01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-26 | 3 | 2025-06-26 | 2 |
| Cycle 2 | 2024-07-18 | 5 | 2024-07-18 | 2 |
| Cycle 3 | 2023-05-10 | 1 | 2023-05-10 | 18 |
CMS CCN 1655932026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Scottish Rite Park Inc
2909 Woodland Avenue · Des Moines, IA 50312 · Polk County
Certified beds51CMS provider file
Recent citation rows31current CMS citation release
Penalty rows5current 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
31 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-06 · HEALTHF0689Severity G · isolated actual 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: Past Non-Compliance · 2026-05-01 · complaint2025-06-26 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2025-07-022025-06-26 · 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 · 2025-07-022025-06-26 · 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 · 2025-06-252025-06-26 · 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 · 2025-06-252025-01-08 · HEALTHF0689Severity G · isolated actual 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: Past Non-Compliance · 2024-10-15 · complaint2025-01-08 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2025-01-24 · complaint2024-07-18 · HEALTHF0638Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2024-08-012024-07-18 · 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 · 2024-08-012024-07-18 · HEALTHF0689Severity G · isolated actual 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 no plan of correction · 2024-08-12 · complaint2024-07-18 · 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 · 2024-07-252024-07-18 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-07-252023-05-10 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-06-092023-05-10 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2023-05-222023-05-10 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2023-05-252023-05-10 · 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 · 2023-05-312023-05-10 · 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 · 2023-05-112023-05-10 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2023-06-212023-05-10 · FIREK0226Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has date of correction · 2023-06-162023-05-10 · FIREK0281Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has date of correction · 2023-06-012023-05-10 · 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 · 2023-05-302023-05-10 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-06-162023-05-10 · 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 · 2023-06-162023-05-10 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-06-1603 / 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 |
|---|---|---|---|
| 2026-05-06 | Fine | $27,378 | 0 |
| 2025-01-08 | Fine | $13,923 | 0 |
| 2024-02-20 | Fine | $3,798 | 0 |
| 2024-02-12 | Fine | $3,418 | 0 |
| 2024-01-22 | Fine | $7,976 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- OCONNER, MICHAELIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/08/2019
- BOOR, DANIELIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/02/2009
- DAWLEY, ELIZABETHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/02/2009
- GALLAGHER, JOHNAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/17/2023
- ALLEN, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/07/2013
- CLARK, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/20/2015
- ERLBACHER, EDWARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/06/2024
- GHRIST, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/19/2011
- KOCH, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/19/2011
- LINDER, ALLISONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/03/2023
- PITTMAN, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/07/2013
- SCHARNBERG, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/17/2017
- WILLIS, DONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/19/2011
- CLARK, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/17/2017
- PITTMAN, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/25/2016
- SCHARNBERG, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/18/2023
- WILLIS, DONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/06/2024
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 hours5.15per resident day
RN hours0.98per resident day
Weekend nurse hours4.54per resident day
Staff turnover14.0%CMS reported field
06 / LOCAL RECORDS
Open the Des Moines ledger →Other published facilities nearby
Accura Healthcare Of South Des Moines89 beds · CMS overall 1/585 citation rowsAzria Health Park Place70 beds · CMS overall 1/591 citation rowsCalvin Community59 beds · CMS overall 4/533 citation rowsGreater Southside Health And Rehabilitation80 beds · CMS overall 1/589 citation rowsIowa Jewish Senior Life Center46 beds · CMS overall 2/539 citation rowsRamsey Village78 beds · CMS overall 2/560 citation rowsRehabilitation Center Of Des Moines74 beds · CMS overall 3/551 citation rowsTrinity Center At Luther Park120 beds · CMS overall 1/526 citation rows