Calvin Community

4210 Hickman Road
Des Moines, IA, 50310
5152776141
CCN: 165479
4
Overall
3
Health
5
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
BOYD, NANCYCORPORATE DIRECTORNOT APPLICABLE
HAMILTON, MIKECORPORATE DIRECTORNOT APPLICABLE
HOFFMAN, JAMESCORPORATE DIRECTORNOT APPLICABLE
MILLS, ROBYNCORPORATE DIRECTORNOT APPLICABLE
MORGAN, CANDYCORPORATE DIRECTORNOT APPLICABLE
OBRADOVICH, JAMESCORPORATE DIRECTORNOT APPLICABLE
SMITH, JAMEYCORPORATE DIRECTORNOT APPLICABLE
STANGE, WHITEYCORPORATE DIRECTORNOT APPLICABLE
TOMES, DWIGHTCORPORATE DIRECTORNOT APPLICABLE
WELLS, DOUGLASCORPORATE DIRECTORNOT APPLICABLE
COX, JAMEYCORPORATE OFFICERNOT APPLICABLE
TEIGLAND, MARKCORPORATE OFFICERNOT APPLICABLE
COX, JAMEYW-2 MANAGING EMPLOYEENOT APPLICABLE
TEIGLAND, MARKW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2023-07-31Fine$4K
Health Deficiencies (12)
2025-12-18 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-01-23 · Health
D
F657 · 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.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-03-28 · Health
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.80
3.68
RN Hrs/Resident/Day
0.97
0.54
LPN Hrs/Resident/Day
1.01
0.81
CNA Hrs/Resident/Day
2.81
2.33
PT Hrs/Resident/Day
0.10
0.12
Data as of 2026-03-01