Pine Acres Rehabilitation and Care Center

1501 Office Park Road · West Des Moines, IA · 50265 · 5152231223

140 certified beds For profit - Limited Liability company

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $192,175 in fines in the last 24 months.
  • 5 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

4 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$192,175 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 24
Serious harm & abuse 20% 40
Staffing 20% 61
Federal penalties 15% 7
Trend 10% 89
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.403.48 min · 4.1 strong
RN hours / resident-day0.530.55–0.75
Weekend hours / resident-day3.11≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)3 · $353,109

Inspection citations (85 in the current record)

  • Potential for harm · D January 8, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 8, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 3, 2026 · Pharmacy Service

  • Potential for harm · E January 8, 2026

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

    Corrected February 3, 2026 · Nutrition and Dietary

  • Potential for harm · E January 8, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 8, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 3, 2026 · Infection Control

  • Potential for harm · D January 8, 2026

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected February 3, 2026 · Infection Control

  • Potential for harm · D January 8, 2026

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected February 3, 2026 · Infection Control

  • Potential for harm · D January 8, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 3, 2026 · Resident Rights

  • Potential for harm · D January 8, 2026 · found via complaint

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

    Corrected February 3, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 8, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 3, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected February 3, 2026 · Nursing and Physician Services

  • Potential for harm · D January 8, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected February 3, 2026 · Pharmacy Service

  • Actual harm · G November 25, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 9, 2025 · Quality of Life and Care

  • Potential for harm · D November 25, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected December 9, 2025 · Pharmacy Service

  • Potential for harm · E August 26, 2025 · found via complaint

    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 September 19, 2025 · Resident Rights

  • Potential for harm · D August 26, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 19, 2025 · Quality of Life and Care

  • Potential for harm · E August 26, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected September 19, 2025 · Nursing and Physician Services

  • Potential for harm · E August 26, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 19, 2025 · Infection Control

  • Potential for harm · D June 9, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected July 9, 2025 · Resident Rights

  • Potential for harm · D June 9, 2025

    Ensure each resident receives an accurate assessment.

    Corrected July 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 9, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected July 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 9, 2025

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

    Corrected July 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 9, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 9, 2025

    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 July 9, 2025 · Nursing and Physician Services

  • Potential for harm · D June 9, 2025

    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.

    Corrected July 9, 2025 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 19, 2024Fine$121,006
October 10, 2024Fine$71,169
October 10, 2024Payment Denial16 days
August 16, 2023Fine$160,934

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165350 · certified since July 22, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.