Southeast Iowa Regional Medical - Klein Center
1307 South Gear Avenue, West Burlington, IA 52655 · Des Moines County · 160 certified beds · avg 143 residents/day · certified since May 1, 1977
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Dec 17, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 22, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Nov 13, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 5, 2024 (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 18, 2026 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jun 18, 2026 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jun 18, 2026 | E · Potential for harm, repeated | 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. |
| Jun 18, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jun 18, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 18, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jun 18, 2026 | 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. |
| Jun 18, 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. |
| Dec 17, 2025 | ▲ J · Immediate jeopardy, 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 |
| Oct 30, 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. · from a complaint |
| Jun 26, 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. · from a complaint |
| May 1, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 1, 2025 | 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. · from a complaint |
| May 1, 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. · from a complaint |
| Nov 13, 2024 | ▲ J · Immediate jeopardy, 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 13, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 13, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 1 | J ▲ |
| 2025 | 8 | 1 | J ▲ |
| 2026 | 8 | 0 | E |
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)
2 fines totaling $65,094.
| Date | Type | Amount / length |
|---|---|---|
| Dec 17, 2025 | Fine | $57,073 |
| Nov 12, 2024 | Fine | $8,021 |
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) | 5.85 | 4.37 | 3.95 | top 4% in Iowa; top 5% in the U.S. |
| Registered Nurse hours | 1.75 | 0.85 | 0.69 | top 2% in Iowa; top 3% in the U.S. |
| Weekend total nurse staffing | 5.25 | 3.86 | 3.50 | top 4% in Iowa; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.99 | 0.51 | 0.48 | top 4% in Iowa; top 6% in the U.S. |
| Total nursing staff turnover (%) | 23.8 | 44.0 | 45.8 | top 4% in Iowa; top 6% in the U.S. |
| RN turnover (%) | 7.3 | 42.1 | 42.9 | top 5% in Iowa; top 3% 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 4.78, RN 1.43, weekend 4.29. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Great River Health System INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2018 |
| Alexander, Jeremy | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/16/2019 |
| Alexander, Jeremy | Individual | ADP of the SNF | NOT APPLICABLE | 09/16/2019 |
| Anderson, Joy | Individual | Corporate Director | NOT APPLICABLE | 03/01/2021 |
| Anderson, Joy | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2021 |
| Aramark Healthcare Support Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/23/2024 |
| Aramark Healthcare Support Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/19/2025 |
| Barr, Deanna | Individual | Corporate Director | NOT APPLICABLE | 03/01/2021 |
| Barr, Deanna | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2021 |
| Chelf, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/18/2021 |
| Chelf, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 01/18/2021 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/14/2021 |
| Colgan, Teresa | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
| Colgan, Teresa | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2021 |
| Deets, Ryan | Individual | Corporate Director | NOT APPLICABLE | 01/27/2026 |
| Deets, Ryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/27/2026 |
| Dodd, Neal | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Dodd, Neal | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Dunn, Hope | Individual | ADP of the SNF | NOT APPLICABLE | 06/27/2022 |
| Engberg, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you explain health changes and treatment options to residents and their families?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "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 |
|---|---|---|---|---|---|
| Oakview Nursing and Rehabilitation | 0.7 mi | Burlington, IA | ★★★☆☆ | 3/5 | |
| Azria Health Prairie Ridge | 13.7 mi | Mediapolis, IA | ★☆☆☆☆ | 1/5 | |
| Henderson County Ret Center | 14.2 mi | Stronghurst, IL | ★★★★★ | 5/5 | |
| New London Specialty Care | 14.6 mi | New London, IA | ★★☆☆☆ | 2/5 | |
| West Point Care Center INC | 15.9 mi | West Point, IA | ★★★★★ | 4/5 | |
| Birkwood Village of Fort Madison | 16.3 mi | Fort Madison, IA | ★★★☆☆ | 3/5 | |
| Wapello Specialty Care | 18.4 mi | Wapello, IA | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165110.