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KENNYBROOK VILLAGE
NPI 1013200914
Skilled Nursing Facility in Grimes, IA

Active since May 25, 2011CLIA Certified · 2 labs
5/5
Overall Rating
200 SW BROOKSIDE DRIVE, GRIMES, IA 50111(515) 369-3900(515) 369-3905 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kennybrook Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNYBROOK VILLAGE (NPI 1013200914) is a healthcare organization registered as a skilled nursing facility in Grimes, Iowa and active in the NPI registry since May 2011. The organization holds 2 active CLIA laboratory certificates and lists Gilbert R Wood, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1013200914
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCRC OF GRIMES, LLC
Location Address200 SW BROOKSIDE DRIVEGrimes, IA 50111
Mailing Address11827 W 112th St, Suite 103Overland Park, KS 66210-2726 · (913) 890-4780 · Fax (913) 956-6564
Phone(515) 369-3900
Fax(515) 369-3905
Organization SubpartNo
Authorized OfficialGilbert R WoodManaging Member · (913) 599-5705
Enumeration DateMay 25, 2011
Last NPPES UpdateJanuary 26, 2017
✔ NPI 1013200914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
200 SW BROOKSIDE DRIVE, Grimes, IA 50111
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Other Names 1

Doing Business AsKennybrook Village

Other Identifiers 1

Medicare OSCAR/certification165605IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2035960

Ccrc Of Grimes, LLC Dba Kennybrook Village · Grimes, IA
Active · expires Jan 26, 2028
CLIA Number16D2035960
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorJayce Wilson
Laboratory Phone(515) 369-3900
Laboratory LocationCcrc Of Grimes, LLC Dba Kennybrook Village200 SW Brookside Drive, Grimes, IA 50111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2217884

Ccrc Of Grimes, LLC Dba Kennybrook Village · Grimes, IA
Active · expires Mar 23, 2027
CLIA Number16D2217884
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorJayce Wilson
Laboratory Phone(515) 369-3900
Laboratory LocationCcrc Of Grimes, LLC Dba Kennybrook Village200 SW Brookside Dr, Grimes, IA 50111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2189730

Ccrc Of Grimes, LLC Dba Maggie's Place At Kennybrook Village · Grimes, IA
Expired · Aug 4, 2026
CLIA Number16D2189730
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorJayce Wilson
Laboratory Phone(515) 369-3900
Laboratory LocationCcrc Of Grimes, LLC Dba Maggie's Place At Kennybrook Village230 SW Brookside Drive, Grimes, IA 50111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Kennybrook Village (CMS certification number 165605), from CMS Care Compare.

Kennybrook Village

Nursing home · Grimes, IA
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number165605
Certified Beds40 beds38 residents per day on average
Medicare & Medicaid Participant SinceMarch 23, 2012
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
16.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.88 · LPN 0.46 · RN 1.21
4.55 hrs per resident per day
Weekend Nurse Staffing
3.97 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
39.6%
Registered Nurse Turnover
15.4%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccrc Of Grimes, LLC's NPI number?

The NPI number for Ccrc Of Grimes, LLC is 1013200914. It was assigned to this organization in the NPPES registry on May 25, 2011. The provider is doing business as Kennybrook Village.

Where is Ccrc Of Grimes, LLC located?

Ccrc Of Grimes, LLC is located at 200 SW Brookside Drive, Grimes, IA 50111. The listed phone number is (515) 369-3900.

What is Ccrc Of Grimes, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ccrc Of Grimes, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Ccrc Of Grimes, LLC a Medicare-certified nursing home?

Yes. Kennybrook Village is a Medicare-certified nursing home with 40 certified beds.

What quality rating does Ccrc Of Grimes, LLC have?

CMS rates Kennybrook Village 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Ccrc Of Grimes, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Ccrc Of Grimes, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ccrc Of Grimes, LLC was last updated on January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.