Special Focus Facility

Overview

Address
1501 Office Park Road, West Des Moines, IA 50265
Phone
5152231223
Certified beds
140
Avg daily residents
81 (58% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-07-22
Setting
Urban
Rating not available

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
2.86 3.52 3.13 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.45 0.62 0.50 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.43 0.78 0.47
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.98 2.12 2.17
Licensed (RN + LPN)
Combined licensed nurse coverage.
0.88
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.10

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.50
hrs / resident / day
RN (weekend)
0.47
hrs / resident / day
Total nurse (adjusted, weekend)
2.74
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
60.0%
annual
RN turnover
72.7%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.25
higher acuity than avg
Case-Mix Index Ratio
0.91
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-09 23 10 15 128 1 128
Cycle 2/3 (prior) 2024-12-19 63 13 50 668 1 668
Total weighted health score
263.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (107)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

95 D/E/F Actual harm — potential for minor
5 G/H/I Actual harm
7 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2026-01-08 2026-02-03
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2026-01-08 2026-02-03
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2026-01-08 2026-02-03
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2026-01-08 2026-02-03
0760 Ensure that residents are free from significant medication errors. D 2026-01-08 2026-02-03
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-11-25 2025-12-09
0760 Ensure that residents are free from significant medication errors. D 2025-11-25 2025-12-09
0584 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. E 2025-08-26 2025-09-19
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-08-26 2025-09-19
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2025-08-26 2025-09-19
0880 Provide and implement an infection prevention and control program. E 2025-08-26 2025-09-19
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-06-09 2025-07-09
0641 Ensure each resident receives an accurate assessment. D 2025-06-09 2025-07-09
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2025-06-09 2025-07-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-06-09 2025-07-09
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-06-09 2025-07-09
0726 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. D 2025-06-09 2025-07-09
0761 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. D 2025-06-09 2025-07-09
0880 Provide and implement an infection prevention and control program. E 2025-06-09 2025-07-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-06-09 2025-07-09
0865 Have a plan that describes the process for conducting QAPI and QAA activities. E 2025-06-09 2025-07-09
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-05-01 2025-05-29
0741 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. D 2025-05-01 2025-05-29
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-12-19 2025-01-23
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-12-19 2025-01-23
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-12-19 2025-01-23
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. D 2024-12-19 2025-01-23
0687 Provide appropriate foot care. J 2024-12-19 2025-01-23
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-12-19 2025-01-23
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-12-19 2025-01-23
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2024-12-19 2025-01-23
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. E 2024-12-19 2025-01-23
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-12-19 2025-01-23
0880 Provide and implement an infection prevention and control program. D 2024-12-19 2025-01-23
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-12-19 2025-01-23
0887 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. D 2024-12-19 2025-01-23
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-10-31 2024-11-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-10-10 2024-11-17
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-06-19 2024-07-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-06-19 2024-07-19
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-06-19 2024-07-19
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-06-19 2024-07-19
0778 Help the resident make transportation arrangements to and from radiology services. D 2024-06-19 2024-07-19
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-04-03 2024-04-22
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-04-03 2024-04-22
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-12-20 2024-01-25
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-12-20 2024-01-25
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-12-20 2024-01-25
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2023-12-20 2024-01-25
0761 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. E 2023-12-20 2024-01-25

Showing 50 most recent of 107. See the All Data CSV for the full list.

Penalties (4)

Fines issued
3
last 3 years
Total fines
$353,109
Payment denials
1
Date Type Fine amount
2024-10-10 Fine $71,169
2024-12-19 Fine $121,006
2023-08-16 Fine $160,934
2024-10-10 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 7.8% Medicaid 63.1% Other 29.1%

Operating performance

Operating Margin
-1.8%
Total Margin
4.0%
Occupancy Rate
53.8%

Revenue & costs

Net Patient Revenue
$9.5M
Total Costs
$543K
Net Income
$408K

Balance sheet

Total Assets
$2.5M
Total Liabilities
$2.3M
Fund Balance
$207K
Current Ratio
0.98

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: AKIKO IKE

Chain ID
582
Facilities in chain
7
Legal business name
PINE ACRES REHABILITATION AND CARE CENTER LLC
Chain-average star ratings (for peer context)
Overall
3.8
Health
3.2
Staffing
4.3
QM
4.0

Owner / manager individuals (4)

Name Role Association
ASCHENDORF, JONATHAN OPERATIONAL/MANAGERIAL CONTROL since 05/01/2023
BISHOP, ANDREW OPERATIONAL/MANAGERIAL CONTROL since 03/01/2025
BLACKBURN, NATASHA OPERATIONAL/MANAGERIAL CONTROL since 10/27/2025
KAPLAN, YISROEL OPERATIONAL/MANAGERIAL CONTROL since 12/31/2021

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 0.98 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 63.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.8% metrics.medicare_day_share
Cost Report Net Income ($) $407,541 metrics.net_income
Cost Report Net Patient Revenue ($) $9,537,277 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 53.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -1.8% metrics.operating_margin
Cost Report Total Assets ($) $2,499,477 metrics.total_assets
Cost Report Total Costs ($) $542,664 metrics.total_costs
Cost Report Total Fund Balances ($) $206,930 metrics.fund_balance
Cost Report Total Liabilities ($) $2,292,547 metrics.total_liabilities
Cost Report Total Margin (%) 4.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.46726 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.16648 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.49835 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.13208 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.73817 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 80.9 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.78126 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.12329 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61580 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.52035 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.10282 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.2 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.3 Chain Average Staffing Rating
Provider Information Chain ID 582 Chain ID
Provider Information Chain Name AKIKO IKE Chain Name
Provider Information City/Town West Des Moines City/Town
Provider Information CMS Certification Number (CCN) 165350 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Polk County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1997-07-22 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 41.5912 Latitude
Provider Information Legal Business Name PINE ACRES REHABILITATION AND CARE CENTER LLC Legal Business Name
Provider Information Location 1501 Office Park Road,West Des Moines,IA,50265 Location
Provider Information Long-Stay QM Rating Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -93.723 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 140 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 7 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.24710 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.90524 Nursing Case-Mix Index Ratio
Provider Information Overall Rating Overall Rating
Provider Information Overall Rating Footnote 18 Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1501 Office Park Road Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Pine Acres Rehabilitation and Care Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 760 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 128 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 15 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-09 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 128 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 23 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-12-19 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 668 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 50 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 668 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 63 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.46529 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 72.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 0.88042 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.42604 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.97537 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10204 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.45439 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.85580 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State IA State
Provider Information Telephone Number 5152231223 Telephone Number
Provider Information Total Amount of Fines in Dollars 353109.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.49663 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 60.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 263.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 50265 ZIP Code