Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at On With Life during CMS and state inspections, most recent first.
Inadequate supervision allowed two residents with cognitive and safety-awareness deficits to exit the building without staff knowledge. One resident with TBI, quadriplegia, and moderate cognitive impairment self-propelled a wheelchair to the exit, later went outside again unattended, and fell off a curb, sustaining facial fractures and requiring surgery. Another resident with TBI-related cognitive deficits was let out by a visitor after staff had told the resident not to go outside alone, and staff later found the resident outside by themself.
The facility failed to implement enhanced barrier protection (EBP) for residents with indwelling medical devices, as observed in five cases. Residents with conditions such as spinal cord dysfunction, MDRO, and gastrostomy tubes lacked EBP directives in their care plans. Staff did not consistently wear gowns during high-contact care activities, violating infection control protocols. Interviews revealed inconsistencies in understanding and implementing EBP, with staff relying on whiteboards and shift reports for care instructions. The Director of Nursing confirmed EBP was only initiated during MDRO outbreaks, leading to deficiencies in infection control practices.
Inadequate supervision allowed residents to exit the building unattended
Penalty
Summary
The facility failed to provide adequate supervision to prevent residents from exiting the building without staff knowledge. The deficiency involved 2 of 3 residents reviewed for inadequate nursing supervision. The report states that the facility had a census of 21 and that both residents had cognitive or safety-awareness concerns documented in their records, along with mobility abilities that allowed them to move through the facility independently. One resident had a history of attention and concentration deficit, traumatic brain injury, and quadriplegia, with moderate cognitive impairment, inattentiveness, and disorganized thinking noted on the MDS. The care plan identified decreased safety awareness and impulsivity, with interventions including 15-minute safety checks, a bed alarm, video monitoring while in bed, and a wheelchair pin release seatbelt. Despite these concerns, the resident was later found outside the building unattended after self-propelling a wheelchair to the front door area and pressing the door opener. Staff intervened when the door alarm sounded. The resident was then later observed outside again, unattended, self-propelling along the sidewalk, when the wheelchair wheel went over the curb and tipped over with the resident belted into the chair. The resident sustained a cut to the eyebrow, bruising under the eye, fractures to the right eye socket, cheekbone, and upper jaw, and later underwent surgical repair of the facial fracture. The second resident had a history of traumatic brain injury and chronic cognitive deficits involving attention, memory, and executive functioning, despite an MDS BIMS score indicating intact cognition. The resident used a motorized wheelchair independently and had documented poor safety awareness. The resident told staff they were going outside to wait for their spouse, but staff did not allow the resident to go out alone. Later, a family member entered the door code and let the resident exit unaccompanied. Staff later found the resident outside alone. The facility’s records and staff interviews confirmed that the resident left the building without staff supervision after the door was opened by a visitor, and staff were unaware the resident had exited until later.
Failure to Implement Enhanced Barrier Protection for Residents with Indwelling Devices
Penalty
Summary
The facility failed to adhere to enhanced barrier protection (EBP) practices for residents with indwelling medical devices, as observed in five residents. Resident #3, diagnosed with a spinal cord dysfunction and multidrug-resistant organism (MDRO), had a suprapubic catheter but lacked EBP directives in their care plan. During catheter care, a CNA did not wear a gown, violating infection control protocols. Similarly, Resident #13, who required enteral nutrition via a gastrostomy tube, also lacked EBP directives in their care plan, and a registered nurse did not wear a gown while administering tube feedings and medications. Resident #16, with a Streptococcus Anginosis infection and intravenous (IV) access, also had no EBP directives in their care plan. During IV antibiotic administration, a registered nurse failed to wear a gown. Resident #25, with a gastrostomy tube and a Stage 2 pressure ulcer, had a care plan that did not include EBP directives. Although a registered nurse wore a gown during wound care, the lack of EBP directives was noted. Resident #27, with a catheter and pressure ulcer, also lacked EBP directives in their care plan, and a CNA did not wear a gown during catheter care. Interviews with staff revealed inconsistencies in understanding and implementing EBP. Staff relied on whiteboards and shift reports for care instructions, but there was confusion about when to use gowns and gloves. The Director of Nursing confirmed that EBP was initiated only during MDRO outbreaks, and there were lapses in ensuring proper signage and PPE availability. The facility's policy on EBP, revised in May 2024, required gowns and gloves for high-contact activities, but this was not consistently followed, leading to deficiencies in infection control practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Ankeny
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunny View Care Center | 1.6 mi | ★★★★★ | 24 | 0 |
| The Bridges At Ankeny | 1.6 mi | ★★★★★ | 18 | 0 |
| Mill-pond | 2.3 mi | ★★★★★ | 4 | 0 |
| Bishop Drumm Retirement Center | 5.1 mi | ★★★★★ | 16 | 0 |
| Childserve Habilitation Center | 5.3 mi | ★★★★★ | 1 | 0 |
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