CareSentinel

Federal Nursing-Home Survey Record

Pine Acres Rehabilitation and Care Center

CCN 165350 · 1501 Office Park Road, West Des Moines, IA, 50265

Does Pine Acres Rehabilitation and Care Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Pine Acres Rehabilitation and Care Center (CCN 165350), in West Des Moines, IA, has federal inspection findings on its record. CMS also lists the facility in its Special Focus Facility program, the federal watch list CMS reserves for nursing homes with a persistent record of serious deficiencies. In its current inspection cycle, CMS cited the facility for 20 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2026-01-08. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $353,109 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS lists this facility on its federal Special Focus Facility watch list.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

SFF Watch List

On the federal Special Focus Facility watch list

CMS lists this facility in its Special Focus Facility program — the federal program CMS reserves for nursing homes with a persistent record of serious deficiencies.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$353,109

CMS has $353,109 in civil money penalties on file against this facility. CMS also records 16 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility:  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-01-08
CURRENT CYCLE
F842S/S E

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

2026-01-08
CURRENT CYCLE
F755S/S E

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

2026-01-08
CURRENT CYCLE
F804S/S E

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

2026-01-08
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2026-01-08
CURRENT CYCLE
F658S/S D

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

2026-01-08
CURRENT CYCLE
F550S/S D

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

2026-01-08
CURRENT CYCLE
F689S/S D

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

2026-01-08
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2026-01-08
CURRENT CYCLE
F725S/S D

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

2026-01-08
CURRENT CYCLE
F656S/S D

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

2026-01-08
CURRENT CYCLE
F883S/S D

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

2026-01-08
CURRENT CYCLE
F887S/S D

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.

2025-11-25
CURRENT CYCLE
F684S/S G

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

2025-11-25
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2025-08-26
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-08-26
CURRENT CYCLE
F584S/S E

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.

2025-08-26
CURRENT CYCLE
F725S/S E

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

2025-08-26
CURRENT CYCLE
F690S/S D

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

2025-06-09
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2025-06-09
HISTORICAL
F865S/S E

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-06-09
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2025-06-09
HISTORICAL
F689S/S D

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

2025-06-09
HISTORICAL
F656S/S D

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

2025-06-09
HISTORICAL
F726S/S D

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.

2025-06-09
HISTORICAL
F657S/S D

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

2025-06-09
HISTORICAL
F628S/S D

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

2025-06-09
HISTORICAL
F761S/S D

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.

2025-06-09
HISTORICAL
F644S/S D

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

2025-05-01
CURRENT CYCLE
F741S/S D

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

2025-05-01
CURRENT CYCLE
F684S/S D

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

2024-12-19
HISTORICAL
F687S/S J

Provide appropriate foot care.

2024-12-19
HISTORICAL
F800S/S E

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

2024-12-19
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-12-19
HISTORICAL
F657S/S E

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

2024-12-19
HISTORICAL
F689S/S E

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

2024-12-19
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-12-19
HISTORICAL
F678S/S D

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2024-12-19
HISTORICAL
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2024-12-19
HISTORICAL
F656S/S D

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

2024-12-19
HISTORICAL
F725S/S D

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

2024-12-19
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-12-19
HISTORICAL
F883S/S D

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

2024-12-19
HISTORICAL
F887S/S D

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.

2024-10-31
HISTORICAL
F689S/S J

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

2024-10-10
HISTORICAL
F689S/S G

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

2024-06-19
HISTORICAL
F658S/S D

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

2024-06-19
HISTORICAL
F689S/S D

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

2024-06-19
HISTORICAL
F690S/S D

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

2024-06-19
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-06-19
HISTORICAL
F778S/S D

Help the resident make transportation arrangements to and from radiology services.

2024-04-03
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-04-03
HISTORICAL
F658S/S D

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

2023-12-20
HISTORICAL
F835S/S F

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2023-12-20
HISTORICAL
F761S/S E

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.

2023-12-20
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-12-20
HISTORICAL
F725S/S D

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

2023-12-20
HISTORICAL
F658S/S D

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

2023-12-20
HISTORICAL
F684S/S D

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

2023-12-20
HISTORICAL
F690S/S D

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

2023-10-25
HISTORICAL
F684S/S J

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

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Pine Acres Rehabilitation and Care Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…