Nursing homeActive
Karen Acres Care Center
3605 Elm Drive, Urbandale, IA 50322515276496935 certified beds · 30 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
11
● 0● 11● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-22
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-11 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-07 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-03-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-12 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-23Record 165460-20260622-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-26Record 165460-20251125-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 165460-20250611-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-10Record 165460-20240707-F550
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-10Record 165460-20240707-F584
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-10Record 165460-20240707-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-10Record 165460-20240707-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-10Record 165460-20240707-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-26Record 165460-20240312-F550
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-25Record 165460-20231012-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-25Record 165460-20231012-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.73
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.27
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.04
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover38%
Facility
Iowa
National
Iowa 44% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.6% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.5% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.9% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.1% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Even, Crystal Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Lange, Randall Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Booker, Janyia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dayton, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Harned, Pamela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Moulton, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oconner, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Waltersdorf, Myra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bcg Holdings Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Blue Stone Therapy Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Careserv Technologies LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Bcg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Denman Cpa LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ecsi Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Even, Crystal Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Even, Crystal Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grx Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Harned, Pamela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Health Technologies, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iowa Health Care Association Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lange, Randall Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lange, Randall Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Oconner, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Polk.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Royal Oaks Nursing and Rehabilitation Center Urbandale | 1.2 mi | 2026-06-11 | 0648 |
| Pine Acres Rehabilitation and Care Center West Des Moines | 2.5 mi | 2026-06-03 | 17512 |
| Childserve Habilitation Center Johnston | 2.7 mi | 2026-04-06 | 0110 |
| Bishop Drumm Retirement Center Johnston | 3.1 mi | 2026-06-11 | 0548 |
| Calvin Community Des Moines | 2.6 mi | 2025-12-18 | 0120 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |