5 of 5 stars overall. Mill-Pond in Ankeny, IA has a strong staffing rating (5 of 5) with reported nurse staffing above the federal benchmark (4.40 vs 4.1 hours/resident/day), a 4 of 5 health inspection rating, a 4 of 5 quality measures rating, and no fines in the last 24 months.
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3997.
Staffing detail
Registered nurses
0.96
Licensed practical nurses
0.32
Nurse aides
3.12
Weekend nursing
3.95
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 53%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.4%12.1%Worsening
Residents with a fall causing major injury
3.6%3.7%No change
Residents with pressure ulcers (bedsores)
12.3%3%Improving
Residents with a urinary tract infection
1.9%5.9%Worsening
Residents who lost too much weight
7%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.7%14.9%Improving
Residents whose ability to walk got worse
34.1%20%Improving
Long-stay residents on antianxiety or sleep medication
17.4%19.1%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.1%1.3%No change
Residents with new or worsening incontinence
25.1%33%Worsening
Residents with depressive symptoms
1.8%2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—86.7%—
Long-stay residents given the pneumonia vaccine
94.6%100%Improving
Short-stay residents given the seasonal flu vaccine
—64%—
Short-stay residents given the pneumonia vaccine
82.6%70.4%Worsening
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: D
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
The home failed to make sure each resident got a nourishing, balanced diet that met daily nutrition and special dietary needs. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 800 — 42 CFR §483.60 — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of PRESBYTERIAN HOMES & SERVICES · 21 homes · 4.3 stars avg
Occupancy
56.8 residents on an average day (95% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.