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Pleasantview Home

811 Third Street, Kalona, IA 52247 · Non profit - Corporation · 66 certified beds · (319) 656-2421 Medicare & Medicaid certified

Call the home — (319) 656-2421 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 6 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no harm-level citations in the current inspection record
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
503 3rd St · (319) 656-3151 · Call to confirm hours
Pharmacy
102 1st St S · (319) 656-4447 · Call to confirm hours
Grocery
122 E Ave · (319) 656-2661 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased21.6%17.1%15.4%worse
Long-stay residents who lose too much weight2.3%4.6%5.4%better
Long-stay residents with a catheter left in their bladder1.0%1.5%0.9%worse
Long-stay residents with a urinary tract infection2.8%2.4%2.0%worse
Long-stay residents with depressive symptoms1.9%4.2%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury5.4%3.8%3.3%worse
Long-stay residents whose ability to walk worsened13.3%16.6%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.7%20.8%18.9%better
Long-stay residents given the seasonal flu vaccine98.3%95.3%95.3%typical
Long-stay residents with pressure ulcers2.9%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control25.5%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table24.7%19.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%2.1%1.4%better
Short-stay residents given the seasonal flu vaccine95.0%73.3%79.4%better
Short-stay residents rehospitalized after admission13.9%20.9%22.6%better
Short-stay residents with an outpatient ER visit28.7%13.2%12.0%worse
Long-stay hospitalizations per 1,000 resident days0.941.491.67better
Long-stay outpatient ER visits per 1,000 resident days1.222.081.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

10.3%U.S. median 10.7%
Went back to hospital
50.0%U.S. median 56.6%
Met the expected recovery
0.22U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 50.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.3%CMS range 6.2–17.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge50.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge41.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge37.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.591.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.87
RN hours/ resident / day
0.34
LPN hours/ resident / day
3.05
Aide hours/ resident / day
4.26
Total nurse hours/ resident / day
0.45
RN hoursweekends
46.0%
Total nursing turnover
56.3%
RN turnover

How full it usually is: this home is certified for 66 beds and averages 59.3 residents a day — about 90% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.26 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.05 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.83 hrs/resident/day on weekends vs 4.44 on weekdays — 14% thinner on weekends. RN hours go from 1.04 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

4
deficiencies at the latest standard inspection (2026-04-02)
1
at the previous standard inspection (2025-03-27)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

  • Potential for harm · F2026-04-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and policy review the facility failed to discard expired food and beverage items, maintain sanitary work stations, and ensure staff complete hand hygiene during meal preparation during 3 of 3 kitchen observations. The facility reported a census of 58 residents. Findings include:1. During the initial observation on 03/30/2026 from 10:12 AM through 10:52 AM the following items were noted to be expired:a. A box of black tea with a use by date of 11/13/2025 was located on a top shelf in view of the food preparation areab. Four boxes of shredded wheat cereal with use by dates of 01/17/2026 were located on the top shelf in the dry storage roomc. Six bottles of almond milk with use by dates of 01/04/2026 were located on a top shelf in view of the food preparation aread. A powdered cherry thirst quencher with a use by date of 03/06/2026 was located near the almond milk; and a powdered orange thirst quencher with a use by date of 03/14/2026 was located next to the cherry drinkOn 03/30/2026 at 10:55 AM Staff R, Dining Services Coordinator stated she audited…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-02 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, facility policy review, resident and staff interview, the facility failed to assist a resident to use the bathroom in a timely manner causing them to have been incontinent for 3 of 4 resident (Resident #6, Resident #21and Resident #64) reviewed for dignity. The facility reported a census of 58 residents.Findings included:1. Review of Resident #21 Minimum Data Set (MDS) assessment, dated 3/17/26, revealed the resident had intact cognition based on a a Brief Interview for Mental Status (BIMS) score of 15 out of 15. The MDS indicated Resident #20 required substantial assistance with toileting and dependent for transfers. The MDS assessed Resident #21 frequently incontinent of urine and always incontinent of bowel. On 3/30/26 at 11:51 AM, during an interview, Resident #21 reported staff used a non-powered mechanical standing lift (a lift known as a Sara Steady) to transfer from her wheelchair to the toilet. The resident reported having to wait 30 minutes to get into the bathroom on a daily basis due to staff waiting on the Sara Steady to be…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-02 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, facility policy review, resident and staff interviews, the facility failed to ensure nursing staff administered medications without a significant medication error for 1of 10 residents (Resident #47) reviewed for medication administration. The facility reported a census of 58 residents. Findings included:Review of the Minimum Data Set assessment, dated 1/20/26, revealed that Resident #47 had a Brief Interview for Mental Status score of 15 out of 15, which indicated intact cognition. The list of diagnoses included major depressive disorder (MDD) and anxiety disorder. The MDS indicated that Resident #47 received antipsychotic, antianxiety, and antidepressant medications. Review of the Care Plan, initiated 8/11/25, directed staff to administer psychotropic medications as ordered by physician, document and report as needed to the physician, and observe for any side effects. Review of the electronic health record (EHR) revealed a Health Status Note, dated 3/29/26 at 11:06 PM, entered by Staff S, Registered Nurse (RN): Nurse administered medications to the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-02 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, observation, facility policy review and staff interview, the facility failed to ensure staff performed hand hygiene with a change in gloves after completing catheter care for 1 of 1 sampled residents (Resident #10.) The facility reported a census of 58 residents. Findings included: Review of the Minimum Data Set (MDS) assessment for Resident #10, dated 3/10/26, revealed the resident had an indwelling urinary catheter and required partial to moderate assistance with toileting and personal hygiene, set up assistance with oral hygiene, substantial assistance with lower body dressing, and partial to moderate assistance for upper body dressing. On 4/1/26 at 7:21 AM, Staff D, Certified Nurses Aide (CNA), performed hand hygiene, put on a gown and gloves prior to entering Resident #10's room. Resident #10 was lying in bed. Staff D unhooked the urinary catheter bag from the side of the bed and hooked it to the resident's walker. Staff D helped the resident to sit up in bed, and then applied a gait belt around the resident's waist. Staff D cleaned off the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-27 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, staff interviews, and facility policy review, the facility failed to administer oral medications following standard infection control practices for 2 of 6 residents observed for medication administration (Resident #6 and Resident #9). The facility reported a census of 59 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. Review of the March 2025 Medication Administration Record (MAR) revealed Resident #9 scheduled the following medication in the morning: a. Omeprazole 40 mg (milligram) 1 cap (capsule) PO (by mouth) early every morning. b. Cetirizine 10 mg 1 tab (tablet) PO early every morning. c. Tamsulosin 0.4 mg 1 cap PO early every morning. d. Vitamin B-12 500 mcg (microgram) 1 tab PO every morning. e. Vitamin C 500 mg 1 cap every morning. f. Acetaminophen 325 mg 2 tabs PO TID (three times a day). During…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical record review and staff interviews, the facility failed to provide adequate supervision to ensure resident safety and to mitigate risk for elopement for 1 of 2 residents reviewed. (Resident #2) The facility reported census was 49. Findings include: According to a Minimum Data Set (MDS) with a reference date of 12/26/23, Resident #2 had a Brief Mental Status (BIMS) score of 5 indicating a severely impaired cognitive status. Resident #2 required limited assistance with transfers, mobility and extensive assistance with dressing, toilet use and personal hygiene needs. Resident #2's diagnosis included Alzheimer's and an aortic aneurysm. According to Resident #2's plan of care dated 1/3/23, Resident #2 is an elopement risk related to wandering behavior with interventions which included monitoring location frequently across all shifts, document wandering behavior if observed, the use of a wander guard, and staff to ensure it is in place and functioning properly each shift and to replace it as needed. In an interview on 2/20/24 at 10:04 a.m. Staff B,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
USDA DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENTOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 03/07/2025
HERSHBERGER, RONNIEIndividualCORPORATE DIRECTORsince 03/01/2024
KAUFFMAN, MERLINIndividualCORPORATE DIRECTORsince 03/01/2021
MILLER, WENDELLIndividualCORPORATE DIRECTORsince 03/01/2020
RAMER, HERBERIndividualCORPORATE DIRECTORsince 03/01/2024
TROYER, PATRICIAIndividualCORPORATE DIRECTORsince 03/01/2024
BONTRAGER, JULIEIndividualCORPORATE OFFICERsince 03/01/2024
LOGAN, MARLANIndividualCORPORATE OFFICERsince 03/01/2024
SOJKA, JULIEIndividualCORPORATE OFFICERsince 03/01/2024
YODER, DEBRA JIndividualCORPORATE OFFICERsince 03/01/2022
BENDER, VICKIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/26/2009
DANKER, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/14/2018
DROBOT, ANNIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/23/2019
EBERLY, SCOTTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2015
GINGERICH, MIDORIIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/14/2020
HERSHBERGER, JAMES DIndividualOPERATIONAL/MANAGERIAL CONTROLsince 07/07/2011
HERSHBERGER, RENEEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/16/2015
JANECEK, JESSICAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/15/2015
LEHMAN, KENTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/03/2019
RILEY, SEANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/29/2026
SCHROCK, KARENIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/05/2014
SWARTZENDRUBER, LARRYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 08/01/2016
ACCESS TECHNOLOGIES INCOrganizationADP OF THE SNFsince 09/30/2021
BCG HOLDINGS INCOrganizationADP OF THE SNFsince 10/01/2024
BLUE STONE THERAPY INCOrganizationADP OF THE SNFsince 01/01/2024
BRIGHTON CONSULTING GROUP LLCOrganizationADP OF THE SNFsince 10/01/2024
CATTAIL BCG LLCOrganizationADP OF THE SNFsince 10/01/2024
CATTAIL CONSULTING LLCOrganizationADP OF THE SNFsince 09/30/2022
CATTAIL INCOrganizationADP OF THE SNFsince 10/01/2024
ECSI INCOrganizationADP OF THE SNFsince 10/01/2024
GRAPE TREE MEDICAL STAFFING LLCOrganizationADP OF THE SNFsince 10/21/2009
IOWA HEALTH CARE ASSOCIATIONOrganizationADP OF THE SNFsince 10/01/2024
PRN HEALTH SERVICES, INC.OrganizationADP OF THE SNFsince 09/01/2021
WILLIAM BURKE LTDOrganizationADP OF THE SNFsince 08/12/2015
WILLIAMS & COMPANY PCOrganizationADP OF THE SNFsince 07/08/2013

CMS files one row per role, so the 38 rows in the source record cover these 35 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

14 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$7.0M
Net patient revenuemost recent cost report
-19.7%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 11%Medicare 1%Other / private 89%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$187per resident / day
operating cost
$5,685per month
≈ monthly operating cost
$156per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.

Typical monthly cost in Iowa
$9,277/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,381/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165470. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-02, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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