Des Moines, IA

Scottish Rite Park Inc

5-star overall rating with 4-star inspections with $33,348 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2909 Woodland Avenue, Des Moines, IA

(515) 274-4614

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

51

Certified beds

Average residents

28

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2009-05-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.21

Registered nurse staffing

LPN hours / resident day

0.71

Licensed practical nurse staffing

Aide hours / resident day

3.40

Nurse aide staffing

Weekend hours

4.51

Weekend nurse staffing

RN turnover

40%

Annual RN turnover

Total nurse turnover

26%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.2
1.5
1.3 pts better
1.9
1.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
2.1
1.5 pts better
1.8
1.2 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 5.3%
3.7%
1.6 pts worse
3.3%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
4.0%
4 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.1%
4.9%
3.8 pts better
5.4%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.6%
20.6%
6 pts better
19.6%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 1.2%
19.8%
18.6 pts better
16.7%
15.5 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 26.3%
18.5%
7.8 pts worse
16.3%
10 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.8%
18.3%
1.5 pts worse
14.9%
4.9 pts worse
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 2.7%
2.5%
0.2 pts worse
1.7%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.2%
26.0%
3.2 pts worse
19.8%
9.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.2%
4.3%
0.9 pts worse
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
84.3%
14.3 pts better
81.7%
16.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.9%
13.1%
8.2 pts better
12.0%
7.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.2%
1.9%
0.3 pts worse
1.6%
0.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.1%
21.3%
0.2 pts better
23.9%
2.8 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-26 · Fire 2025-06-26

2 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-07-18 · Fire 2024-07-18

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-05-10 · Fire 2023-05-10

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

18 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-25

F · Potential for more than minimal harm 2025-06-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-25

E · Potential for more than minimal harm 2024-07-18

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 2024-07-25

E · Potential for more than minimal harm 2024-07-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-07-25

F · Potential for more than minimal harm 2023-05-10

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-06-09

F · Potential for more than minimal harm 2023-05-10

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-05-22

F · Potential for more than minimal harm 2023-05-10

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-05-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-05-10

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-06-21

F · Potential for more than minimal harm 2023-05-10

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-10

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-05-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-16

F · Potential for more than minimal harm 2023-05-10

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-05-10

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-05-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-05-24

F · Potential for more than minimal harm 2023-05-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-05-22

F · Potential for more than minimal harm 2023-05-10

K931 · Medical Gases and Anesthetizing Areas Deficiencies

Fire Safety

Have a properly constructed or installed hyperbaric treatment facility.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-05-10

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 2023-05-30

E · Potential for more than minimal harm 2023-05-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-16

E · Potential for more than minimal harm 2023-05-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-01

E · Potential for more than minimal harm 2023-05-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-26

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-07-02

D · Potential for more than minimal harm 2025-06-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-07-02

G · Actual harm 2025-01-08

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 2024-10-15

D · Potential for more than minimal harm 2025-01-08

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-01-24

G · Actual harm 2024-07-18

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 2024-08-12

D · Potential for more than minimal harm 2024-07-18

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-01

E · Potential for more than minimal harm 2023-05-10

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 2023-05-11

Penalties and ownership

What sits behind the stars

$13,923 2025-01-08

Fine

Fine · fine $13,923

Fine

$3,798 2024-02-20

Fine

Fine · fine $3,798

Fine

$3,418 2024-02-12

Fine

Fine · fine $3,418

Fine

$7,976 2024-01-22

Fine

Fine · fine $7,976

Fine

$4,233 2023-07-31

Fine

Fine · fine $4,233

Fine

Ownership

Allen, Mark

Corporate Director · Individual

0% 1 facilities 2013-05-07
Boor, Daniel

W-2 Managing Employee · Individual

0% 1 facilities 2009-02-02
Clark, Mark

Corporate Director · Individual

0% 1 facilities 2015-04-20
Clark, Mark

Corporate Officer · Individual

0% 1 facilities 2017-04-17
Dawley, Elizabeth

W-2 Managing Employee · Individual

0% 1 facilities 2009-02-02
Erlbacher, Edward

Corporate Director · Individual

0% 1 facilities 2024-05-06
Gallagher, Johna

W-2 Managing Employee · Individual

0% 1 facilities 2023-05-17
Ghrist, John

Corporate Director · Individual

0% 1 facilities 2011-05-19
Koch, Richard

Corporate Director · Individual

0% 1 facilities 2011-05-19
Linder, Allison

Corporate Director · Individual

0% 1 facilities 2023-05-03
Oconner, Michael

Contracted Managing Employee · Individual

0% 9 facilities 2019-07-08
Pittman, John

Corporate Director · Individual

0% 1 facilities 2013-05-07
Pittman, John

Corporate Officer · Individual

0% 1 facilities 2016-10-25
Scharnberg, Susan

Corporate Director · Individual

0% 1 facilities 2017-04-17
Scharnberg, Susan

Corporate Officer · Individual

0% 1 facilities 2023-03-18
Willis, Donald

Corporate Director · Individual

0% 1 facilities 2011-05-19
Willis, Donald

Corporate Officer · Individual

0% 1 facilities 2024-05-06

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