Trinity Center at Luther Park
1555 Hull Avenue, Des Moines, IA 50316 · Polk County · 120 certified beds · avg 113 residents/day · certified since Mar 20, 2015
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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)
▲ Immediate jeopardy, repeated · Dec 23, 2025 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 22, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (13)
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 23, 2025 | ▲ K · Immediate jeopardy, 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. |
| Dec 23, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 23, 2025 | 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. |
| Dec 23, 2025 | 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. |
| Dec 23, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 23, 2025 | 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. |
| Dec 23, 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. |
| Oct 31, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Oct 31, 2024 | D · Potential for harm, one-off | 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. |
| Oct 31, 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. |
| Oct 31, 2024 | B · Minimal risk, 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. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Aug 15, 2024 | 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 0 | D |
| 2025 | 7 | 1 | K ▲ |
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)
1 fine totaling $162,205.
| Date | Type | Amount / length |
|---|---|---|
| Dec 23, 2025 | Fine | $162,205 |
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) | 4.66 | 4.37 | 3.95 | top 32% in Iowa; top 19% in the U.S. |
| Registered Nurse hours | 0.57 | 0.85 | 0.69 | bottom 18% in Iowa; bottom 47% in the U.S. |
| Weekend total nurse staffing | 4.20 | 3.86 | 3.50 | top 31% in Iowa; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.51 | 0.48 | bottom 9% in Iowa; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 26.3 | 44.0 | 45.8 | top 8% in Iowa; top 9% in the U.S. |
| RN turnover (%) | 18.2 | 42.1 | 42.9 | top 17% in Iowa; top 12% 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 3.83, RN 0.47, weekend 3.46. Staffing rating: 4/5.
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: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aluvisia, Violet | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/06/2018 |
| Ballesteros, Eduardo | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/12/2022 |
| Blackburn, Kelley | Individual | Corporate Director | NOT APPLICABLE | 05/30/2023 |
| Bratvold, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Forge Financial & Management Consulting, INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/31/2025 |
| Functional Pathways of Tennessee LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Hyland, Keith | Individual | Corporate Director | NOT APPLICABLE | 05/30/2023 |
| J Evans Nutrition Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/30/2022 |
| Knorr Enterprises INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Knorr Family Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Krause, William | Individual | Corporate Officer | NOT APPLICABLE | 12/06/2021 |
| Mays, Tira | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2018 |
| Miller, Duane | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Nowacheck, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/29/2018 |
| Oben, Patrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Oben, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 03/13/2026 |
| Premier Senior Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Quirk, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/11/2022 |
| Reisinger, Janet | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/10/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "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 |
|---|---|---|---|---|---|
| Azria Health Park Place | 0.8 mi | Des Moines, IA | ★☆☆☆☆ | 1/5 | SFF |
| Rehabilitation Center of Des Moines | 1.5 mi | Des Moines, IA | ★★★☆☆ | 2/5 | |
| Valley View Village | 1.5 mi | Des Moines, IA | ★★★☆☆ | 2/5 | |
| University Park Nursing and Rehabilitation Center | 2.0 mi | Des Moines, IA | ★★★★☆ | 3/5 | |
| Ramsey Village | 3.2 mi | Des Moines, IA | ★★☆☆☆ | 2/5 | |
| Scottish Rite Park INC | 4.0 mi | Des Moines, IA | ★★★★★ | 3/5 | |
| Calvin Community | 4.2 mi | Des Moines, IA | ★★★★☆ | 3/5 | |
| Wesley on Grand | 4.4 mi | Des Moines, IA | ★★★★★ | 5/5 | |
| Iowa Jewish Senior Life Center | 4.9 mi | Des Moines, IA | ★★☆☆☆ | 3/5 | |
| On with Life | 5.4 mi | Ankeny, IA | ★★★★☆ | 4/5 | |
| Parkridge Specialty Care | 5.4 mi | Pleasant Hill, IA | ★☆☆☆☆ | 1/5 | |
| Childserve Habilitation Center | 6.0 mi | Johnston, IA | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165612.