Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mill-pond during CMS and state inspections, most recent first.
The facility failed to obtain final cooking temperatures for alternative menu items prepared in the satellite kitchen. During a lunch service, a cook and a server were observed preparing tomato soup and macaroni and cheese without checking the final cooking temperatures. The Nutrition and Culinary Supervisor and the Certified Dietary Manager acknowledged the oversight, emphasizing the importance of temperature checks for food safety. The facility's policy requires reheated foods to reach specific temperatures to ensure safety.
A facility failed to document insulin administration for a resident with diabetes and Parkinson's. The MAR showed missing entries for Glargine and Aspart over several months, and the electronic health record lacked documentation to confirm administration. The DON could not verify if the insulin was given or not documented, contrary to the facility's policy requiring immediate documentation after administration.
A resident with anxiety, heart failure, and post-polio syndrome reported rough and dismissive treatment by two agency CNAs, causing pain and emotional distress. The CNAs did not follow proper procedures for removing the resident's brace and shoes, and the resident's concerns were not promptly reported or addressed by the facility.
A resident with anxiety, heart failure, and post-polio syndrome reported that two agency CNAs were rough and disrespectful while removing his brace and shoes, causing pain and fear. Despite the resident's immediate complaints to staff, the incident was not reported to the State Agency until two days later. The facility's policy required allegations of abuse to be reported within two hours, but this was not followed.
A facility failed to promptly investigate and separate alleged perpetrators after a resident reported rough treatment and inappropriate comments by two agency CNAs. Despite the resident's clear communication, the facility did not act immediately, allowing the alleged perpetrators to return to work before any action was taken.
A resident with coronary artery disease, diabetes, and non-Alzheimer's dementia developed an unstageable pressure ulcer on the left heel. The facility failed to notify the provider of the wound's deterioration from 11/22/23 to 12/4/23, despite the resident's complaints of pain and worsening condition. The Clinical Administrator acknowledged the oversight, which occurred over the Thanksgiving holiday.
A resident with Alzheimer's and dysphagia did not receive required oral care after meals and inconsistent incontinent care, despite being dependent on staff for these activities. Observations and interviews revealed lapses in care, with staff failing to follow the care plan and speech therapy recommendations, leading to a deficiency in the resident's care.
Failure to Obtain Final Cooking Temperatures in Satellite Kitchen
Penalty
Summary
The facility failed to obtain final cooking food temperatures on alternative menu items prepared in the satellite kitchen, as observed during a lunch service. Staff A, a cook, and Staff B, a server, were seen preparing tomato soup for two separate residents without checking the final cooking temperature after microwaving. Additionally, Staff B prepared a microwaveable cup of macaroni and cheese without obtaining a final cooking temperature. During interviews, Staff C, the Nutrition and Culinary Supervisor, and the Certified Dietary Manager (CDM) acknowledged the oversight. The CDM emphasized the importance of obtaining final cooking temperatures for food safety and resident safety, especially with the variety of foods available on the alternative menu. The facility's policy, dated 2020, requires reheated cooked foods to reach an internal temperature of 165°F and ready-to-eat foods to be reheated to at least 135°F to ensure food safety.
Failure to Document Insulin Administration
Penalty
Summary
The facility failed to ensure proper documentation of insulin administration for a resident with diabetes and Parkinson's disease. The resident's Minimum Data Set (MDS) Assessment indicated the use of insulin, including Glargine and Lispro or Aspart. However, the Medication Administration Record (MAR) showed that Glargine was not recorded as administered on one day in September 2024, December 2024, January 2025, and February 2025. Additionally, Aspart was not recorded as administered at noon on one day in October 2024. The electronic health record's Progress Notes lacked documentation to confirm whether the insulin was administered or not. During an interview, the Director of Nursing (DON) was unable to verify if the insulin had been administered or if it was simply not documented. The facility's Medication Administration Policy, last modified in May 2021, requires that medications be documented immediately after administration. If a resident refuses medication, this should be indicated in the electronic MAR and the medical record. The DON expected staff to document all medication administration and provide additional documentation if the medication could not be given.
Failure to Treat Resident with Dignity and Respect
Penalty
Summary
The facility failed to ensure staff treated a resident with dignity and respect. The resident, who had diagnoses including anxiety, heart failure, and post-polio syndrome, required significant assistance with daily activities. Despite having intact cognition, the resident reported that two agency CNAs were rough and dismissive while providing care, causing him pain and distress. The CNAs did not follow proper procedures for removing the resident's brace and shoes, leading to physical discomfort and emotional distress for the resident. The resident reported the incident via email, stating that the CNAs did not listen to his instructions and made inappropriate comments about his leg. The resident felt scared and hurt by their actions. The incident was corroborated by staff interviews, which revealed that the resident had reported the rough treatment to multiple staff members, but the information was not promptly acted upon. One of the CNAs involved was later identified by the resident through a photograph taken by another staff member. The facility's Clinical Administrator confirmed that the resident's allegations should have been reported immediately and that staff are expected to treat residents with kindness. The report highlights a failure in communication and timely reporting of the resident's concerns, as well as a lack of adherence to the facility's policy on treating residents with dignity and respect.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse in a timely manner to the State Agency for a resident with anxiety, heart failure, and post-polio syndrome. The resident, who had intact cognition, reported that two agency CNAs were rough while removing his brace and shoes, causing him pain and fear. Despite the resident's immediate complaints to staff members, the incident was not reported to the State Agency until two days later. The resident described the CNAs as being hurried and disrespectful, with one making an inappropriate comment about his leg. The resident reported the incident to a CNA the following day, who did not escalate the complaint. Another CNA connected the resident's complaint to one of the CNAs involved after a separate altercation occurred, but still did not report the incident immediately. The Clinical Administrator confirmed that the facility's policy required allegations of abuse to be reported within two hours and that alleged perpetrators should be separated from residents immediately. However, the facility lacked documentation of reporting the incident to the State Agency before the resident's email on the third day after the incident.
Failure to Investigate and Separate Alleged Perpetrators of Abuse
Penalty
Summary
The facility failed to initiate an abuse investigation and separate residents from alleged perpetrators in a timely manner after a resident reported maltreatment. Resident #45, who had diagnoses including anxiety, heart failure, and post-polio syndrome, reported that two agency CNAs were rough while removing his brace and shoes, causing him pain. Despite the resident's intact cognition and clear communication of his distress, the facility did not act immediately to investigate or separate the alleged perpetrators from the resident. On the morning following the incident, the resident informed Staff I CNA about the rough treatment and inappropriate comments made by the CNAs. However, Staff I did not report this information immediately. Later that day, an altercation occurred between one of the alleged CNAs and another staff member, which led to the CNA being asked to leave the facility. It was only after this incident that Staff I connected the dots and confirmed the identity of one of the alleged perpetrators with the resident. The facility's Clinical Administrator stated that allegations of abuse should be reported within 2 hours and that alleged perpetrators should be separated from residents immediately. However, the facility lacked documentation of an immediate investigation following the resident's initial report to Staff I. Additionally, the alleged perpetrators were allowed to return to work before any action was taken, further compromising the resident's safety and well-being.
Failure to Notify Provider of Pressure Ulcer Deterioration
Penalty
Summary
The facility failed to notify the provider after a change in condition in a pressure ulcer for one resident. The resident, who had coronary artery disease, diabetes, and non-Alzheimer's dementia, was at risk for developing pressure ulcers but initially had no unhealed pressure ulcers. The resident required varying levels of assistance for daily activities and had inattention and disorganized thinking. On 11/15/23, a provider noted a corn on the resident's left heel and ordered a corn pad. Subsequent body audits on 11/22/23 and 11/29/23 noted a dark red scab on the left heel, which later developed into an unstageable pressure ulcer by 12/4/23. The facility lacked documentation of provider notification of the change in the resident's heel condition from 11/22/23 to 12/4/23. On 12/4/23, the resident complained of pain in the left heel, and a skin and wound evaluation revealed an unstageable pressure ulcer. The wound measured 0.3 cm x 0.8 cm x 0.5 cm and was tender to touch. A care plan entry on the same day directed staff to elevate the heel off the bed surface. However, by 4/10/24, the wound had worsened, measuring 3.2 cm x 2.8 cm with brown eschar and redness. The Clinical Administrator acknowledged that staff missed notifying the provider about the wound's deterioration over the Thanksgiving holiday, and no provider notification was found until 12/4/23. The facility's policy required staff to notify the physician if any evidence of deterioration was noted, which was not followed in this case.
Failure to Provide Adequate Oral and Incontinent Care
Penalty
Summary
The facility failed to provide adequate oral and incontinent care for a resident diagnosed with Alzheimer's disease, dementia, gastroesophageal reflux disease, and dysphagia. The resident was totally dependent on staff for eating, oral care, and required assistance from two staff members for toileting and personal care. Observations and interviews revealed that the resident did not receive oral care after meals as directed by the care plan and speech therapy recommendations. Additionally, the resident was not consistently checked and changed for incontinence as required, with family members and staff interviews indicating lapses in care. On multiple occasions, staff members, including CNAs and an LPN, were observed providing care to the resident without performing the necessary oral care. The facility's documentation and interviews with staff confirmed the lack of oral care after meals, despite the care plan and clinical resident profile specifying this requirement. The speech therapy evaluation highlighted the resident's risk for aspiration due to physical impairments, underscoring the importance of following the prescribed oral care regimen. The facility's failure to adhere to these care directives resulted in a deficiency in the resident's care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Ankeny
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunny View Care Center | 2.2 mi | — | 24 | 0 |
| The Bridges At Ankeny | 2.2 mi | — | 16 | 0 |
| On With Life | 2.3 mi | — | 0 | 0 |
| Trinity Center At Luther Park | 7.1 mi | — | 17 | 1 |
| Bishop Drumm Retirement Center | 7.2 mi | — | 18 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.