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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 30 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 65% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 34 analyzed
This facility responds to some reviews.
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!”
“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.”
“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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
9
measures
3
measures
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
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.
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
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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
Source: Iowa Dept. of Inspections, Appeals & Licensing
Fed violations: 0, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 1, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 3, State violations: 0
Fed violations: 0, State violations: 0
Fed violations: 4, State violations: 1
Fed violations: 0, State violations: 0
Accura Healthcare of South Des Moines
for profit
Accura Healthcare
43 facilities nationwide
Chain avg rating: 2.4/5 · Rank 34 of 37 (Lowest rating)
Owners
Undisclosed
Ownership Data Not Available · Organization
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