Nursing Home

Karen Acres Health Care Center

Nursing Home

Karen Acres Health Care Center

3605 Elm Dr, Urbandale, IA 50322 View map
Overview of Karen Acres Health Care Center

Karen Acres Health Care Center is a rehabilitation facility and nursing home located in Urbandale, IA, just above Karen Acres Elementary School. The main services they offer are rehabilitation, and long-term care. Their long-term care residents receive 24/7 RN or LPN provided assistance, grooming and feeding assistance, medication management, as well as mobility assistance for those who need it.

This long term nursing home also provides hospice care, as well as respite care with a minimum of 7 day required stay. Karen Acres Health Care Center also offers bespoke care plans that will surely cater to the patient’s needs, in order for them to keep their cognitive and physical health at the highest level.

(515) 276-4969

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Iowa average: 3.2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Iowa average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Iowa average: 3.7/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Iowa average: 3.5/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 25m per day

This home provides 23% less nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 31m per day 30m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 35

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Iowa average
Occupancy rate 88.6%
Residents per day (avg) 30
Occupancy rate
88.6%
Residents per day (avg)
30

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

48% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

42% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Finances and operations

Privately-owned community
Home revenue
$3.8M
Profit
$547.9K
Privately-owned community
Home revenue
$3,840,429.00
Profit
$547,924.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
40.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
Total costs $3.3M
Bed community size
35-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
89%
In line with Iowa average
Occupied beds
31 / 35
Average residents 51 per day

License details

Issuance February 10, 2025
Expiration February 10, 2026
County: Polk

Additional licensing details

License number: 770275
CMS Certification Number: 165460
Awards: Best Nursing Home for 2024 by U.S. News & World Report

Ownership & operating entity

Karen Acres Health Care Center is administrated by Pam Harned.

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Contact Information

Fax: 5153090247

Programs & Activities

Specific Programs
Long Term Care, Rehabilitation, Personalized Care
Operating Hours
Monday thru Friday 8am-4pm

Types of Care at Karen Acres Health Care Center

Skilled Nursing Hospice Care Respite Care
Contact Karen Acres Health Care Center

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

21 visits/inspections

4 visits/inspections triggered by complaints

1 other visits

Breakdown by inspection type
  • 10 renewal/recertification inspections
  • 4 complaint investigations
  • 6 incident investigations
  • 1 other inspection

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:November 26, 2025

Inspection history

11/26/2025 Incident Revisit
Yes
10/21/2025 Incident
06/12/2025 Recertification Revisit
Yes
06/11/2025 Recertification
03/19/2025 Complaint, Incident
09/13/2024 Complaint
07/10/2024 Recertification Revisit, Complaint Revisit, Incident Revisit
Yes
07/07/2024 Recertification, Complaint, Incident
03/28/2024 Complaint Revisit, Incident Revisit
Yes
03/12/2024 Complaint, Incident
10/25/2023 Recertification Revisit
Yes
10/12/2023 Recertification
05/13/2022 Recertification Revisit
Yes
05/03/2022 Recertification
06/22/2021 Other
03/05/2021 Recertification Revisit, Complaint Revisit
Yes
03/04/2021 Recertification, Complaint, Amended
12/14/2020 FIC
07/30/2020 FIC Revisit
Yes
07/29/2020 FIC
06/30/2020 FIC

19 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Karen Acres Health Care Center

The most recent inspection on November 25, 2025, found the facility in compliance with no specific deficiencies detailed. Earlier inspections showed some deficiencies primarily related to resident transfers and accident prevention, with citations for failure to follow care plans resulting in residents being lowered to the floor during transfers, though no injuries were reported. Prior reports also noted issues with resident rights violations, food safety, infection control, and maintaining a safe environment, including a substantiated complaint about unauthorized video recording of a resident. Complaint investigations were mostly unsubstantiated except for a few substantiated cases involving resident dignity and abuse concerns. The facility appears to have addressed many prior deficiencies, showing improvement in recent inspections, although transfer-related issues persisted until the latest survey.

Health Inspection History

Inspections
Total health inspections 4

Iowa average 4.9


Last Health inspection on Jun 2025

Total health citations 9
Citations per inspection
2.25

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 9 citations resulted from standard inspections; 1 of 9 resulted from complaint investigations; and 2 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 0
100% better than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

0 serious citations More info Iowa average: 0.9

9 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Quality of Care moderate citation Jun 11, 2025
Corrected

Infection Control moderate citation Jul 07, 2024
Corrected

Nutrition moderate citation Jul 07, 2024
Corrected

Nutrition moderate citation Jul 07, 2024
Corrected

Compare Nursing Homes around Urbandale

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Karen Acres Health Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

N

Nursing

Urbandale
35
-
71
HARNED, PAMELA
85.1%
$3,816,819.00
$1,570,803.00
41.2%
30
4/5
3.4093
4/5
3/5
4/5
-
9
-
+25%
-21%
+13%
Deerfield Health Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

N

Nursing

Urbandale
30
A+
5
BEAR, SCOTT
83.7%
$5,064,357.00
$2,781,643.00
54.9%
18.20
4/5
6.9474
3/5
5/5
4/5
1
7
1
+37%
+62%
+11%
Royal Oaks Nursing and Rehabilitation Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 503221089
115
-
-
REITER, JENNIFER
71.5%
$13,339,726.00
$4,403,145.00
33%
84.70
2/5
3.5833
1/5
1/5
5/5
3
59
6
-42%
-17%
-5%
Urbandale Health Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

N

Nursing

Urbandale
115
-
61
REITER, JENNIFER
71.5%
$13,339,726.00
$4,403,145.00
33%
85
2/5
3.5833
1/5
1/5
5/5
3
59
6
-42%
-17%
-5%
Azria Health Park Place
SNF

Nursing Home 24/7 care needed

N

Nursing

Des Moines (Union Park)
81
-
51
ANDERSON, KELSEY
60.5%
$5,889,177.00
$2,478,858.00
42.1%
57
1/5
3.6758
1/5
2/5
1/5
-
69
2
+9%
-14%
-20%

Places of interest near Karen Acres Health Care Center

Address 2 miles from city center — 2.73 miles to nearest hospital (Iowa Psychiatric Society)

Address 3605 Elm Dr, Urbandale, IA 50322

Calculate Travel Distance to Karen Acres Health Care Center

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

55
Total Staff
29
Employees
26
Contractors
9,801
Total Hours (Quarter)
16
Avg Staff/Day
6.7
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse88.5 Yes
Licensed Practical Nurse69.1 Yes
Certified Nursing Assistant177.1 No
Staff by Category
Administration
2 staff
7.6hs shift avg
Nursing Staff
32 staff
7.3hs shift avg
Physicians & Practitioners
3 staff
7.8hs shift avg
Therapy Services
17 staff
3.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.1hs shift avg
Dietary Services
0 staff
0hs shift avg
Other Services
0 staff
0hs shift avg
Contractor Analysis
8.9%
of total hours from contractors
870 contractor hours this quarter
Respiratory Therapy Technician: 7 Speech Language Pathologist: 2 Registered Nurse: 3 Physical Therapy Assistant: 3 Physical Therapy Aide: 3 Licensed Practical Nurse: 4 Occupational Therapy Assistant: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant170175,57291100%7.1
Licensed Practical Nurse2468747785%9.1
Registered Nurse5387876571%8.5
Clinical Nurse Specialist2025406673%7.9
Administrator1015206571%8
Nurse Practitioner1014485965%7.6
Speech Language Pathologist0223186571%4.9
RN Director of Nursing1012984651%6.5
Physical Therapy Aide0331384347%3.2
Physical Therapy Assistant0331385662%2.4
Respiratory Therapy Technician077953235%2.7
Qualified Social Worker011393538%1.1
Occupational Therapy Aide01124910%2.6
Occupational Therapy Assistant011833%2.8
Medical Director011344%0.6

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
28 residents
Residents by payment source
Medicare
1 resident (3.6%)
Medicaid
7 residents (25%)
Private pay or other
20 residents (71.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.0
12% better than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.7
In line with Iowa average

Iowa average: 21.6

Long-stay resident measures
Significantly above average Iowa avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.1%
41% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.7%
5% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.3%
23% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.3%
46% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
23% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
58% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.7%
7% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.5%
41% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 2.1%
89% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.7%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.0%
8% worse than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.00
100% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.00
100% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Average Iowa avg: 3.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 63.6%
25% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.0%
11% worse than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 6.1%
92% worse than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 32.1%
50% worse than Iowa average

Iowa average: 21.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.9%
55% better than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 38.6%
28% worse than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.8%
7% worse than Iowa average

Iowa average: 50.6%

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.