15 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Missouri Valley, IA
1-star overall rating with 1-star inspections with 15 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1010 Longview Road, Missouri Valley, IA
(712) 642-2264
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Azria Health
Operator or chain grouping
Approved since
1997-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 1 overall / 2 health / 3 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.47
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.94
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
69%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
12,920
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Performance 22.31% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 6.93% · Performance 10.59% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.64
Baseline 48.23% · Performance 56.96% · Measure score 1.64 · Achievement 1.64 · Improvement 0
Adjusted total nurse staffing
2.21
Baseline 4.45 hours · Performance 3.71 hours · Measure score 2.21 · Achievement 2.21 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.91% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 8.47% · Lower 95% interval 6.22% |
| Discharge to community | 49.18% |
50.57%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 45.45% · Lower 95% interval 35.11% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 70 · Denominator 70 |
| Falls with major injury | 1.43% |
0.77%
0.7 pts worse
|
Numerator 1 · Denominator 70 |
| Discharge self-care score | 30% |
53.69%
23.7 pts worse
|
Numerator 15 · Denominator 50 |
| Discharge mobility score | 26% |
50.94%
24.9 pts worse
|
Numerator 13 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 11.43% |
2.29%
9.1 pts worse
|
Numerator 8 · Denominator 70 · Adjusted rate 8.75% |
| Healthcare-associated infections requiring hospitalization | 10.59% |
7.12%
3.5 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 22.5% · Lower 95% interval 6.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 125 |
| Staff flu vaccination coverage | 8.2% |
42%
33.8 pts worse
|
Numerator 15 · Denominator 183 |
| Discharge function score | 32% |
56.45%
24.5 pts worse
|
Numerator 16 · Denominator 50 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 16.13% |
25.2%
9.1 pts worse
|
Numerator 5 · Denominator 31 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.5
0.8 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.8 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.3 |
2.1
2.2 pts worse
|
1.8
2.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.3 · Observed 5.1 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% |
94.0%
6.1 pts worse
|
93.4%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 93.7% · Q3 83.8% · Q4 89.2% · 4Q avg 87.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
95.2%
3.3 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.7%
0.3 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.2% · Q3 4.1% · Q4 4.1% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
4.0%
0.8 pts better
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 7.2% · Q4 1.5% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 0.9% |
4.9%
4 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
20.6%
2.7 pts better
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 18.2% · Q3 13.6% · Q4 22.2% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.0% |
19.8%
11.2 pts worse
|
16.7%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 28.9% · Q3 32.7% · Q4 31.8% · 4Q avg 31.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.4% |
18.5%
12.9 pts worse
|
16.3%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 24.2% · Q3 39.5% · Q4 29.4% · 4Q avg 31.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.0% |
18.3%
11.7 pts worse
|
14.9%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 22.6% · Q3 34.4% · Q4 27.1% · 4Q avg 30.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.1% |
1.7%
2.4 pts worse
|
1.0%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.8% · Q3 3.1% · Q4 5.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.1% |
2.5%
0.6 pts worse
|
1.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.5% · Q3 2.8% · Q4 2.7% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.5% |
26.0%
5.5 pts worse
|
19.8%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.2% · Q2 28.3% · Q3 31.8% · Q4 27.5% · 4Q avg 31.5% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
4.3%
2.3 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 8.6% · Q3 6.2% · Q4 7.7% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.3% |
84.3%
47 pts worse
|
81.7%
44.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 64.4% · Q2 46.9% · Q3 31.2% · Q4 16.2% · 4Q avg 37.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.6% |
13.1%
11.5 pts worse
|
12.0%
12.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.6% · Observed 25.5% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
1.9%
1.1 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 3.1% · Q4 3.1% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 39.1% |
73.3%
34.2 pts worse
|
79.7%
40.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 39.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
21.3%
0.1 pts better
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 23.6% · Expected 26.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-07-09
Fire Safety
Use approved construction type or materials.
Corrected 2025-07-09
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-07-09
Fire Safety
Have an externally vented heating system.
Corrected 2025-07-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-09
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-08-23
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-23
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-23
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-05-09
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-05-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-09
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-09
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2023-05-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-11
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-11
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-10-10
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-12-19
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-08-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-20
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-20
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-06-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-20
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-06-20
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-24
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-19
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-07-19
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-19
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-07-19
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-07-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-16
Health
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.
Corrected 2023-06-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-16
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-06-16
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-16
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-06-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-16
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-06-16
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-06-16
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-16
Penalties and ownership
Payment Denial · denial start 2024-08-15 · 8 days
8 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
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