Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.73 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Karen Acres Health Care Center
Urbandale, IA
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.73 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 11, 2025 cited 1 deficiencies.
View inspection evidenceCMS-published records list 155 ownership or control parties.
View ownership evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
66 currently connected nursing homes share this CMS organization identity with BRIGHTON CONSULTING GROUP LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jul 1, 2013
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 1, 1998
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 2, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2011
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2013
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 1998
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2013
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 1, 1998
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 20, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 17, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 20, 2016
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 19, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 22, 2024
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jul 1, 2013
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jul 1, 2013
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 1, 1998
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 1, 1998
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 46 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 25 across IA, MO, ND.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 65 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 65 across IA, MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2019
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 2, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 2, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 42 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 42 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 30, 2022
Other facilities connected through this exact CMS organization identity: 10 across IA, MO, TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 45 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 45 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2011
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2011
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 44 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 44 across IA, MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2013
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2024
Other facilities connected through this exact CMS organization identity: 4 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2024
Other facilities connected through this exact CMS organization identity: 6 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2024
Other facilities connected through this exact CMS organization identity: 4 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 23, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 6 across FL, IA, IL, KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2024)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2024)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 26, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 25, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 25, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.66 to 0.55 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.66 → 0.55
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.357 | 3.037 |
| RN categories | 0.84 | 0.448 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.089 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.168 | 0.66 | 0.436 | 2.072 | 1.3% | 91 |
| 2025Q3 | 3.088 | 0.546 | 0.431 | 1.887 | 1% | 92 |
| 2025Q4 | 3.101 | 0.638 | 0.37 | 1.96 | 0% | 92 |
| 2026Q1 | 3.265 | 0.727 | 0.337 | 1.993 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.