Walnut Ridge
1703 Campus Drive, Clive, IA 50325 · Dallas County · (515) 222-4000
60 certified beds, about 46 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2021
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165791 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2025, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 13 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.89 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.
24.4% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Presbyterian Homes & Services, an affiliated group of 21 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
109/23
501/24
308/24
407/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
0F
Potential for minimal harm
0A
0B
0C
July 9, 2025Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to ensure appropriate kitchen sanitation practices were followed (hand hygiene, cleanliness, and equipment sanitizing). The facility reported a census of 32.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteResident #25Bladder and Bowel Incontinence Based on clinical record review, observations, staff interview and facility policy review, the facility failed to reposition/toilet a resident per her Care Plan for one of twelve residents reviewed. The facility reported a census of 32 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, observation, staff interview and review of the facility Medication Administration Procedure, the facility failed to prime an insulin flexpen prior to administering the insulin dose to ensure the proper amount of insulin administered for one of one residents observed who received insulin during medication pass (Resident #88). The facility reported a census of 32 residents.
- D 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.
Inspectors wroteBased on observations, staff interview, and policy review, the facility failed to ensure appropriate serving sizes for residents on an altered textured diet for 3 for 4 residents observed during lunch service. The facility reported a census of 32.
August 8, 2024Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, the 2022 Food and Drug Administration (FDA) Food Code, and facility policy review, the facility failed to maintain sanitary practices by improperly storing food and failed to follow guidelines for checking the sanitizer parts per million (ppm) for 2 of 2 meals observed. The facility reported a census of 35 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, clinical record review, staff interview, and facility policy review, the facility failed to clarify the Doctor's order resulting in the medication error for 1 of 7 residents reviewed for medication administration (Resident #22). The facility reported a census of 35 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, record reviews, and policy review, the facility failed to implement the Infection Prevention and Control Program (IPCP) by staff not discarding Personal Protective Equipment (PPE) immediately after use. The facility reported a census of 35 residents.
January 18, 2024Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, document review, and staff interviews, the facility failed to provide appropriate infection prevention practices for disinfecting the reusable medical equipment. The facility reported a census of 32 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility investigation file review, resident, family, and staff interviews, and policy review, the facility failed to report an allegation of abuse to the Iowa Department of Inspections, Appeals and Licensing (DIAL) timely for 1 of 1 residents reviewed for abuse (Resident #26). The facility reported a census of 32 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review, staff interview, and policy review, the facility failed to refer one of two residents who had a change in mental health diagnoses and psychotropic medications to the appropriate state-designated authority for a Preadmission Screening and Resident Review (PASRR) re-evaluation and determination (Resident #5). The facility reported a census of 32 residents.
- D 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.
Inspectors wroteBased on observation, clinical record review, and staff interviews the facility failed to follow the menu and provide the residents with the correct diet of a soft and bite sized diet as ordered by the physician for 2 of 32 residents reviewed (Resident # 13, and Resident #14) . The facility reported a census of 32 residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and staff interview, staff failed to serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness. The facility reported a census of 32 residents.
September 14, 2023Complaint inspection, Infection control · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to provide adequate supervision for 1 of 4 residents reviewed who were at risk for falls. (Resident #2) The facility reported census was 28.
Fire safety inspections
13 fire safety citations on file: 8 on July 9, 2025, 1 on August 8, 2024, 4 on January 18, 2024.
Every fire safety citation13 citations
- F Install a fire alarm system that can be heard throughout the facility.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install corridor and hallway doors that block smoke.
- E Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.89 | 3.82 | 3.86 |
| Registered nurses | 0.96 | 0.74 | 0.69 |
| All nursing staff on weekends | 4.49 | 3.37 | 3.42 |
| Nurse aides | 3.80 | ||
| Licensed practical nurses | 0.13 | ||
| Nursing staff turnover (share who left in a year) | 24.4% | 44.0% | 45.8% |
| Registered nurse turnover | 12.5% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.05 on weekdays and 4.49 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.84 in April to June 2025 to 4.89 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.89 | 0.96 | 5.05 | 4.49 | 0.0% | 0 of 90 | 46 |
| Oct to Dec 2025 | 4.85 | 1.08 | 5.00 | 4.44 | 0.0% | 0 of 92 | 42 |
| Jul to Sep 2025 | 4.81 | 1.16 | 5.03 | 4.25 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 4.84 | 1.27 | 5.09 | 4.21 | 0.0% | 0 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.8 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.7 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.1 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.3 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: PHS WALNUT RIDGE LLC. CMS links this home to Presbyterian Homes & Services, a group of 21 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bremer Bank National Association | 5% or greater mortgage interest | Organization | 08/30/2018 | |
| Bremer Bank National Association | 5% or greater security interest | Organization | 08/30/2018 | |
| Bass, Allison | W-2 managing employee | Individual | 11/01/2016 | |
| Larson, Duane | Corporate director | Individual | 12/10/2019 | |
| Lindh, Daniel | Corporate director | Individual | 06/08/2012 | |
| Meyer, Mark | Corporate director | Individual | 06/08/2012 | |
| Larson, Duane | Corporate officer | Individual | 12/10/2019 | |
| Lindh, Daniel | Corporate officer | Individual | 06/08/2012 | |
| Meyer, Mark | Corporate officer | Individual | 06/08/2012 | |
| Phs Management, LLC | Operational/managerial control | Organization | 08/10/2018 | |
| Bass, Allison | Operational/managerial control | Individual | 11/01/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on July 9, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 9, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 9, 2025: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 8, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Deerfield Health Care Center Urbandale, 1.8 mi · 5 of 5 stars · 4 citations
- Pine Acres Rehabilitation and Care Center West Des Moines, 2.8 mi · not rated · 89 citations
- Karen Acres Care Center Urbandale, 2.9 mi · 5 of 5 stars · 11 citations
- Royal Oaks Nursing and Rehabilitation Center Urbandale, 3.3 mi · 1 of 5 stars · 78 citations
- Arbor Springs of West Des Moines L L C West Des Moines, 3.5 mi · 1 of 5 stars · 19 citations
- Cedar Ridge Village West Des Moines, 4.1 mi · 3 of 5 stars · 18 citations
- Harmony West Des Moines West Des Moines, 4.4 mi · 1 of 5 stars · 46 citations
- Edgewater, a Wesleylife Community West Des Moines, 4.7 mi · 4 of 5 stars · 10 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Walnut Ridge's Medicare star rating?
- CMS rates Walnut Ridge 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Walnut Ridge get at its last inspection?
- 4 health deficiencies at the standard inspection on July 9, 2025. The Iowa average is 6.5.
- Has Walnut Ridge been fined?
- CMS lists no fines in the last three years.
- Does Walnut Ridge accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Walnut Ridge?
- CMS lists 11 owners and managers, and links the home to Presbyterian Homes & Services. Legal business name: PHS WALNUT RIDGE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.