Greater Southside Health and Rehabilitation

Special Focus Facility candidate · CMS abuse icon · Polk · IA · For profit - Limited Liability company · THE ENSIGN GROUP chain · 80 certified beds · CCN 165175 · TERRACE HILL HEALTHCARE LLC


Greater Southside Health and Rehabilitation operates 80 certified beds in Des Moines, Iowa. Its Medicare and Medicaid certification dates to 1992-11-01. It averages 68.5 residents a day.

What harm was found in the violations cited at Greater Southside Health and Rehabilitation?

CMS lists 63 health-inspection deficiencies for Greater Southside Health and Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-14.

Survey dateTagDeficiencySeverity
2026-05-14F0760Ensure that residents are free from significant medication errors.K
2026-05-14F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F
2026-04-09F0609, F0657, F0689, F0695, F0760Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors.D
2025-10-27F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-10-27F0609, F0610, F0635, F0697Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide doctor's orders for the resident's immediate care at the time the resident was admitted. / Provide safe, appropriate pain management for a resident who requires such services.D
2025-09-03F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2025-09-03F0550, F0684, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program.D
2025-06-10F0803, F0812, F0880Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2025-06-10F0578, F0605, F0641, F0655, F0688, F0692, F0759, F0761, F0805, F0842Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide 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. / Provide enough food/fluids to maintain a resident's health. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-04-24F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-03-20F0550, F0600, F0698, F0919Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-11-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-11-13F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2024-10-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-10-02F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-10-02F0551, F0580, F0642, F0658, F0686, F0695, F0726, F0755Give the resident's representative the ability to exercise the resident's rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure a qualified health professional conducts resident assessments. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-08-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-07-12F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.K
2024-07-12F0644, F0655, F0677Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-06-03F0584Honor 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.E
2024-06-03F0580, F0658, F0689Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-04-19F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2024-03-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-03-11F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2023-09-07F0558, F0623, F0644, F0657, F0688Reasonably accommodate the needs and preferences of each resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide 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.D

Why was Greater Southside Health and Rehabilitation fined 5 times?

DateTypeAmount
2026-05-14Fine$86,520
2024-10-02Fine$85,810
2024-08-29Fine$25,454
2024-07-12Fine$26,374
2024-04-19Fine$28,805

Has Greater Southside Health and Rehabilitation had payment denied by Medicare?

Payment denial startLength in days
2024-05-2817

How is Greater Southside Health and Rehabilitation staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.442143.81506
Total nursing staff turnover (%)62.344.0
Average number of residents per day68.552.4

Who owns Greater Southside Health and Rehabilitation, and what chain is it in?

Greater Southside Health and Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name TERRACE HILL HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTGATEWAY HEALTHCARE LLCsince 04/17/2024
INDIRECT OWNERSHIP INTERESTTHE ENSIGN GROUP INCsince 04/17/2025
MANAGING CONTROL - GOVERNING BODYBURNAM, SOON, OCONNER, MICHAEL, TIMM, DIRKsince 04/17/2024
CORPORATE OFFICERBURNAM, SOONsince 04/17/2024
OPERATIONAL/MANAGERIAL CONTROLTIMM, DIRKsince 08/01/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFJORGENSEN, DAVID, KEETCH, CHAD, PORT, BARRYsince 06/02/2025
ADP OF THE SNFENSIGN SERVICES INC, SKYWALK HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, OCONNER, MICHAEL, TIMM, DIRKsince 04/20/2025

Were you or a family member harmed at Greater Southside Health and Rehabilitation?