Where They Care · plain answers about nursing homes

Karen Acres Care Center

3605 Elm Drive, Urbandale, IA 50322 · 35 beds · For profit - Corporation

Nothing in the records stands out as a warning sign. The detail below is still worth reading before you decide.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★★★
Much above average · 5 of 5
All nursing staff, hours / resident
3.52
RNs, LPNs and aides · state average 4.37
Weekend RN coverage
−43%
vs weekdays
Staff turnover
38%
state average 44%
No citations involving resident harm
Findings over the past three years were all at levels where inspectors recorded no actual harm.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.78 hrs
Weekends
0.45 hrs
IA average
0.85 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 43% at weekends.

Staff turnover: 38%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 10 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Potential for harm
No one harmed yet, but conditions could allow it
10
No harm
Rule and paperwork findings
0

4 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Even, Crystal
50% ownership interest
Direct owner (5% or more), Corporate officer, Additional disclosable party 07/01/2013
Lange, Randall
50% ownership interest
Direct owner (5% or more), Corporate officer, Additional disclosable party 10/01/1998
Booker, Janyia Operational or managerial control 05/20/2025
Dayton, John Operational or managerial control 09/17/2021
Harned, Pamela Operational or managerial control, Additional disclosable party 04/20/2016
Moulton, Christopher Operational or managerial control 03/19/2015
Oconner, Michael Operational or managerial control, Additional disclosable party 04/01/2015
Waltersdorf, Myra Operational or managerial control 10/22/2024
Bcg Holdings INC Additional disclosable party 10/01/2024
Blue Stone Therapy INC Additional disclosable party 01/01/2024
Brighton Consulting Group LLC Additional disclosable party 10/01/2024
Careserv Technologies LLC Additional disclosable party 02/02/2018
Cattail Bcg LLC Additional disclosable party 10/01/2024
Cattail INC Additional disclosable party 10/01/2024
Denman Cpa LLP Additional disclosable party 12/01/2011
Ecsi INC Additional disclosable party 10/01/2024
Grx Holdings, LLC Additional disclosable party 08/01/2018
Health Technologies, INC Additional disclosable party 04/01/2023
Iowa Health Care Association Additional disclosable party 10/01/2024

Of the 19 parties disclosed here, 2 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Royal Oaks Nursing and Rehabilitation Center
Urbandale
1.2 1 0.50 −36%
Pine Acres Rehabilitation and Care Center
West Des Moines
2.5 0.62 −53%
Calvin Community
Des Moines
2.6 4 0.80 −41%
Childserve Habilitation Center
Johnston
2.7 5 2.10 +20%
Walnut Ridge
Clive
2.9 5 1.12 −37%
Bishop Drumm Retirement Center
Johnston
3.1 1 0.85 −30%
Iowa Jewish Senior Life Center
Des Moines
3.2 2
Ramsey Village
Des Moines
3.8 2 0.53 −40%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.