Azria Health Park Place
Azria Health Park Place in Des Moines, IA — inspection on September 11, 2025.
Found 7 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
back to the surveyor on what cleaning product is used to clean the mattresses. In an interview
a call they were running low on some supplies but they never ran out.
The DON stated she couldn't
stocked by housekeeping, and staff were to obtain supplies from the bigger supply room to stock the hall supply rooms. In an interview 9/11/25 at 12:05 PM, the Regional Director of Operations (RDO) reported she was in the shower rooms within the past two weeks.
She had maintenance adjust the doors so they latched.
The RDO reported she didn't notice any concerns or issues when she was in the shower rooms.
The RDO reported she did not know how long the ceiling in the housekeeper office / activity supply room had been falling down or how long the water stained walls in the laundry room or housekeeper office had been there.
She doesn't spend time in the basement.
The RDO reported she was aware of mice in the facility about two weeks ago, otherwise she was last aware of mice activity in 1/2025 or 2/2025.
She believed the outside door (exit door by the kitchen) contributed to the mice coming into the kitchen.
The RDO confirmed she had never seen a mouse at the facility, thank goodness.
She does not do critters. A tour of the facility with the RDO on 9/11/25 at 12:50 PM to observe some environmental areas of concern with the AC units in resident rooms, missing wall base, and concerns in the shower rooms.
The RDO confirmed the AC units in resident rooms needed to be cleaned.A Homelike Environment policy revised 2/2021 revealed residents are provided with a safe, clean, comfortable and homelike environment.
The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting.
These characteristics include a clean, sanitary and orderly environment, clean bed and bath linens that are in good condition, and pleasant, neutral scents.
The facility staff and management minimized, to the extent possible, the characteristics of the facility that reflect a depersonalized, institutional setting, including institutional odors. A Standard Precautions policy revised 9/2022 revealed standard precautions presume that all blood, body fluids and excretions may contain transmissible infectious agents.
Resident Care Equipment soiled with blood, body fluids, secretions and excretions are handled in a manner to prevent cross-contamination and transfer of microorganisms to other residents and environments.
Environmental surfaces and beds are appropriately cleaned.
165202 09/11/2025
Azria Health Park Place 2401 East Eighth Street Des Moines, IA 50316
Observation Form revealed wheelchair/bed locked prior to transfer.
The Form lacked the steps for using a mechanical liftThe Protekt(R) 600 Lift Operation Manual revealed the lift allowed a person to be lifted and transferred safely with minimum physical effort provided by the caregiver.
During lifting or lowering, whenever possible, always keep the base of the lift in the widest position. Do not roll casters over any object while the resident is in the sling.The Hoyer HPL500 revealed the lift used for safe lifting and transfer of an individual from one resting surface to another such as a bed to a wheelchair.
The lift leg bar can be opened to enable access around armchairs, wheelchairs and other furniture.
For transferring and negotiating narrow doorways and passages, the lift legs should be in the closed position.The Linak Medline-Careline Lift User Manual revealed do not open the closing device on the twindrive during operation.
Assure free space for movement of the application in both directions to avoid a blockade.
165202 09/11/2025
Azria Health Park Place 2401 East Eighth Street Des Moines, IA 50316
23 minutes, 24 seconds.N16 bed 2 - 4 times.
The longest response times was 23 minutes, 22
hour and 23 minutes and 2 hours and 2 minutesS8 bed 1 - 17 times.
The longest response time was 1
bed 2 - 23 times.
The longest response time was 1 hour and 34 minutes and 2 hours and 8 minutes.
Resident Council Notes revealed under New Business an issue of concern to continue with call light audit.
The section directed that for each concern raised, ask for a show of hands and how many residents shared the same concern.
The following was recorded as the concern and the number of residents who shared the concern for call light audit: 12/26/24: 8 of 8 1/23/25: 7 of 8 2/27/25: 11 of 11 3/26/25: 11 of 114/24/25: 11 of 115/22/25: 10 of 10 The Resident Grievance/Complaint Log dated 1/1/25 - 9/2/25 revealed call light concerns 1/21/25 and 5/27/25.
The facility assessment updated 5/29/25 revealed a facility assessment utilized to determine theresources necessary to care for the resident population served during day to day operations.
The facility assessment included the average daily census of 47-50 residents, the care required by the population in consideration of the types of diseases, conditions, physical and cognitive abilities, and overall acuity of the residents.
The facility assessment also revealed staff competency necessary to provide the level and types of cares needed for the population.
The Facility Assessment revealed the number of residents who required assistance with ADL's and needed the assistance of 1-2 staff: Dressing - 31Bathing- 46Transfers- 29Eating -6Toileting -31The Facility Assessment also revealed the number of residents who had dependence on staff for ADL's: Dressing - 9Bathing- 4Transfers-3Eating -1Toileting -9The Facility Assessment revealed staffing plans are based off resident volume. to evaluate the overall number of facility staff needed to ensure enough qualified staff are available to meet each resident's needs 7 days a week and 24 hours per day.
The Facility Assessment listed the total number of staff needed in a 24-hour period, including 3-4 licensed nurses providing direct care, 13-16 CNA/CMA's, and 2-4 housekeeping/laundry/maintenance staff.
The resident matrix provided by the facility on 9/3/25 at 12:04 PM revealed the following:28 residents on the North Hall25 residents on the South Hall6 residents on the Center Hall4 residents had pressure ulcers5 residents were on hospice care1 resident required enteral tube feedings4 residents had a catheterAn Answering the Call Light policy revised 9/2022 revealed ensure timely response to resident's requests and needs.
Ensure the call light is accessible to the resident.
Answer the call system timely. If you cannot fulfill the resident's request, ask the nurse supervisor for assistance.
165202 09/11/2025
Azria Health Park Place 2401 East Eighth Street Des Moines, IA 50316
The surveyor advised the RDO we were still waiting on the kitchen cleaning logs, as these were requested twice on 9/3/25 and again on 9/4/25 AM.
The RDO reported they were still working on it. At this time, the surveyor told the RDO to provide whatever cleaning logs they had found.
On 9/3/25 at 11:35 AM, the RDO sent an email with the cleaning logs attached.
The most recent [NAME] Cleaning Log was dated 5/31/25 and the Dietary Aide Cleaning Log was last completed on 4/29/25.
In an interview 9/4/25 at 12:24 PM, Resident #6 reported he had projectile vomiting for three weeks.
In an interview on 9/8/25 at 3:20 PM, Resident #14 reported the food at the facility was not that great.
She could not eat the tomato soup at the facility because it made her have diarrhea.
She ate tomato soup at home without having diarrhea but that was not the case at the facility.
165202 09/11/2025
Azria Health Park Place 2401 East Eighth Street Des Moines, IA 50316
room is the same it hasn't been repaired yet, it's leaking directly down to a drain.
The HS confirmed
put their snacks in plastic containers.
The Housekeeping Supervisor, stated had seen mice personally
with the Acting Administrator and Regional Director of Operations on 09/03/2025 at 3:53 PM, she stated she had only just been informed of rodent activity and her staff are reporting it has been ongoing for at least two weeks.
She was aware of previous rodent activity in March of 2025, but had not heard about it since.
She stated they had contacted pest control about rodents at that time. On 9/11/25 at 12:35PM the Regional Director of Operations (RD0) reported she was unaware that there was no kitchen sanitation documentation completed, until the survey team requested it.
The RDO further stated she was told there had been an issue with mice in the kitchen dating back to the last survey, but staff had not been reporting things to her.
She also reported not being aware of mice in resident rooms, the Maintenance Director should have reported that to her. In an interview 9/11/25 at 12:05 PM, the Regional Director of Operations (RDO) reported she did not know how long the ceiling in the housekeeper office/activity supply room had been falling down or how long the water stained walls in the laundry room or housekeeper office had been there.
She doesn't spend time in the basement.
The RDO reported she was aware of mice in the facility about two weeks ago, otherwise she was last aware of mice activity in 1/2025 or 2/2025.
She believed the outside door (exit door by the kitchen) contributed to the mice coming into the kitchen.
The RDO confirmed she had never seen a mouse at the facility. In an interview on 09/11/2025 at 1:12 PM the Regional Director of Operations (RDO), acknowledged the previous facility leadership had not followed through with the QAPI plan created due to the results of the last standard survey
165202 09/11/2025
Azria Health Park Place 2401 East Eighth Street Des Moines, IA 50316
Assurance Performance Improvement) plan, the facility failed to ensure an effective process to
residents.Findings Include:The CASPER Report for the facility identified the facility had previously received an Infection control deficiency in 2023 and 2024. A Safe, clean, and homelike environment deficiency in 2023 and 2024. At the conclusion of the complaints survey on 09/11/2025 the facility was cited again for Infection control and Homelike environment.
The Facility's QAPI Plan, revised 2/05/2025, identified a monitoring process which included multiple sources of data.
The QAPI Plan failed to identify a process to address previously identified quality deficiencies.
Review of the QAPI minutes since 11/27/2024 identified repeat deficiencies and deficient practices from the last standard survey, but did not document follow through and showed numerous repeated issues addressed during QAPI meetings. In an interview on 09/11/2025 at 01:12 PM with the Director of Nursing (DON), the acting QAPI designee, she could not explain why there are repeated issues documented in the QAPI meetings, and could not explain where the follow through was documented.
She stated her expectation is for the follow through to be documented and for issues to not be repeated. In that same interview, the Regional Director of Operations (RDO), she acknowledged the previous facility leadership had not followed through with the QAPI plan created due to the results of the last standard survey.
165202 09/11/2025
Azria Health Park Place 2401 East Eighth Street Des Moines, IA 50316
During observation on 9/8/25 at 2:18 PM, Staff E, CNA, removed Resident #1's brief and sprayed cleansing foam onto the resident's abdominal fold and periarea.
Staff E provided pericare, then rolled the resident onto her left side.
Staff E removed the sling and soiled brief under the resident.
Staff E took the bottle of foam cleanser and sprayed the cleanser to the resident's buttocks area.
Staff E took disposable wipes and cleansed the buttocks area.
Staff G, CNA, rolled the resident, placed a clean brief on the resident then removed her gloves.
Staff E did not change gloves or sanitize hands during cares.
In an interview 9/10/25 at 10:45 AM, the Regional Nurse reported she expected staff to change gloves whenever the gloves were dirty.
In an interview 9/10/25 at 3:40 PM, with the Infection Preventionist (IP), the Regional Nurse sat in the room as the surveyor interviewed the IP and stated she was present to observe.
The IP reported gloves needed to be changed in-between contact with residents, whenever staff did a check and change, and during cares.
The IP stated gloves needed changed especially if the gloves were soiled.
She expected staff to sanitize their hands every time gloves were taken off and staff could use hand sanitizer up to 3-5 times then hands needed to be washed.
The IP reported staff should disinfect equipment in-between each use.
In an interview 9/11/25 at 11:40 AM, the Director of Nursing reported she expected gloves changed if soiled or in-between going from a dirty to clean area or task.
The facility's Infection Control Policies and Practices revised 7/2014 revealed the infection control policies were intended to facilitate maintaining a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infections.
A Standard Precautions policy revised 9/2022 revealed standard precautions presume that all blood, body fluids and excretions may contain transmissible infectious agents.
Hand hygiene performed with alcohol-based hand rub or soap and water before and after contact with a resident, before moving from work on a soiled body site to a clean body site on the same resident, and after removing gloves.
Gloves changed as necessary during the care of a resident to prevent cross-contamination from one body site to another such as when moving from a dirty site to a clean site.
Resident care equipment are handled in a manner to prevent transfer of microorganisms to other residents and the environment.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.