Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.32 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Arbor Springs of West Des Moines L L C has 56 certified beds in West Des Moines, Iowa. The CMS overall rating is 1 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 2 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on May 29, 2025 lists 5 deficiencies, compared with the Iowa average of 3.7. Total nurse staffing is 5.38 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
Nearby facilities
- Cedar Ridge Village West Des Moines
- Edgewater, A Wesleylife Community West Des Moines
- Harmony West Des Moines West Des Moines
- Pine Acres Rehabilitation and Care Center West Des Moines
- Adel Acres Adel
- Granger Nursing & Rehabilitation Center Granger
- Perry Lutheran Home Perry
- Perry Lutheran Homes Eden Acres Campus Perry
- Spurgeon Manor Dallas Center
- Walnut Ridge Clive
CMS nursing home
Arbor Springs of West Des Moines L L C
Also known publicly as Arbor Springs-West Des Moines
West Des Moines, IA
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 165548.
At a glance
CMS research snapshot
CMS overall rating
1 of 5
CMS health inspection rating
2 of 5
CMS staffing rating
1 of 5
CMS quality-measure rating
3 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- CLARK, TRACYIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
- CLARK, TRACYIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
- DAO, KENNETHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- DAO, KENNETHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- FARBER, ROWANIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST60% ownership interest
- FARBER, ROWANIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST60% ownership interest
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Operators
- CLARK, TRACYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- CLARK, TRACYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DAO, KENNETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DAO, KENNETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- FARBER, ROWANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- FARBER, ROWANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- INTEGRO ASSET MANAGEMENT LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- INTEGRO ASSET MANAGEMENT LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CLARK, TRACYIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- DAO, KENNETHIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- FARBER, ROWANIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- INTEGRO ASSET MANAGEMENT LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- CLARK, TRACYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- CLARK, TRACYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- DAO, KENNETHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- DAO, KENNETHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- FARBER, ROWANIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- FARBER, ROWANIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL0% ownership interest
- INTEGRO ASSET MANAGEMENT LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- INTEGRO ASSET MANAGEMENT LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- ARBOR SPRINGS OPERATIONS, LLCOrganization · CURRENTMedicare-enrolled legal organization
- ARBOR SPRINGS OPERATIONS, LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- CLARK, TRACYIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
- DAO, KENNETHIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- FARBER, ROWANIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST60% ownership interest
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- CLARK, TRACYIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
- CLARK, TRACYIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
- DAO, KENNETHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- DAO, KENNETHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- FARBER, ROWANIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST60% ownership interest
- FARBER, ROWANIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST60% ownership interest
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- INTEGRO HEALTHCARE HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2019-03-24.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- ARBOR SPRINGS OPERATIONS, LLC
- Seller legal entity
- ARBOR SPRINGS OF WEST DES MOINES
- Effective date
- 2019-03-24
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 56
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- No
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 5152231135Verified public information · checked Aug 2026
- Also known publicly as
- Arbor Springs-West Des MoinesVerified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1407313349 · enrollment O20200210000383
- NPI 1407313349 · enrollment O20200210000383
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 90.052356
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 83.928571
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.141361 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.602410
- Percentage of long-stay residents who lose too much weight (Long Stay): 8.088235
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 15.714286
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 52.040816 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 31.387921 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 38.345865 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.394002 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.604278 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 24.973031
- Percentage of long-stay residents with pressure ulcers (Long Stay): 3.775570 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 45.744681
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 4.545455 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 12.500000
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-05-29 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.
- 2025-05-29 · tag 0372 · scope/severity E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 2024-06-06 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2024-06-06 · tag 0761 · scope/severity F — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 2024-06-06 · tag 0920 · scope/severity D — Ensure proper usage of power strips and extension cords.
- 2023-03-09 · tag 0039 · scope/severity F — Conduct testing and exercise requirements.
- 2023-03-09 · tag 0324 · scope/severity F — Provide properly protected cooking facilities.
- 2023-03-09 · tag 0346 · scope/severity F — Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 2023-03-09 · tag 0354 · scope/severity F — Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 2023-03-09 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2023-03-09 · tag 0920 · scope/severity D — Ensure proper usage of power strips and extension cords.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on May 29, 2025 cited 5 deficiencies.
View inspection evidenceOwnership
CMS-published records list 25 ownership or control parties.
CMS records show an ownership change effective March 2019.
View ownership evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 2 CMS-reported ownership organizations
- CMS reports 18 individual ownership interests
- recorded ownership-change events
Ownership
Who CMS records show is connected to this facility
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.
- Reported party records
- 25
- Organizations shown
- 7
- Individuals shown
- 18
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
INTEGRO HEALTHCARE HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 14, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CLARK, TRACY
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DAO, KENNETH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
FARBER, ROWAN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 60%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CLARK, TRACY
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DAO, KENNETH
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
FARBER, ROWAN
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CLARK, TRACY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DAO, KENNETH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
FARBER, ROWAN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
INTEGRO ASSET MANAGEMENT LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 24, 2019
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
INTEGRO HEALTHCARE HOLDINGS LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 14, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
INTEGRO HEALTHCARE HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 14, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CLARK, TRACY
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DAO, KENNETH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
FARBER, ROWAN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 60%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CLARK, TRACY
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DAO, KENNETH
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
FARBER, ROWAN
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CLARK, TRACY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DAO, KENNETH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
FARBER, ROWAN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Nov 14, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
INTEGRO ASSET MANAGEMENT LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 24, 2019
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
INTEGRO HEALTHCARE HOLDINGS LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 14, 2018
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ARBOR SPRINGS OPERATIONS, LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPARBOR SPRINGS OF WEST DES MOINES to ARBOR SPRINGS OPERATIONS, LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
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.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Mar 24, 2019. What operational or leadership changes followed that event?
Inspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Jun 30, 2026
- Survey type
- Health Complaint
- Linked findings
- 2
- Highest linked CMS classification
- G — Isolated; Actual harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:47507:ccn:165548
Jun 30, 2026 — Health Complaint — 2 linked findings
F0637 — Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
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 plan of correction (Jul 24, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126462:ccn:165548
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jul 24, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126461:ccn:165548
Feb 9, 2026 — Health Complaint — 2 linked findings
F0657 — 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.
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 6, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126463:ccn:165548
F0689 — Quality of Life and Care Deficiencies
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 (Mar 6, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126464:ccn:165548
May 29, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
May 29, 2025 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
May 29, 2025 — Health Standard — 5 linked findings
F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126465:ccn:165548
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 25, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126466:ccn:165548
F0689 — Quality of Life and Care Deficiencies
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 25, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126467:ccn:165548
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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 25, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126468:ccn:165548
F0880 — Infection Control Deficiencies
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 (Jun 25, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126470:ccn:165548
Mar 12, 2025 — Health Complaint — 1 linked finding
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 25, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126471:ccn:165548
Nov 25, 2024 — Health Complaint — 1 linked finding
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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 (Dec 3, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126472:ccn:165548
Jun 6, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jun 6, 2024 — Health Standard — 4 linked findings
F0623 — Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 (Jun 29, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126474:ccn:165548
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 29, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126475:ccn:165548
F0690 — 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.
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 29, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126476:ccn:165548
F0727 — Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 29, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126473:ccn:165548
Mar 9, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 9, 2023 — Health Standard — 3 linked findings
F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 31, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126479:ccn:165548
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 31, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126478:ccn:165548
F0692 — Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 31, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165548
- Source record locator
- csv-row:126477:ccn:165548
Tags appearing across inspections
- F0684 appears in 3 linked inspections.
- F0689 appears in 3 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0684 in 3 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Total nurse staffing decreasedTotal nurse staffing decreased from 5.84 to 5.38 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
- Complaint inspection recorded2 deficiencies were recorded.
2026
- Total nurse staffing decreased
Total nurse staffing decreased from 5.84 to 5.38 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
5.84 → 5.38
CMS · Reported in a source release · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2025
- Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
2024
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
2019
- Ownership change recorded
An ownership change was recorded. New organization: ARBOR SPRINGS OPERATIONS, LLC.
ARBOR SPRINGS OF WEST DES MOINES → ARBOR SPRINGS OPERATIONS, LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 1 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).
- Total nursing
- 5.377 reported hours per resident day
- RN categories
- 0.324 reported hours per resident day
- LPN/LVN categories
- 0.696 reported hours per resident day
- CNA
- 4.355 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 5.626 | 4.763 |
| RN categories | 0.383 | 0.179 |
Contract staff accounted for 2.6% of reported nursing hours included in this quarter calculation.
PBJ reports zero combined RN-category hours on 4 days with a positive MDS census in this quarter.
Reported RN-category hours per resident day were 0.080 lower than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 5.897 | 0.549 | 0.545 | 4.695 | 0% | 91 |
| 2025Q3 | 5.841 | 0.48 | 0.537 | 4.744 | 0% | 92 |
| 2025Q4 | 5.842 | 0.404 | 0.566 | 4.798 | 1.5% | 92 |
| 2026Q1 | 5.377 | 0.324 | 0.696 | 4.355 | 2.6% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
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
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 1-star overall rating.
- CMS reports a 2-star health inspection rating.
- CMS reports a 1-star staffing rating.
- CMS reports a 3-star quality-measure rating.
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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