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Nursing HomeMedicaid Investigative

Accura Healthcare of South Des Moines

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4911 Sw 19th Street, Greater South Side · Des Moines, IA 5031589 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 27 Google reviews

5
4
3
2
1
Accura Healthcare of South Des Moines Nursing Home in Des Moines, IA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • High staff turnover (56%)
  • High RN turnover (77%)

Bottom 25% in IA · Below recommended RN staffing · Above average staffing · Worst in ACCURA HEALTHCARE chain · $60,559 in fines

Source: Medicare data

What this means for your family

While the facility's memory care unit is highly regarded for its design, the recent trend of negative reviews regarding staffing and discharge practices is concerning. We strongly recommend that families monitor call-light response times during a visit and clarify the facility's criteria for discharge to ensure they align with your loved one's recovery needs.

Google Reviews

Google Reviews

27 reviews on Google
Accura Healthcare of South Des Moines (formerly Fleur Heights) receives highly polarized feedback, with some families praising the staff's compassion and the facility's cleanliness, while others report severe concerns regarding staffing levels and patient safety. Several reviewers highlight the facility's memory care unit as a positive, but critics frequently cite issues with slow response times, poor communication, and discharge practices driven by insurance limits rather than patient readiness.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean7.0ActivitiesN/AMeds1.0Memory9.0Comms3.0Value2.0

Strengths

  • Compassionate and friendly nursing staff
  • Clean and well-maintained facility
  • Dementia-focused memory care design
  • Effective in-house therapy team

Concerns

  • Chronic understaffing leading to long wait times for assistance (mentioned by 2 reviewers)
  • Discharge practices perceived as prioritizing insurance limits over patient recovery (mentioned by 2 reviewers)
  • Poor communication and unprofessional conduct from administrative or social work staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(2)'21(1)'23(4)'25(2)'26(4)

Distribution · 31 analyzed

5
16
4
3
3
1
2
2
1
9

How They Respond to Reviews

19%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given your 4-star staffing rating, how do you ensure that residents receive timely assistance when they press their call lights during peak hours?
  • 2I noticed some concerns regarding discharge planning; could you walk me through your process for ensuring a resident is truly ready to transition home or to a lower level of care?
  • 3How does your leadership team approach communication with families, and what is the best way for us to stay updated on our loved one's daily progress?
  • 4Since medication management is a top priority for us, could you explain the specific oversight process you use to ensure accuracy and safety for residents?
  • 5What steps are you taking to improve the dining experience and variety of meal options for residents?
  • 6How do you handle medical emergencies or urgent changes in a resident's condition during evening or weekend hours?

Personalized based on this facility's data


Key Review Excerpts

The new Memcare living space is so lovely and pertinent to one living with dementia and being a woman. It is safe, comfortable and very perfectly dementia focused design!

Memory care family member · 2022★★★★★

Way to short staffed, some days took over 45 minutes to get someone to my room after hitting call button. Social worker Janiece was not friendly caught her in multiple lies regarding my care.

Rehab patient · 2022★★★☆☆

This nursing home and staff did an exemplary job! Covid did work its evil into the home. But these great people kept going. Mary died and we know they cared for till the end.

Long-term resident's family · 2020★★★★
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.71hrs
90%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

5

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility71.2%
Worse than Avg
Here
71.2%
US
93.4%
IA
93.9%
Polk
97.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.7%
Worse than Avg
Here
32.7%
US
15.4%
IA
19.4%
Polk
10.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
14.4%
IA
17.6%
Polk
13.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.8%
Worse than Avg
Here
26.8%
US
15.3%
IA
17.5%
Polk
16.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.6%
Worse than Avg
Here
30.6%
US
19.4%
IA
25.9%
Polk
19.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.0%
Mixed vs Avgs
Here
5.0%
US
12.1%
IA
4.1%
Polk
3.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility11.5%
Worse than Avg
Here
11.5%
US
79.7%
IA
73.3%
Polk
84.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility58.7%
Worse than Avg
Here
58.7%
US
81.8%
IA
84.0%
Polk
91.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
IA
2.0%
Polk
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
4penalties
Near state avg (6.2)
63 complaint-triggered
$60,559 in fines

This facility has serious recurring issues that warrant careful consideration, with 93 deficiencies across 12 surveys, most triggered by family complaints. The most persistent problems involve abuse and neglect protection, nursing staffing shortages, and medication management errors. These critical issues—particularly multiple abuse/neglect deficiencies spanning from late 2023 through mid-2024—appear repeatedly despite reported corrections, suggesting systemic problems. While the facility claims to correct violations, the pattern of similar deficiencies recurring indicates ongoing challenges in maintaining consistent, safe care standards.

Sep 18, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 24, 2025Routine
11
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 24, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 17, 2025Complaint
4
0600Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Aug 22, 2024Routine
8
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Aug 22, 2024Complaint
9
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Fine

Apr 25, 2024

$30,675

Payment Denial

Apr 25, 2024

30-day denial

Fine

Nov 2, 2023

$21,957

Payment Denial

Nov 2, 2023

28-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
20deficiencies
Apr 16, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Oct 10, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Sep 18, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Aug 15, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jul 24, 2025Inspection
Clean

Fed violations: 3, State violations: 0

Feb 21, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Feb 17, 2025Complaint
Clean

Fed violations: 4, State violations: 1

Sep 16, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Accura Healthcare of South Des Moines

Organization Type

for profit

Chain Affiliation

Chain Name

Accura Healthcare

Chain Size

41 facilities nationwide

Chain avg rating: 2.4/5 · Rank 34 of 37 (Worst)

Ownership & Management

Owners

Babb, Kevin

Owner

49%

Conner, Jennifer

Owner

Key personnel

First Interstate Bank5% or Greater Mortgage InterestConner, RobertOfficer / DirectorConner, JenniferOfficer / DirectorAmerican Healthcare Management Services LLCManagerConner, RobertManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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