Kennybrook Village
200 SW Brookside Drive
Grimes, IA, 50111
5153693900
CCN: 165605
3
Overall3
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| PIVOTAL HEALTH CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCENIC DEVELOPMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ANDERSON, JORDAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GULLEDGE, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GULLEDGE, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OCONNER, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILSON, JAYCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WOOD, GILBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (11)
2025-01-09 · Health
F
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
E
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.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F803 · Nutrition and Dietary Deficiencies
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.
2023-09-28 · Health
E
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
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F803 · Nutrition and Dietary Deficiencies
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.
D
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2022-06-23 · Health
D
F803 · Nutrition and Dietary Deficiencies
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.
B
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.89
RN Hrs/Resident/Day0.54
1.06
LPN Hrs/Resident/Day0.81
0.72
CNA Hrs/Resident/Day2.33
3.11
PT Hrs/Resident/Day0.12
0.05
Data as of 2026-03-01