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Methodist Manor Retirement Community

1206 West Fourth Street, Storm Lake, IA 50588 · Non profit - Corporation · 93 certified beds · (712) 732-1120 Medicare & Medicaid certified

Call the home — (712) 732-1120 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Mar 2025Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation1 Medicare payment denial
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score

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.

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

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
620 Northwestern Dr · (712) 732-5030 · Call to confirm hours
Pharmacy
409 West 5th Street · (712) 732-4819 · Call to confirm hours
Grocery
616 Michigan St · (712) 638-9773 · Call to confirm hours
Park
904 Lighthouse Dr · (563) 924-2194 · 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 2 of 5
Short-stay residentsrehab / post-hospital 5 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 improved from 2 to 4 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 rating4★
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 increased8.0%17.1%15.4%better
Long-stay residents who lose too much weight3.7%4.6%5.4%better
Long-stay residents with a catheter left in their bladder5.5%1.5%0.9%worse
Long-stay residents with a urinary tract infection8.0%2.4%2.0%worse
Long-stay residents with depressive symptoms0.0%4.2%6.5%check this — see note marked star below the table
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 injury8.2%3.8%3.3%worse
Long-stay residents whose ability to walk worsened10.2%16.6%16.1%better
Long-stay residents on antianxiety or hypnotic medication21.1%20.8%18.9%worse
Long-stay residents given the seasonal flu vaccine98.9%95.3%95.3%typical
Long-stay residents with pressure ulcers4.2%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control25.7%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table24.5%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 vaccine82.9%73.3%79.4%typical
Short-stay residents rehospitalized after admission17.0%20.9%22.6%better
Short-stay residents with an outpatient ER visit6.8%13.2%12.0%better
Long-stay hospitalizations per 1,000 resident days1.741.491.67typical
Long-stay outpatient ER visits per 1,000 resident days3.022.081.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

51.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 112 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

51.8%U.S. median 51.5%
Got home and stayed home
11.1%U.S. median 10.7%
Went back to hospital
55.3%U.S. median 56.6%
Met the expected recovery
0.14U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 55.3% 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 85 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 0.14 therapist hours per resident per day in 2026Q1 — more than 10% 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 SNF51.8%CMS range 43.5–60.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.1%CMS range 7.7–14.810.7%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 discharge55.3%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 discharge47.1%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 discharge52.9%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 discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this 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 worsened1.0%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 hospitalization8.5%CMS range 5.2–14.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.881.02Oct 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

1.04
RN hours/ resident / day
0.47
LPN hours/ resident / day
2.75
Aide hours/ resident / day
4.26
Total nurse hours/ resident / day
0.58
RN hoursweekends
25.7%
Total nursing turnover
26.3%
RN turnover

How full it usually is: this home is certified for 93 beds and averages 86.5 residents a day — about 93% occupied, or roughly 6 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 1.04 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.75 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 4.02 hrs/resident/day on weekends vs 4.35 on weekdays — 8% thinner on weekends. RN hours go from 1.23 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below the national median of 45%.

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

2
deficiencies at the latest standard inspection (2026-04-16)
7
at the previous standard inspection (2025-03-27)

Deficiencies are fewer than at the previous inspection — improving. 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.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Actual harm · G2024-05-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and facility record review, the facility failed to provide adequate nursing supervision to prevent a fall for 1 of 1 residents reviewed (Residents #89). The facility reported a total census of 90 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #89 documented diagnoses of hypertension, renal failure, hyperlipidemia and chronic respiratory failure with hypoxia. The MDS showed the Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. The MDS revealed Resident #89 utilized a walker daily. Review of facility provided document titled Fall Risk assessment dated [DATE] scored a 15 indicating high risk for falls. Review of Resident #89's Care Plan dated 3/28/24 revealed under Assistance of Daily Living (ADL) Resident #89 was assistance of one with a walker for ambulation. Review of facility provided document titled Fall Investigation dated 4/30/24 at 6:15 AM, revealed Resident #89 had a fall…

    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
  • Potential for harm · Ecited before2026-04-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 observations, staff interviews and policy review the facility failed to properly store and label food items with open dates. The facility failed to identify items that were outside of original packaging and did not discard expired items. The facility did not complete appropriate hand hygiene when preparing food in accordance with professional standards. The facility reported a census of 85 residents. Findings include:On 4/13/26 at 11:20 AM during the initial kitchen observation freezer items observed opened without an open date include chicken wings, corn beef, chicken patties, white turkey patties, meat balls, bread dough (rolls), large box of multiple resealable plastic bags of different kinds of frozen meat that were not specified to the type of meat on any of the bags and coffee cake in original plastic container with best by date of 2/13/26.On 4/13/26 at 11:30 AM the walk in freezer revealed vegetable soup in a plastic container with green lid dated 2/4/26, cheese soup in plastic container with green lid dated 2/12/26, strawberry ice cream in an individual cups with a…

    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 · Ecited before2026-04-16 · tag F0880 — failed to prevent and control infections — pattern
    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, Electronic Health Records (EHR) review, policy review and staff interview the facility failed to provide appropriate infection prevention practices when providing care to a resident with a Percutaneous Endoscopic Gastrostomy (PEG) tube, that was on Enhanced Barrier Precautions (EBP) for 1 of 1 reviewed (Resident #8) and with missed opportunities for hand hygiene when personal cares were completed on a resident with a catheter for 1 of 3 reviewed (Resident #3). The facility reported a census of 85 residents.Findings include:1. The Minimum Data Set (MDS) dated [DATE] revealed Resident #3 had a Brief Interview for Mental Status (BIMS) of 15 indicating no cognitive impairment. The MDS documented Resident #3 utilized an indwelling catheter. An observation on 4/15/26 at 9:12 AM of catheter cares completed on Resident #3 by Staff F, Certified Nurse Assistant (CNA) and Staff G, CNA. The observation revealed Staff F and Staff G applied gowns, complete hand hygiene, apply gloves, obtain warm wash…

    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 · D2025-10-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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, interview and record review the facility failed to provide timely assessment and interventions for 1 of 3 residents reviewed. Resident #1 reported signs and symptoms of a Urinary Tract Infection (UTI) and staff did not follow through to get a urinalysis (UA) order until 6 days later. The clinical chart lacked vital signs and nursing notes during this timeframe. The facility reported a census of 84 residents.Findings include:According to the Minimum Data Set (MDS) dated [DATE] Resident #1 had a Brief Interview for Mental Status (BIMS) score of 8 (moderate cognitive deficits) She was totally dependent on staff for toileting hygiene, dressing, and transfers. She was always incontinent of urine and bowel. Her diagnoses included: anemia, dementia, stress incontinence and pain. The Care Plan updated on 1/24/25 showed Resident #1 required staff assistance with activities of daily living. Staff were to check and change and provide peri cares. On 3/16/25 and on 9/13/25 found to have UTI. Staff were…

    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
  • Potential for harm · Ecited before2025-03-27 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 clinical record review, staff interview and policy review the facility failed to develop a care plan to address risk factors and interventions for 4 out of 21 residents reviewed for comprehensive care plans (Residents #21, #73, #33, and #78).The facility reported a census of 89 residents. Findings include: 1. Resident #21's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 03, indicating severe cognitive impairment. Resident #21's MDS included diagnoses of non-alzheimer's dementia, depression, alcohol dependence with alcohol-induced persisting dementia, restlessness and agitation. The MDS documented Resident #21 was taking antipsychotic medication during the 7 day look back period. A Physician Order dated 9/10/24 directed staff to administer Risperdal (antipsychotic medication) 0.5 MG (milligrams) one time a day related to increased behaviors. Review of the Care Plan with a target date of 6/2/25 revealed the antipsychotic medication, target…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-27 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 clinical record review, staff interviews, Centers for Disease Control and Prevention (CDC) guidelines and facility policy review, the facility failed to screen for eligibility, offer, provide education and document vaccine consent or refusal for the COVID-19 (coronavirus disease) immunization for 4 of 5 resident reviewed (Resident #12, #21, #40 and #77). The facility reported a census of 89 residents. Findings include: 1. Resident #12's Minimum Data Set (MDS) dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 04, indicating severe cognitive impairment. The MDS documented Resident #12 was not up to date with the COVID-19 vaccination. Review of the clinical record revealed Resident #12 had received a COVID vaccination on 10/24/21. The clinical record lacked documentation that Resident #12 or responsible party was educated, offered a consent for or refusal of an additional COVID-19 vaccination since 10/24/21. 2. Resident #21's MDS dated [DATE] assessment identified a BIMS score of…

    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 F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 clinical record review, staff interviews, and facility policy, the facility failed to notify the physician regarding a change in a resident's condition after a fall (Resident #5). The facility reported a census of 89 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #5 documented diagnosis of anemia, neurogenic bladder and chronic obstructive pulmonary disease (COPD). The MDS showed the Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. The Progress Notes on 1/23/25 at 9:48 PM revealed a nurse was called to Resident #5's room by the certified nursing assistants(CNA). Resident #5 was noted to be on her left side on the floor. Resident #5 stated she slid forward from her wheelchair prior to transferring to the toilet. Resident #5 stated she landed on her knees and then her left side/hip. Resident #5 received a bruise/contusion to her left hand third digit. Resident #5 denies pain. The facility Progress Notes further…

    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 · D2025-03-27 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview, facility investigation review and policy review the facility failed to report an allegation of abuse within 2 hours to the Iowa Department of Inspections, Appeals and Licensing (DIAL) for 2 of 2 residents reviewed (Residents #21 and #49). The facility also failed to report the allegation of abuse/suspected crime to the law enforcement center. The facility reported a census of 89 residents. Findings include: A facility investigation titled Resident to Resident Incident documented that on 3/21/24 during the supper meal Resident #21 was sitting at his table and made a negative comment to Resident #49 as he was walking by to sit in the dining room. Resident #49 heard the comment, made a negative comment back, and went over and slapped Resident #21 on the right side of his neck. The nurse was present, intervened and directed both men away from each other. Review of document titled Intake Information revealed the facility filed an allegation for abuse to DIAL related to a Resident to Resident Altercation for Resident #21 and Resident #49…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 record review and staff interview, the facility failed to ensure the resident's Minimum Data Set (MDS) assessment accurately reflected the resident's status for 1 of 21 residents reviewed (Resident #78). The facility reported a census of 89 residents. Findings include: According to the MDS assessment dated [DATE], Resident #78 scored 12 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident's diagnoses included schizophrenia. The MDS documented no to question A1500 indicating the resident was not currently considered by the state level 2 Preadmission Screening and Resident Review (PASRR) process to have serious mental illness. The Notice of Level 2 PASRR Outcome dated 8/2/24 documented the resident met inclusion for PASRR based on her diagnosis of paranoid schizophrenia and delusional disorder, and her need for help taking care of herself. Since the evaluation determined the resident had a PASRR condition, the facility should mark yes for question A1500 on…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-27 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    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 record review and staff interview, the facility failed to incorporate the recommendations from the Pre-admission Screening and Resident Review (PASRR) evaluation report into a resident's assessment, care planning, and transition of care for 1 resident reviewed (Resident #78). The facility reported a census of 89 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #78 scored 12 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident's diagnoses included schizophrenia. The MDS documented no to question A1500 indicating the resident was not currently considered by the state Level 2 PASRR process to have serious mental illness. The Notice of Level 2 PASRR Outcome dated 8/2/24 documented the resident met inclusion for PASRR based on her diagnosis of paranoid schizophrenia and delusional disorder, and her need for help taking care of herself. Since the evaluation determined the resident had a PASRR condition, 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 observations, record review, staff interviews and policy reviews, the facility failed to change and label oxygen tubing for 1 of 2 residents reviewed (Resident #33). The facility reported a census of 89. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #33 documented diagnoses of chronic obstructive pulmonary disease (COPD), hypertension, and depression. The MDS showed the Brief Interview for Mental Status (BIMS) score of 10, indicating moderate cognitive impairment. Observation on 3/24/25 at 2:03 PM, revealed Resident #33 had a date of 11/15/24 on the oxygen tubing with initials of a staff member. Observation on 3/25/25 at 1:46 PM, revealed Resident #33 had a date of 11/15/24 on the oxygen tubing with initials of a staff member. Interview on 3/24/25 at 2:03 PM, with Resident #33 revealed she doesn't need to have the oxygen on all the time, stating she can wear it when she wants or needs to. Review of the November 2024 TAR revealed the oxygen tubing was changed on 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · Dcited before2025-01-02 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 record review and staff interview, the facility failed to notify the family/responsible party of a change in the resident's condition requiring physician's notification for 2 of 3 residents reviewed (Resident #2 and #3). The facility reported a census of 90 residents. Findings include: 1) According to the Minimum Data Set (MDS) assessment dated [DATE] Resident #2 scored 10 on the Brief Interview for Mental Status (BIMS) indicating moderate cognitive impairment. The resident's diagnoses included diabetes. The Care Plan initiated 4/19/24 identified Resident #2 had increased nutritional needs for healing and maintenance of skin. Interventions included giving diabetic medications and insulins as ordered, monitoring for hyper/hypoglycemia: shakiness,dizziness, sweating,increased thirst, fatigue,and blurred vision. The resident used a continuous glucose monitor, change as ordered and read blood sugars as ordered. The Clinical Resident Profile page showed Resident #2 had 3 family members with phone numbers to…

    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 · Ecited before2024-05-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff documentation, staff interview, policy review, & observations, the facility failed to ensure resident dishes and kitchen equipment reached the appropriate sanitizing hot temperature when utilizing the dish machine to reduce the risk of bacteria growth and cross contamination with 3 out of 4 dish machines in the facility. The facility failed to ensure food thermometers were sanitized appropriately when obtained food temperatures. The facility reported a census of 90 residents. Findings include: 1. During kitchen observations on 5/8/24at 12:30pm, the first-floor kitchen dish machine temperature log reviewed. For the month of May (the 1st through the 7th), 4 days were completely filled out, 2 days were left completely blank, and 1 day partially completed. No temperatures were documented for May 8th. Rinse temperatures that were written down noted between 160-185 degrees . For the month of April, 24 days were completely filled out, 5 days were partially completed, and no temperatures documented for 1…

    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 · D2024-05-09 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, the facility failed to complete the appropriate Minimum Data Set (MDS) assessment for 1 resident reviewed for discharge (Resident #87). The facility reported a census of 90 residents. Findings include: The Clinical MDS page dated 5/7/24 showed Resident #87 entered the facility on 12/28/23. The resident had an admission assessment completed 1/1/24. The Progress Notes dated 2/29/24 at 1:34 p.m. documented the resident discharged home with her spouse. The Clinical MDS page dated 5/7/24 documented the discharge assessment reference date (ARD) of 2/29/24, to be completed by 3/14/24. No additional assessments were completed. On 5/8/24 at 10:00 a.m. Staff K, Nurse Manager (NM) stated she did not do MDS's, but the discharge MDS should have been completed. On 5/8/24 at 10:25 a.m. Staff J, NM looked on her list for the date the resident discharged and did not have Resident #87 on her list, so she did not do the discharge MDS for her. She did not know if Staff H, NM had the resident on her list, but she could see she did not have her discharge MDS…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-09 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    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 record review and staff interview, the facility failed to submit a Level 2 Preadmission Screening and Resident Review (PASSR) evaluation for 1 of 2 resident reviewed with a new mental health diagnosis and medication revision (Resident #5). The facility reported a census of 90. Findings include: The Minimal Data Set (MDS) dated [DATE] documented Resident #5 had a Brief Interview for Mental Status (BIMS) of 11 indicating a moderate cognitive impairment. The MDS further documented the resident had diagnoses including anxiety, depression, & psychotic disorder. The MDS reports the use of high-risk medications including an antipsychotic, antidepressant, diuretic, and antiplatelet medications. Clinical record review of the current medication orders, as of 5/9/24, include Sertraline HCl 50 mg, Give 1 tablet by month one time a day related to anxiety disorder and Seroquel 50mg, give tablet by mouth two times per day related to delusional disorders. Resident #5's current Care Plan, dated 4/19/24, indicated a…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-09 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 clinical record review, staff interview and policy review the facility failed to develop a care plan to address risk factors and interventions for 2 out of 18 residents (Residents #22 and #15) reviewed for comprehensive care plans.The facility reported a census of 90 residents. Findings include: 1. The Minimum Data Set (MDS) assessment for Resident #22 dated 2/12/24 identified a Brief Interview for Mental Status (BIMS) score of 13, which indicated intact cognition. The MDS included diagnoses of urinary tract infection in the last 30 days, neurogenic bladder (lack bladder control due to brain, spinal cord or nerve problems) and parkinsonism. The MDS documented Resident #22 received antibiotic medication during the assessment period (last 7 days). A Physician Order dated 11/16/23 directed staff to administer Cephalexin (antibiotic) 500 mg (milligrams) by mouth one time a day for chronic cystitis (bladder infection) without hematuria (blood in urine). A Physician Order dated 11/18/23 directed staff to…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, staff interviews, resident interview and policy review, the facility failed to change oxygen tubing for 1 of 2 resident reviewed (Resident #8) for respiratory services. The facility reported a census of 90 residents. Findings Include: The Minimum Data Set (MDS) assessment for Resident #8 dated 3/9/24 identified a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. The MDS included diagnoses of heart failure (inability for the heart to pump enough blood), chronic respiratory failure with hypoxia, pneumonia and obstructive sleep apnea. The MDS documented Resident #8 was on oxygen therapy while a resident at the facility. The Care Plan dated 4/22/24 identified Resident #8 wore continuous oxygen and a CPAP machine (continuous positive airway pressure) (machine that used mild air pressure to keep breathing airways open while you sleep) at night. The April 2024 Treatment Administration Record (TAR) directed staff to change the oxygen tubing on the 15th of each month and to mark the tubing with the date using paper…

    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
  • Potential for harm · D2024-05-09 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview and facility policy review, the facility failed to provide an appropriate clinical rationale for a gradual dose reduction (GDR) declination for 1 out of 3 residents reviewed for unnecessary medications. (Resident #14) The facility reported a census of 90 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #14 dated 4/29/24 identified a Brief Interview for Mental Status (BIMS) score of 8, which indicated moderately impaired cognition. The MDS included diagnoses of anxiety and depression. The MDS documented Resident #14 received an antidepressant and antianxiety medication 7 days during the assessment period (last 7 days). A Physician Order dated 2/3/2023 directed staff to administer Risperdal (antipsychotic) 1mg (milligrams) by mouth every night. A Physician Order dated 2/3/2023 directed staff to administer Sertraline (antidepressant) 150mg by mouth daily. A facility form named Physician Information/Request dated 12/3/23 documented the physician response for a gradual dose reduction (GDR) request for…

    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 · D2024-05-09 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. An email dated 5/8/24 from the Administrator documented the facility had 1 resident on the lower level with a pureed diet (Resident #48). The Clinical Physician's Orders dated 5/9/24 documented Resident #48 had an order for a pureed texture diet. On 5/8/24 at 11:49 a.m. food for the noon meal arrived to the lower level. Staff transferred food to the steam table and took temperatures of the food. Staff M, [NAME] stated having 1 pureed diet on the lower level, Resident #48. Staff M sorted menus and the dietary aide served resident's liquids. Staff M put on pink gloves and started serving the resident's food. Staff M served the resident on a pureed diet a #12 scoop of pureed meat. When the meal service ended, Staff M verified only serving the resident on a pureed diet a #12 scoop of pureed meat. There were 2, #12 scoops of pureed hamburger remaining. On 5/9/24 at 2:00 p.m. during the exit conference the Dietary Manager confirmed the resident should have received a #8 and a #12 scoop of the pureed hamburger at…

    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 · Dcited before2024-05-09 · 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 observations, record review and staff interview, the facility failed to provide infection prevention practices by not performing appropriate cleaning of the tube adaptor for 1 of 1 resident (Resident #53). The facility reported a census of 90. Findings include: The Minimum Data Set (MDS) dated [DATE] indicated the Brief Interview for Mental Status (BIMS) should not be completed on Resident #53. The MDS documented the Resident was dependent on staff for all cares and relies on tube feeding to meet 51% or more of total calories and fluid intake daily. Medical diagnoses on the MDS included diabetes, renal insufficiency, cerebral palsy, seizure disorder/epilepsy, asthma/chronic obstructive pulmonary disease (COPD)/chronic lung disease, hypoxemia, and gastroparesis. Clinical records review indicated Resident #53 had a diet order of nothing by mouth (NPO). Dietary needs are provided through a gastric tube (g-tube). Resident #53 receives Glucerna 1.5 120ml 1x/day; Glucerna 1.5 at 70ml/hour for 12 hours. Review…

    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 · D2024-05-09 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    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 record review and staff interview, the facility failed to maintain a system to monitor long term use of antibiotics for 2 of 3 residents reviewed (Resident #61 and #15). The facility reported a census of 90 residents. Findings include: 1. Resident #61's Order Details report dated 11/12/22 documented the order for Bactrim DS (double strength) give 1 tablet by mouth one time a day related to bacteriuria (presence of bacteria in the urine) with no end date. The (current) Clinical Physician's Orders dated 5/9/24 for Resident #61 documented Resident #61 continued with the order for Bactrim DS give 1 tablet by mouth one time a day related to bacteriuria. The clinical record lacked documentation the facility monitored the long term use of Resident #61's antibiotic. On 5/9/24 at 9:25 a.m. the Infection Preventionist stated they had not had a system in place to monitor long term use of antibiotics to assure they were still necessary. The undated facility policy, Antibiotic Stewardship Program identified 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

“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. 1 Medicare payment denial on record.

  • Medicare payment denial — starting 2024-06-06 for 7 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleSince
ARCHER, DAVIDIndividualCORPORATE DIRECTORsince 01/01/2017
BENNETT, ROBERTIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2006
CAMPBELL, STEVENIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2015
DEHAAN, DEBRAIndividualCORPORATE DIRECTORsince 01/01/2020
DENTLINGER, JOLEENIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2002
FORT, CLARKIndividualCORPORATE DIRECTORsince 01/01/2023
FRIEDRICH, DAVIDIndividualCORPORATE DIRECTORsince 01/01/2003
HECHT, JENNIFERIndividualCORPORATE DIRECTORsince 01/01/2012
KIBOKO, KIBOKOIndividualCORPORATE DIRECTORsince 09/01/2020
PATTEN, ALLENIndividualCORPORATE DIRECTORsince 01/01/2022
SCHUELKE, SCOTTIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2008
TURNER, CARLIndividualCORPORATE DIRECTORsince 01/01/2022
GENERATIONS SENIOR MANAGEMENT, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
LTC ACCOUNTING SERVICES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
WILLIAMS & COMPANY PCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
GONZALEX, LUZIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/07/1999
HUISENGA, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
LANDGRAF, NICHOLASIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/27/2012
PETERSON, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/09/1999
SHANNON, TINAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/10/1990
STEVENSON, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/19/2017

CMS files one row per role, so the 34 rows in the source record cover these 21 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.

3 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.

$12.6M
Net patient revenuemost recent cost report
-1.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 29%Medicare 5%Other / private 65%

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

$249per resident / day
operating cost
$7,564per month
≈ monthly operating cost
$245per 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 165359. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-16, 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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