CCN 165593
Scottish Rite Park Inc
2909 Woodland Avenue, Des Moines, IA 50312 · Polk County
- Ownership
- Non profit - Corporation
- Certified beds
- 51
- Residents per day
- 32.0
- Health citations
- 9
- Penalties
- 5
- Fines
- 5 · $46,911
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 3.41
- 2.52
- 2.32
- LPN/LVN
- 0.76
- 0.56
- 0.86
- Registered nurse
- 0.98
- 0.74
- 0.69
- Total nurse staff
- 5.15
- 3.82
- 3.86
- Weekend total
- 4.54
- 3.37
- 3.42
- Weekend RN
- 0.49
- 0.51
- 0.48
Adjusted total nurse hours: 5.94. Adjusted RN hours: 1.13. Case-mix total: 3.32. Case-mix index: 1.215.
Total nursing staff turnover: 14.0%. RN turnover: 12.5%. Administrators who left: —.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 5 fines totaling $46,911, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| May 6, 2026 | Fine | $17,796 |
| January 8, 2025 | Fine | $13,923 |
| February 20, 2024 | Fine | $3,798 |
| February 12, 2024 | Fine | $3,418 |
| January 22, 2024 | Fine | $7,976 |
Cycle 1 standard survey: August 13, 2026. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 36.
Cycle 2 standard survey: June 26, 2025. Cycle 2/3 health deficiencies: 5. Total weighted health survey score: 40.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 9 citations for this home, including 0 at immediate jeopardy and 3 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
August 13, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 20, 2026 |
May 6, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 1 | G: isolated, actual harm that is not immediate jeopardy | Past Non-Compliance · May 1, 2026 |
June 26, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 2, 2025 |
| F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · July 2, 2025 |
January 8, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2 | G: isolated, actual harm that is not immediate jeopardy | Past Non-Compliance · October 15, 2024 |
| F726 | 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. Nursing and Physician Services Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · January 24, 2025 |
July 18, 2024
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Standard survey · Cycle 3 | G: isolated, actual harm that is not immediate jeopardy | Deficient, Provider has no plan of correction · August 12, 2024 |
| F638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 1, 2024 |
| F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 1, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections