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

Park Place

Mount Pleasant, IA · 49 certified beds · Last Life Safety survey May 22, 2025

CMS Certification Number 165147 · first certified January 1989

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

  • New ownershipOwnership changed January 1, 2025 (change of ownership)from HENRY COUNTY HEALTH CENTER INC
10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within IA

10 citations — more than 34% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten IA facilities have been surveyed. This facility’s last Life Safety survey was May 2025. 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

Emergency preparedness

1 of the 10 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 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 10 Life Safety citations above. The Physical Environment Index

  • 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 facility10IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0762024-0722025-05
Citations at each Life Safety survey
Survey dateCitations
July 31, 20232
July 25, 20246
May 22, 20252

Most-cited tags

Most-cited tags at this facility
K-09231K-03461K-02911K-03631K-01611K-07611K-03541K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.12024-07-25
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12024-07-25
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-07-25
K-0363Install corridor and hallway doors that block smoke.12024-07-25
K-0161Use approved construction type or materials.12025-05-22
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-07-31
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12024-07-25
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-07-25

What the citations cover

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

Every citation on file

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

May 22, 2025 — 2 citations

Citations issued on May 22, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (June 16, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 23, 2025)

July 25, 2024 — 6 citations

Citations issued on July 25, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 30, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 31, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (August 1, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (August 1, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 8, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 8, 2024)

July 31, 2023 — 2 citations

Citations issued on July 31, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 31, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 16, 2023)

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