Nursing HomeInspections

Pine Acres Rehabilitation and Care Center

Nursing home in West Des Moines, IA

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

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Public-record details

Address
1501 Office Park Road, West Des Moines, IA 50265
Phone
(515) 223-1223
Listed under
For-profit
Medicare CCN
165350
Overall star rating
Not rated by CMS
Certified beds
140
Average residents per day
83
Ownership
For-profit, limited Liability company
Legal business name
Pine Acres Rehabilitation and Care Center LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 22, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 165350. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 8, 2026. CMS lists 103 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 16, 2023 to Jun 3, 2026): 75 from complaint inspections, 14 at the “actual harm” level or higher, including 7 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.

InspectionCitationSeverity
Jun 3, 2026Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
C
Potential for minimal harm, widespread
Jun 3, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 3, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 3, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 3, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 3, 2026Ensure 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.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 3, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 3, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 3, 2026Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 3, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 3, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection
F
Potential for more than minimal harm, widespread
Jun 3, 2026Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights…
Administration · complaint inspection
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 103. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $478,835 and 1 denial of Medicare payment for new admissions in the last three years.

Jun 3, 2026Fine: $286,660
Dec 19, 2024Fine: $121,006
Oct 10, 2024Fine: $71,169
Oct 10, 2024Payment denial for 16 days from Nov 1, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.84 hours
Registered nurse (RN) time per resident per day
0.59 hours
Nurse aide time per resident per day
2.72 hours
Total nurse staffing on weekends
3.59 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
81%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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