Pine Acres Rehabilitation and Care Center

WEST DES MOINES, IA · 140 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • Government has flagged this facility for serious quality issues
  • 18 deficiencies — 2.8x the state average
  • 7 citation(s) at the highest severity level — immediate risk to residents
  • 5 citation(s) where residents suffered actual harm
  • $352,226 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

N/A
CMS Overall
N/A
Health Inspection
18
2.9x state avg
Deficiencies
$352,226
Fines (3-yr)
N/A
Staffing

Violation Timeline

November 24, 2025

4 deficiencyies
F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

August 25, 2025

8 deficiencyies
F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

June 8, 2025

8 deficiencyies
F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0726 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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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.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

See full violation history →

Staffing

0.50
RN hrs/res/day
0.47
LPN hrs/res/day
2.17
CNA hrs/res/day
2.74
Weekend hrs/res/day
60%
Total nurse turnover
73%
RN turnover

A nurse checks on each resident roughly every 7.7 hours on average.

Fines & Penalties

  • Fine Dec 18, 2024
    $120,123
  • Fine Oct 9, 2024
    $71,169
  • Payment Denial Oct 9, 2024
    Payment Denial
  • Fine Aug 15, 2023
    $160,934
Total $352,226

Ownership

For profit - Limited Liability company Independent (not part of a chain)
  • ASCHENDORF, JONATHAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2023

    Individual
  • BISHOP, ANDREW

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2025

    Individual
  • BLACKBURN, NATASHA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/27/2025

    Individual
  • KAPLAN, YISROEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/31/2021

    Individual