Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
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 Trinity Center At Luther Park during CMS and state inspections, most recent first.
A facility failed to complete a discharge summary and plan for a resident with vertebral fractures and intact cognition at the time of their planned discharge. The resident's EHR lacked necessary documentation, and the administrator confirmed the omission. The facility's policy required a discharge care plan for resident-initiated discharges but did not specify directives for discharge summaries.
The facility failed to cover food during transportation from unit B1 to unit C1, leading to potential contamination. The steam table with uncovered sweet potatoes, peas, and partially uncovered bread was moved through resident hallways and main areas before serving meals in unit C1. Interviews with the CDM and Administrator confirmed the expectation for food to be covered, aligning with the facility's food handling policy.
A resident with a history of UTIs and moderate cognitive impairment received inadequate catheter and peri-care from two CNAs, who failed to follow proper hand hygiene protocols. The facility's policies on peri-care and hand hygiene were not adhered to, leading to a deficiency in infection prevention and control.
A facility failed to notify the LTC Ombudsman of a resident's transfer to a hospital, as required. The resident was transferred and later reentered the facility, but the clinical record lacked documentation of notification to the Ombudsman. The DON confirmed the omission, which was contrary to the facility's policy requiring such notifications for facility-initiated discharges.
A resident with Parkinson's and mild cognitive impairment developed a bruise on the upper right arm, which was documented but not reported to the physician or emergency contact. The facility's policy requires such notifications, but the Administrator confirmed that no incident report was completed, and the necessary notifications were not made.
A resident with dementia and anxiety reported being assaulted by two teenage girls she believed were her roommates. The facility's investigation concluded the allegation was unsubstantiated without conducting staff interviews, contrary to its policy. Staff members were not interviewed and were unaware of the incident.
Failure to Complete Discharge Summary and Plan
Penalty
Summary
The facility failed to complete a discharge summary and discharge plan for a resident, identified as Resident #113, at the time of their planned discharge. The resident was admitted for skilled services and had a Brief Interview for Mental Status (BIMS) score indicating completely intact cognition. The resident's electronic health record (EHR) documented diagnoses of vertebral fractures and detailed their level of independence with various activities of daily living (ADLs). However, the EHR lacked the necessary discharge plan and summary documentation. The facility's administrator acknowledged that these documents were not completed due to the circumstances surrounding the resident's discharge. The facility's policy on admission, transfer, and discharge required a discharge care plan for resident-initiated discharges but did not specify directives for discharge summaries.
Improper Food Handling During Meal Transportation
Penalty
Summary
The facility failed to ensure proper food handling procedures during lunch service, leading to potential contamination. During an observation, it was noted that the steam table was transported from unit B1 to unit C1 with sweet potatoes and peas uncovered, and bread partially uncovered. This transportation occurred through a resident hallway and main area before reaching the dining room in unit C1, where meals were served to residents. Interviews with the Certified Dietary Manager (CDM) and the Administrator confirmed that food should be covered during transportation for infection control purposes. The facility's policy on Food Handling, revised in July 2024, also documented that food should be covered when delivered to residents' rooms or dining areas.
Inadequate Infection Control During Catheter Care
Penalty
Summary
The facility failed to provide appropriate catheter and peri-care for a resident, leading to a deficiency in infection prevention and control. The resident, who had an indwelling catheter, was observed receiving care from two CNAs. During the procedure, one CNA did not perform hand hygiene between peri-care and catheter care, which is a critical step in preventing infections. The facility's policy on peri-care and hand hygiene was not followed, as the CNA did not wash hands or use an alcohol-based hand rub before and after handling the invasive device. The resident involved had a history of urinary tract infections and was moderately cognitively impaired, with a BIMS score of 10 out of 15. The resident required moderate assistance with various activities, including toileting hygiene. The care plan directed staff to use extended barrier precautions, but the observed care did not adhere to these guidelines. The facility's failure to ensure proper hand hygiene and adherence to infection control policies during catheter and peri-care contributed to the deficiency.
Failure to Notify Ombudsman of Resident Transfer
Penalty
Summary
The facility failed to notify the Long Term Care (LTC) Ombudsman of a resident transfer as required. This deficiency was identified for one of the three residents reviewed who were transferred from the facility. Specifically, Resident #75 was transferred from the facility to a hospital on March 30, 2024, and reentered the facility on April 8, 2024. The clinical record for Resident #75 lacked documentation of notification to the LTC Ombudsman regarding the transfer to the hospital. During an interview, the Director of Nursing (DON) confirmed that the facility did not report the transfer to the Ombudsman. The facility's policy, revised on September 4, 2024, instructed staff to notify the State Ombudsman of any facility-initiated discharges for assistance with transition and support of the resident and representative.
Failure to Report and Notify of Resident's New Bruise
Penalty
Summary
The facility failed to complete an incident report and notify the physician and the resident's emergency contact regarding a new bruise observed on a resident. The resident, who has diagnoses of Parkinson's and Non-Alzheimer's, was dependent on staff for daily activities and had mild cognitive impairment. The bruise, measuring 3.5 cm by 3.5 cm, was documented in the resident's progress notes, but there was no record of notification to the physician or the resident's emergency contact. The facility's policy, revised in February 2024, mandates prompt consultation with the resident's physician and notification of the resident's representative when there is a change requiring notification. However, the Administrator confirmed that no incident report was completed, and the necessary notifications were not made at the time the bruise was observed. The Administrator stated that the expectation is for staff to complete an incident report and notify the physician and family for any bruise larger than a quarter.
Failure to Conduct Thorough Investigation of Abuse Allegation
Penalty
Summary
The facility failed to conduct a thorough investigation of an alleged abuse incident involving a resident with diagnoses of Non-Alzheimer's Dementia, Anxiety Disorder, and depression. The resident, who had no cognitive impairment for decision-making, reported being physically assaulted by two teenage girls she believed were her roommates. The resident described being beaten, having her arms hurt, and being dragged across the floor. Despite the resident's detailed account, the facility's investigation summary concluded that the allegation was unsubstantiated without documenting any staff interviews. The facility's incident folder for the resident lacked documentation of staff interviews, which was confirmed by the Administrator. Interviews with staff members, including a Certified Medication Aide, a Certified Nurse Aide, and a Licensed Practical Nurse, revealed that none were interviewed regarding the incident and were unaware of the allegation. This oversight was contrary to the facility's Abuse Prevention, Identification, Investigation, and Reporting Policy, which requires attempts to obtain witness statements from all known witnesses.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 248 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Des Moines
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Azria Health Park Place | 0.8 mi | — | 24 | 1 |
| Rehabilitation Center Of Des Moines | 1.5 mi | — | 14 | 0 |
| Valley View Village | 1.5 mi | — | 4 | 0 |
| University Park Nursing And Rehabilitation Center | 2 mi | — | 4 | 0 |
| Ramsey Village | 3.2 mi | — | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Trinity Center At Luther Park.
100% money-back within 48 hours.
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.