational/Managerial Control · Individual

0% 10 facilities 2012-03-16

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5-star overall rating with 4-star inspections with $6,923 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall: 5 / 5
Health: 4 / 5
Staffing: 4 / 5
Fines: $6,923

#2

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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

Overall: 1 / 5
Health: 1 / 5
Staffing: 2 / 5
Fines: $122,691

#3