Nursing HomeInspections

Karen Acres Care Center

Nursing home in Urbandale, IA

Medicare & Medicaid certified5★ overall (CMS)

Call (515) 276-4969Send a messageMap ↗

Public-record details

Address
3605 Elm Drive, Urbandale, IA 50322
Phone
(515) 276-4969
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
165460
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
35
Average residents per day
30
Ownership
For-profit, corporation
Legal business name
Crystal INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165460. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 11, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 12, 2023 to Jun 22, 2026): 5 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 22, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 25, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 7, 2024Honor 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
Jul 7, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 7, 2024Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Jul 7, 2024Ensure 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.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 7, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 12, 2024Honor 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
Oct 12, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Oct 12, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

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 no fines or payment denials for this facility in the last three years.

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
3.27 hours
Registered nurse (RN) time per resident per day
0.73 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
3.04 hours
Nursing staff turnover (yearly)
38%
Administrators who left in the past year
0

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.

Other nursing homes in Urbandale

Deerfield Health Care Center13731 Hickman Road · Urbandale, IA 50323 · (515) 331-6900 · Nonprofit4 health citations in 3 inspection cycles · last standard inspection May 7, 2026 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Royal Oaks Nursing and Rehabilitation Center4614 NW 84th Street · Urbandale, IA 50322 · (515) 270-6838 · For-profit78 health citations in 3 inspection cycles · last standard inspection May 20, 2025 · $434,825 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

All 3 in Urbandale →