Accura Healthcare of South Des Moines
4911 Sw 19th Street · Des Moines, IA · 50315 · 5152852559
89 certified beds For profit - Limited Liability company Chain: Accura Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $52,632 |
Inspection citations (71 in the current record)
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Potential for harm · D September 18, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 24, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 15, 2025 · Quality of Life and Care
-
Potential for harm · D July 24, 2025
Provide and implement an infection prevention and control program.
Corrected August 15, 2025 · Infection Control
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Potential for harm · D July 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 15, 2025 · Quality of Life and Care
-
Potential for harm · E February 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 17, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 17, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 21, 2025 · Nutrition and Dietary
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Potential for harm · D August 22, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected September 16, 2024 · Resident Rights
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Potential for harm · D August 22, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 22, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 16, 2024 · Resident Rights
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Potential for harm · E August 22, 2024 · found via complaint
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.
Corrected September 16, 2024 · Resident Rights
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Potential for harm · D August 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · D August 22, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · E August 22, 2024 · found via complaint
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.
Corrected September 16, 2024 · Nursing and Physician Services
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Potential for harm · D August 22, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · D August 22, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · E August 22, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 16, 2024 · Infection Control
-
Actual harm · G June 13, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 23, 2024 · Quality of Life and Care
-
Immediate jeopardy · J April 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 25, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 10, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 10, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 25, 2024 | Fine | $30,675 |
| April 25, 2024 | Payment Denial | 30 days |
| November 2, 2023 | Fine | $21,957 |
| November 2, 2023 | Payment Denial | 28 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165273 · certified since May 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.