Azria Health Park Place: Call Light Failures Span Months - IA
That finding comes from a September 11 complaint inspection at Azria Health Park Place, a nursing home at 2401 East Eighth Street in Des Moines. Inspectors pulled call light response data covering August 27 through September 9, 2025, and what they found was not an isolated bad night. It was a pattern, documented room by room, stretching across the facility.
Room S5, bed 1 had 47 unanswered calls exceeding 15 minutes. The longest wait: one hour and 51 minutes. The resident in the other bed in that same room waited as long as 27 minutes. Down the hall, room S8 logged 17 calls over the threshold in bed 1, with a longest response of one hour and 25 minutes, and 9 more in bed 2, where someone waited one hour and 27 minutes. Room C2 recorded 23 calls past 15 minutes, with waits stretching to two hours and eight minutes.
The Regional Director of Operations, interviewed the day of the inspection, said she expected call lights answered within 15 minutes. All staff were responsible for responding, she said. If a staff member couldn't address what was needed, they were supposed to get someone who could.
The data showed something different was happening.
What makes this harder to dismiss as a short-term staffing problem is the paper trail residents left trying to get someone to fix it. Every month, at Resident Council meetings, the same concern appeared under New Business: call light audit. The minutes recorded how many residents raised their hand to say they shared the problem. In December 2024, it was 8 of 8 residents present. January 2025: 7 of 8. February: 11 of 11. March: 11 of 11. April: 11 of 11. May: 10 of 10.
Six consecutive months. Every resident in the room, or nearly every one, raising a hand.
The facility's own grievance log showed call light complaints filed in January and again in May. The inspection was triggered by a complaint. By the time inspectors arrived in September, residents had been documenting this problem for the better part of a year.
The facility assessment, updated in May 2025, laid out exactly who these residents are and what they need. Of the 53 residents living at the facility, 46 required staff assistance with bathing. Thirty-one needed help with dressing and with toileting. Twenty-nine needed assistance with transfers. The assessment counted residents who were fully dependent on staff for those same tasks: 9 for dressing, 9 for toileting, 4 for bathing, 3 for transfers. Four residents had pressure ulcers. Five were on hospice. One required tube feeding.
These are not residents who can wait two hours.
The staffing plan in that same assessment called for 13 to 16 CNAs and medication aides across a 24-hour period, alongside 3 to 4 licensed nurses providing direct care. Whether those numbers were being met on the days when residents waited the longest, the inspection report does not say.
What it does say is that a nurse, during the inspection period, expressed concern to the Director of Nursing about being assigned to a hall she had not worked before. The DON told her to relax. She knew how to do the job.
The call light policy at the facility, revised in September 2022, instructs staff to answer the call system timely and, if they cannot fulfill a request, to ask the nurse supervisor for assistance. The policy has been in place for three years. The response times inspectors found suggest the gap between what the policy says and what residents experienced was, on the worst days, measured in hours.
Inspectors cited the deficiency at a level of harm described as minimal harm or potential for actual harm, affecting many residents. For the person in room S5 who pressed a button and waited nearly two hours, the distinction between "minimal" and something worse may have depended on what they needed and whether they could wait.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Azria Health Park Place from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 29, 2026 · Our methodology
Azria Health Park Place in Des Moines, IA was cited for violations during a health inspection on September 11, 2025.
That finding comes from a September 11 complaint inspection at Azria Health Park Place, a nursing home at 2401 East Eighth Street in Des Moines.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.