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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 206th out of 222 homes in Iowa.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 33m per day | ▼ 25% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 26m per day | ▼ 24% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 7m per day | ▼ 16% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 49m per day | ▼ 16% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 31m per day | ▲ 3% State avg: 30m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
48% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #207 / 223Payroll — State benchmarkedThis home is ranked 207th out of 223 homes in Iowa.Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Iowa average: 75.4%Karen Acres Health Care Center is administrated by Pam Harned.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 33 | 27 | This facility has 22% more total deficiencies than a typical Iowa nursing home (33 vs. IA avg 27). Click this badge to view the full Iowa ranking.↑ 22% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 5.5 | 4.5 | This facility has 22% more deficiencies per year than a typical Iowa nursing home (5.5 vs. IA avg 4.5). Click this badge to view the full Iowa ranking.↑ 22% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.6 | 1.8 | This facility has 11% fewer deficiencies per inspection than a typical Iowa nursing home (1.6 vs. IA avg 1.8). Click this badge to view the full Iowa ranking.↓ 11% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 21 | 15 | This facility has 40% more total inspections than a typical Iowa nursing home (21 vs. IA avg 15). Click this badge to view the full Iowa ranking.↑ 40% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Jun 2025
Iowa average 21.7
Iowa average 4.11
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).
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
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Karen Acres Health Care Center is located in Urbandale, Iowa.
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2.0 miles from city center
Estimated distance in miles from Urbandale's city center to Karen Acres Health Care Center's address, calculated via Google Maps.
— 2.73 miles to nearest hospital (Iowa Psychiatric Society)
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
0% compared with Iowa average
9% worse than Iowa average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
870 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 17 | 0 | 17 | 5,572 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 2 | 4 | 6 | 874 | 77 | 85% | 9.1 |
| Registered Nurse | 5 | 3 | 8 | 787 | 65 | 71% | 8.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 540 | 66 | 73% | 7.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 59 | 65% | 7.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 318 | 65 | 71% | 4.9 |
| RN Director of Nursing | 1 | 0 | 1 | 298 | 46 | 51% | 6.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 138 | 43 | 47% | 3.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 138 | 56 | 62% | 2.4 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 95 | 32 | 35% | 2.7 |
| Qualified Social Worker | 0 | 1 | 1 | 39 | 35 | 38% | 1.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 9 | 10% | 2.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 3 | 3% | 2.8 |
| Medical Director | 0 | 1 | 1 | 3 | 4 | 4% | 0.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
28Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
In line with Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.1%
41% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
18.7%
5% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
23% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
46% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.4%
23% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.1%
58% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
4.7%
7% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
5.5%
41% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
2.1%
89% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.7%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.0%
8% worse than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
0.00
100% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.00
100% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
63.6%
25% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
11% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
6.1%
92% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
32.1%
50% worse than Iowa averageIowa average: 21.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.9%
55% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
38.6%
28% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.8%
7% worse than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Karen Acres Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
N Nursing
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Urbandale (Elm Drive) | 35 | 85.1% | +13% | 3.41 | +25% | -21% | $0 | 9 | 2.3 | - | 30 | - | 71 | Pamela Harned | $3.8M | $2.0M | 52.3% | 165460 | ||||
| Deerfield Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
N Nursing | Urbandale | 30 | 83.7% | +11% | 6.95 | +37% | +62% | $70.2k | 7 | 1.8 | 1 | 18 | A+ | 5 | Scott Bear | $7.9M | $3.9M | 49.8% | 165557 | ||||
| Urbandale Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
N Nursing
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Urbandale (84Th Street) | 115 | 71.5% | -5% | 3.58 | -42% | -17% | $122.1k | 59 | 5.9 | 6 | 85 | - | 61 | Jennifer Reiter | $13.3M | $5.0M | 37.8% | 165580 | ||||
| Azria Health Park Place |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
N Nursing | Des Moines (Union Park) | 70 | 60.5% | -20% | 3.68 | +9% | -14% | $0 | 69 | 11.5 | 2 | 57 | - | 51 | Kelsey Anderson | $6.0M | $2.8M | 47.3% | 165202 |
Historical financial and operational data for Karen Acres Health Care Center based on CMS SNF Cost Reports.
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Karen Acres Health Care Center is in the Elm Drive neighborhood of Urbandale.
Karen Acres Health Care Center has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Karen Acres Health Care Center's license number is 770275.
According to IA state health department records, Karen Acres Health Care Center's license expires on February 10, 2026.
Karen Acres Health Care Center's occupancy is 89%.
The team at Karen Acres Health Care Center can be reached at [email protected].
Pam Harned is the administrator of Karen Acres Health Care Center.
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