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Pine Acres Rehabilitation and Care Center, West Des Moines, Iowa

89
Citations from health inspectionsIowa average: 21 a home
11
Residents harmed or put in dangerIowa average: 1.3 a home
$478,835
Fines from the federal governmentIowa average: $19,286 a home
No rating given
Overall rating in starsIowa average: 3.1

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

12 inspection visits produced 89 citations. Residents were in immediate danger in six findings. Residents were found hurt in five cases. Federal fines came to $478,835 (three fines). Once, Medicare stopped paying for new admissions.

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating
No rating is given while the home stays on the Special Focus list
Rating for health inspections
No rating is given while the home stays on the Special Focus list
Rating for staffing
No rating is given while the home stays on the Special Focus list
Rating for quality of care
No rating is given while the home stays on the Special Focus list
Nurse time for each resident
3.84 hours each dayThe Iowa average is 3.82 hours
Time from registered nurses
0.59 hours each dayThe Iowa average is 0.74 hours
Nursing staff who left during one year
56.9%against the Iowa average of 44%
Beds that are certified
140
Ownership
Limited Liability company (for profit)
Chain
This home is not part of a chain
Street address
1501 Office Park Road, West Des Moines, Iowa 50265
County
Polk

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

32 citations dated June 3, 2026

  • F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
  • F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
  • F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F697 Pain Management: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
  • F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: residents were harmed, a pattern, several residents, found on a complaint visit.
  • F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, a pattern, several residents, found on a complaint visit.
  • F684 Quality of Care: immediate danger to residents, a pattern, several residents, found on a complaint visit.
  • F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
  • F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, a pattern, several residents.
  • F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents.
  • F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: residents were harmed, a pattern, several residents, found on a complaint visit.
  • F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, widespread.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, widespread.
  • F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

12 citations dated Jan. 8, 2026

  • F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
  • F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Nov. 25, 2025

  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.

Four citations dated Aug. 26, 2025

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

10 citations dated June 9, 2025

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
  • F865 Written Quality Improvement Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
  • F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
  • F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.

Two citations dated May 1, 2025

  • F741 Staff Skilled in Behavioral Health Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Oct. 31, 2024

  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.

One citation dated Oct. 10, 2024

  • F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.

Five citations dated June 19, 2024

  • F778 Help With Transportation to Imaging Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated April 3, 2024

  • F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Seven citations dated Dec. 20, 2023

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

11 citations dated Oct. 25, 2023

  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F610 Investigating Abuse Allegations: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Payment Denials and Fines

DatePenaltyAmount
June 3, 2026Fine$286,660
Dec. 19, 2024Fine$121,006
Oct. 10, 2024Fine$71,169
Oct. 10, 2024Payment denial for new admissions16 days

Ownership and Management of the Home

Five people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 165350. Other homes in Iowa.