01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-19 | 3 | 2026-03-19 | 1 |
| Cycle 2 | 2025-03-06 | 2 | 2025-03-06 | 2 |
| Cycle 3 | 2024-04-15 | 5 | 2024-04-15 | 2 |
CMS CCN 1652612026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mill-Pond
1201 Se Mill Pond Court · Ankeny, IA 50021 · Polk County
Certified beds60CMS provider file
Recent citation rows15current 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
15 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-19 · 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 · 2026-04-012026-03-19 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-04-012026-03-19 · HEALTHF0812Severity D · isolated; 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 · 2026-04-012026-03-19 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-03-242025-03-06 · HEALTHF0800Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Correction field: Deficient, Provider has date of correction · 2025-03-262025-03-06 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-262025-03-06 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-03-192025-03-06 · FIREK0923Severity E · pattern; 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 · 2025-03-192024-04-15 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-04-192024-04-15 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-05-01 · complaint2024-04-15 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-05-01 · complaint2024-04-15 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-05-01 · complaint2024-04-15 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-05-012024-04-15 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-05-01 · complaint2024-04-15 · 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 · 2024-05-1203 / 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
- PRESBYTERIAN HOMES AND SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/11/2011
- FIRST INTERSTATE BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 02/01/2022
- FIRST INTERSTATE BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 02/01/2022
- FLETCHER, JONATHANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2025
- PEDERSON, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- PETERSON, HEIDIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- FLETCHER, JONATHANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2025
- PETERSON, HEIDIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2025
- PHS MANAGEMENT, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/11/2011
- BURNS, KATHERINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2023
- CULP, JESICAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/06/2025
- FLETCHER, JONATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2025
- MEYER, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/11/2011
- PETERSON, HEIDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- PHS MANAGEMENT, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/21/2025
- BURNS, KATHERINEIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2023
- CULP, JESICAIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/06/2025
- FLETCHER, JONATHANIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/01/2025
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 hours4.58per resident day
RN hours0.98per resident day
Weekend nurse hours4.16per resident day
Staff turnover37.1%CMS reported field
06 / LOCAL RECORDS
Open the Ankeny ledger →