Calvin Community
4210 Hickman Road
Des Moines, IA, 50310
5152776141
CCN: 165479
4
Overall3
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| BOYD, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAMILTON, MIKE | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOFFMAN, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| MILLS, ROBYN | CORPORATE DIRECTOR | NOT APPLICABLE |
| MORGAN, CANDY | CORPORATE DIRECTOR | NOT APPLICABLE |
| OBRADOVICH, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| SMITH, JAMEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| STANGE, WHITEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| TOMES, DWIGHT | CORPORATE DIRECTOR | NOT APPLICABLE |
| WELLS, DOUGLAS | CORPORATE DIRECTOR | NOT APPLICABLE |
| COX, JAMEY | CORPORATE OFFICER | NOT APPLICABLE |
| TEIGLAND, MARK | CORPORATE OFFICER | NOT APPLICABLE |
| COX, JAMEY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| TEIGLAND, MARK | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-07-31 | Fine | $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/Day3.68
4.80
RN Hrs/Resident/Day0.54
0.97
LPN Hrs/Resident/Day0.81
1.01
CNA Hrs/Resident/Day2.33
2.81
PT Hrs/Resident/Day0.12
0.10
Data as of 2026-03-01