01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-12 | 7 | 2025-08-12 | 2 |
| Cycle 2 | 2024-08-01 | 2 | 2024-08-01 | 3 |
| Cycle 3 | 2023-12-11 | 11 | 2023-12-11 | 2 |
CMS CCN 1657902026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Cedar Ridge Village
8950 Coachlight Drive · West Des Moines, IA 50266 · Dallas County
Certified beds40CMS provider file
Recent citation rows27current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
27 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-12 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Past Non-Compliance · 2025-06-052025-08-12 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-08-262025-08-12 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-08-262025-08-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-08-262025-08-12 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-262025-08-12 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-08-262025-08-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-08-262025-08-12 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-08-192025-08-12 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-08-192024-08-01 · HEALTHF0803Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-08-01 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-08-01 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-08-022024-08-01 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-08-192024-08-01 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-08-022023-12-11 · HEALTHF0606Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0868Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · HEALTHF0882Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2023-12-292023-12-11 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-12-1903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CADET INVESTMENT LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- CENTRAL IOWA HOSPITAL CORPORATIONOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- POKY - 5R LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- SCENIC DEVELOPMENT LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- WSG LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- CADET INVESTMENT LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- WSG LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- ANDERSON, JORDANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- ANDERSON, MARLENEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- ANDERSON, WAYNEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- GULLEDGE, SCOTTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- GULLEDGE, TRAVISIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2021
- HOWARD, STEVENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- WOOD, GILBERTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2021
- PIVOTAL HEALTH CARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2021
- SCENIC DEVELOPMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2021
- ANDERSON, JORDANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- DEHAVEN, KATHERINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/16/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.13per resident day
RN hours1.31per resident day
Weekend nurse hours3.50per resident day
Staff turnover56.5%CMS reported field
06 / LOCAL RECORDS
Open the West Des Moines ledger →Other published facilities nearby
Arbor Springs Of West Des Moines L L C56 beds · CMS overall 1/530 citation rowsEdgewater, A Wesleylife Community40 beds · CMS overall 4/530 citation rowsHarmony West Des Moines113 beds · CMS overall 1/559 citation rowsPine Acres Rehabilitation And Care Center140 beds · CMS overall —/5128 citation rows