Arbor Springs of West Des Moines L L C

Name: Arbor Springs of West Des Moines L L C
Address: 7951 E P True Parkway, West Des Moines, IA, 50266, US
Telephone: 5152231135

7951 E P True Parkway, West Des Moines, IA 50266 · Dallas County · 56 certified beds · avg 49 residents/day · certified since Jan 1, 2005

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 30, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 24, 2026 (Deficient, Provider has plan of correction)

▲ Actual harm, one-off · Mar 12, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 25, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 9, 2023 · F-0692

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 31, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 30, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 30, 2026	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint
Feb 9, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Feb 9, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 29, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
May 29, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 29, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 29, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 29, 2025	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint
May 29, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 12, 2025	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 25, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jun 6, 2024	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 9, 2023	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 9, 2023	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	1	G ▲
2024	5	0	F
2025	7	1	G ▲
2026	4	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.00	4.37	3.95	top 2% in Iowa; top 4% in the U.S.
Registered Nurse hours	0.36	0.85	0.69	bottom 2% in Iowa; bottom 17% in the U.S.
Weekend total nurse staffing	5.32	3.86	3.50	top 2% in Iowa; top 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.18	0.51	0.48	bottom 1% in Iowa; bottom 9% in the U.S.
Total nursing staff turnover (%)	96.8	44.0	45.8	bottom 2% in Iowa; bottom 1% in the U.S.
RN turnover (%)	77.8	42.1	42.9	bottom 10% in Iowa; bottom 7% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.38, RN 0.32, weekend 4.76. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Clark, Tracy	Individual	5% or Greater Indirect Ownership Interest	25%	11/14/2018
Dao, Kenneth	Individual	5% or Greater Indirect Ownership Interest	15%	11/14/2018
Farber, Rowan	Individual	5% or Greater Indirect Ownership Interest	60%	11/14/2018
Integro Healthcare Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/14/2018
Clark, Tracy	Individual	Corporate Officer	NOT APPLICABLE	11/14/2018
Clark, Tracy	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2018
Dao, Kenneth	Individual	Corporate Officer	NOT APPLICABLE	11/14/2018
Dao, Kenneth	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2018
Farber, Rowan	Individual	Corporate Officer	NOT APPLICABLE	11/14/2018
Farber, Rowan	Individual	Operational/Managerial Control	NOT APPLICABLE	11/14/2018
Integro Asset Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/24/2019
Integro Healthcare Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/14/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Cedar Ridge Village	0.7 mi	West Des Moines, IA	★★★☆☆	3/5
Edgewater, a Wesleylife Community	1.4 mi	West Des Moines, IA	★★★★☆	3/5
Deerfield Health Care Center	3.0 mi	Urbandale, IA	★★★★★	5/5
Walnut Ridge	3.5 mi	Clive, IA	★★★★★	4/5
Harmony West Des Moines	3.6 mi	West Des Moines, IA	★☆☆☆☆	1/5
Pine Acres Rehabilitation and Care Center	5.4 mi	West Des Moines, IA		—/5	abuseSFF
Karen Acres Care Center	6.4 mi	Urbandale, IA	★★★★★	4/5
Royal Oaks Nursing and Rehabilitation Center	6.8 mi	Urbandale, IA	★☆☆☆☆	1/5	SFF
Iowa Jewish Senior Life Center	7.5 mi	Des Moines, IA	★★☆☆☆	3/5
Kennybrook Village	8.0 mi	Grimes, IA	★★★☆☆	3/5
Calvin Community	8.2 mi	Des Moines, IA	★★★★☆	3/5
Wesley on Grand	8.3 mi	Des Moines, IA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in West Des Moines →

Facility data as of CMS processing date 2026-08-01. CCN 165548.

The Care File

Visit checklist — Arbor Springs of West Des Moines L L C

7951 E P True Parkway, West Des Moines, IA 50266 · 5152231135

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Jun 30, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Mar 12, 2025 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Mar 9, 2023 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165548 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)