Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Northridge Village

Ames, IA · 38 certified beds · Last Life Safety survey January 29, 2026

CMS Certification Number 165613 · first certified November 2015

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Northridge Village (3300 George Washington Carver Avenue). Matched by the street address the two records share. The records are separate and are never added together.

Ownership

Operated by PIVOTAL HEALTH CARE · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IA

7 citations — more than 19% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was January 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility7IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
02023-1132025-0142026-01
Citations at each Life Safety survey
Survey dateCitations
November 2, 20230
January 9, 20253
January 29, 20264

Most-cited tags

Most-cited tags at this facility
K-03532K-03721K-01331K-09181K-09231K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-01-29
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-01-29
K-0133Install a two-hour-resistant firewall separation.12026-01-29
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-01-29
K-0923Have proper medical gas storage and administration areas.12025-01-09
K-0363Install corridor and hallway doors that block smoke.12025-01-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 29, 2026 — 4 citations

Citations issued on January 29, 2026
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (February 6, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 6, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 6, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 9, 2026)

January 9, 2025 — 3 citations

Citations issued on January 9, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 16, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 16, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 16, 2025)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.