Glen Haven Village
133 Indian Hills Drive, Glenwood, IA 51534 · Mills County · 69 certified beds · avg 66 residents/day · certified since May 6, 2004
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 · Sep 25, 2025 · 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.
▲ Actual harm, one-off · Jun 5, 2025 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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 3, 2025 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Sep 21, 2024 · 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: Sep 22, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 11, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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 17, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Dec 17, 2025 | 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 |
| Sep 25, 2025 | ▲ 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 5, 2025 | ▲ G · Actual 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. |
| Jun 5, 2025 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jun 5, 2025 | 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. |
| Jun 5, 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. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 5, 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. |
| Sep 21, 2024 | ▲ 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 |
| Jul 11, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 11, 2024 | 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. |
| Jul 11, 2024 | 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 15, 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. · from a complaint |
| May 11, 2023 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| May 11, 2023 | E · Potential for harm, repeated | 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. |
| May 11, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 11, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| May 11, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 11, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| May 11, 2023 | 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. |
| May 11, 2023 | D · Potential for harm, one-off | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 7 | 2 | G ▲ |
| 2025 | 8 | 2 | 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)
3 fines totaling $35,913, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 25, 2025 | Fine | $12,664 |
| Jun 5, 2025 | Fine | $21,754 |
| Aug 21, 2024 | Fine | $1,495 |
| Jul 11, 2024 | Payment Denial | 8 days from Aug 7, 2024 |
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) | 5.92 | 4.37 | 3.95 | top 3% in Iowa; top 4% in the U.S. |
| Registered Nurse hours | 0.69 | 0.85 | 0.69 | bottom 34% in Iowa; top 38% in the U.S. |
| Weekend total nurse staffing | 5.40 | 3.86 | 3.50 | top 2% in Iowa; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.51 | 0.48 | bottom 21% in Iowa; bottom 36% in the U.S. |
| Total nursing staff turnover (%) | 43.0 | 44.0 | 45.8 | bottom 48% in Iowa; top 44% in the U.S. |
| RN turnover (%) | 36.4 | 42.1 | 42.9 | top 44% in Iowa; top 40% 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 4.96, RN 0.57, weekend 4.53. Staffing rating: 5/5.
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: 1/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Glen Haven Home INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/1978 |
| HHS Solutions LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/21/2007 |
| Jaskierny, David | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2012 |
| Lincoln, Richard | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2016 |
| Marriott, Julianne | Individual | Contracted Managing Employee | NOT APPLICABLE | 11/01/2016 |
| Marriott, Julianne | Individual | Corporate Director | NOT APPLICABLE | 11/01/2016 |
| Mass, Barbara | Individual | Corporate Officer | NOT APPLICABLE | 02/15/2017 |
| Raabe, Larry | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2008 |
| Ross, Matthew | Individual | Contracted Managing Employee | NOT APPLICABLE | 12/21/2007 |
| Ross, Matthew | Individual | Corporate Director | NOT APPLICABLE | 12/21/2007 |
| Ross, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 12/21/2007 |
| Ross, Ron | Individual | Contracted Managing Employee | NOT APPLICABLE | 12/21/2007 |
| Ross, Ron | Individual | Corporate Director | NOT APPLICABLE | 12/21/2007 |
| Ross, Ron | Individual | Corporate Officer | NOT APPLICABLE | 12/21/2007 |
| Schoening, Don | Individual | Corporate Officer | NOT APPLICABLE | 02/15/2017 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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 |
|---|---|---|---|---|---|
| Prestige Care Center of Plattsmouth | 9.2 mi | Plattsmouth, NE | ★☆☆☆☆ | 1/5 | |
| Tabor Manor Care Center | 10.3 mi | Tabor, IA | ★☆☆☆☆ | 1/5 | |
| Hillcrest Health & Rehab | 11.9 mi | Bellevue, NE | ★★☆☆☆ | 2/5 | |
| Chapters Living of Council Bluffs | 13.7 mi | Council Bluffs, IA | ★☆☆☆☆ | 1/5 | SFF |
| Prairie Gate | 15.3 mi | Council Bluffs, IA | ★★☆☆☆ | 2/5 | |
| Hillcrest Country Estates-Cottages | 15.9 mi | Papillion, NE | ★★☆☆☆ | 2/5 | |
| Bethany Lutheran Home | 16.1 mi | Council Bluffs, IA | ★☆☆☆☆ | 1/5 | |
| North Crest Living Center | 16.8 mi | Council Bluffs, IA | ★☆☆☆☆ | 1/5 | |
| St. Joseph Villa Nursing Center | 17.1 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | |
| Hillcrest Shadow Lake LLC | 17.4 mi | Papillion, NE | ★☆☆☆☆ | 2/5 | |
| Midlands Living Center L L C | 17.6 mi | Council Bluffs, IA | ★★★★☆ | 3/5 | |
| Omaha Nursing and Rehabilitation Center | 17.8 mi | Omaha, NE | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165530.