6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Des Moines, IA
3-star overall rating with 2-star inspections with $9,110 in total fines with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
2571 Guthrie Avenue, Des Moines, IA
(515) 265-2571
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
79
Certified beds
Average residents
74
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Cassia
Operator or chain grouping
Approved since
2004-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 5 overall / 4 health / 5 staffing / 4 quality stars
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
RN hours / resident day
1.60
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.03
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.70
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.33
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.93
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
1.24
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.74
CMS adjusted RN staffing hours
Adjusted total hours
4.70
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
4,293
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9934
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.07
Baseline 18.37% · Performance 19.55% · Measure score 4.07 · Achievement 4.07 · Improvement 0
Healthcare-associated infections
3.08
Baseline 6.16% · Performance 6.91% · Measure score 3.08 · Achievement 3.08 · Improvement 0
Total nurse turnover
3.63
Baseline 65.71% · Performance 48.84% · Measure score 3.63 · Achievement 3.63 · Improvement 3.63
Adjusted total nurse staffing
5.42
Baseline 4.74 hours · Performance 4.62 hours · Measure score 5.42 · Achievement 5.42 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.37% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 148 · Observed rate 6.08% · Lower 95% interval 6.33% |
| Discharge to community | 56.89% |
50.57%
6.3 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 54.48% · Lower 95% interval 49.24% |
| Medicare spending per beneficiary | 0.69 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 93.55% |
95.27%
1.7 pts worse
|
Numerator 116 · Denominator 124 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 1 · Denominator 124 |
| Discharge self-care score | 62.73% |
53.69%
9 pts better
|
Numerator 69 · Denominator 110 |
| Discharge mobility score | 62.73% |
50.94%
11.8 pts better
|
Numerator 69 · Denominator 110 |
| Pressure ulcers or injuries, new or worsened | 1.61% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 124 · Adjusted rate 1.87% |
| Healthcare-associated infections requiring hospitalization | 6.91% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 5.26% · Lower 95% interval 4.12% |
| Staff COVID-19 vaccination coverage | 11.38% |
8.2%
3.2 pts better
|
Numerator 19 · Denominator 167 |
| Staff flu vaccination coverage | 60.82% |
42%
18.8 pts better
|
Numerator 118 · Denominator 194 |
| Discharge function score | 71.82% |
56.45%
15.4 pts better
|
Numerator 79 · Denominator 110 |
| Transfer of health information to provider | 97.44% |
95.95%
1.5 pts better
|
Numerator 38 · Denominator 39 |
| Transfer of health information to patient | 91.23% |
96.28%
5 pts worse
|
Numerator 52 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 41.54% |
25.2%
16.3 pts better
|
Numerator 27 · Denominator 65 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.5
0.1 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
94.0%
2.8 pts better
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.2% · Q3 98.3% · Q4 90.0% · 4Q avg 96.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
95.2%
1.5 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.7%
0.5 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.5% · Q3 5.2% · Q4 0.0% · 4Q avg 3.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 1.9% |
4.9%
3 pts better
|
5.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.5% · Q3 2.4% · Q4 0.0% · 4Q avg 1.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.6% |
20.6%
3 pts worse
|
19.6%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 17.5% · Q3 20.9% · Q4 27.5% · 4Q avg 23.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.6% |
19.8%
1.2 pts better
|
16.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 21.7% · Q3 15.4% · Q4 23.5% · 4Q avg 18.6% · 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 | 28.5% |
18.5%
10 pts worse
|
16.3%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.9% |
18.3%
4.6 pts worse
|
14.9%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 40.5% · Q3 15.4% · Q4 16.7% · 4Q avg 22.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.7%
0.8 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 3.6% · Q3 1.8% · Q4 4.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.1% |
26.0%
0.9 pts better
|
19.8%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 34.7% · Q3 20.8% · Q4 15.0% · 4Q avg 25.1% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
4.3%
3.4 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 7.5% · Q3 6.8% · Q4 3.2% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2% |
84.3%
8.9 pts better
|
81.7%
11.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 97.7% · Q3 95.6% · Q4 82.4% · 4Q avg 93.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% |
13.1%
3.6 pts better
|
12.0%
2.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 8.5% · Expected 10.0% · 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 1.2% · Q2 0.0% · Q3 1.1% · Q4 2.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.4% |
73.3%
19.1 pts better
|
79.7%
12.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.4% |
21.3%
4.9 pts better
|
23.9%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 13.7% · Expected 19.8% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-07
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 2025-06-07
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-06-07
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-06-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-06-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-20
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-06-27
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-06
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-04-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-07
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-03-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-07
Inspection history
Health
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.
Corrected 2025-12-25
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-06-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-07
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-21
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-06-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-30
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-06-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-07
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-07
Health
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.
Corrected 2023-04-07
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-07
Penalties and ownership
Fine · fine $9,110
Fine
Payment Denial · denial start 2024-07-28 · 11 days
11 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Des Moines, IA
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Des Moines, IA
1-star overall rating with 1-star inspections with Special Focus status with $22,490 in total fines with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Des Moines, IA
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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