12 health deficiencies
Top issue: Resident Rights (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Mediapolis, IA
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
608 Prairie Street, Mediapolis, IA
(319) 394-3991
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
62
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Azria Health
Operator or chain grouping
Approved since
1994-05-01
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
0.64
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.47
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.11
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.08
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.16
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
6,012
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9883
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.65
Baseline 19.72% · Performance 19.74% · Measure score 3.65 · Achievement 3.65 · Improvement 0
Healthcare-associated infections
4.29
Baseline 6.58% · Performance 6.55% · Measure score 4.29 · Achievement 4.29 · Improvement 0
Total nurse turnover
1.96
Baseline 75.00% · Performance 62.69% · Measure score 1.96 · Achievement 0 · Improvement 1.96
Adjusted total nurse staffing
3.82
Baseline 3.61 hours · Performance 4.17 hours · Measure score 3.82 · Achievement 3.82 · Improvement 2.06
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.29% |
10.72%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 92 · Observed rate 18.48% · Lower 95% interval 9.56% |
| Discharge to community | 46.36% |
50.57%
4.2 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 42.11% · Lower 95% interval 35.94% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 56 · Denominator 56 |
| Falls with major injury | 1.79% |
0.77%
1 pts worse
|
Numerator 1 · Denominator 56 |
| Discharge self-care score | 35.9% |
53.69%
17.8 pts worse
|
Numerator 14 · Denominator 39 |
| Discharge mobility score | 25.64% |
50.94%
25.3 pts worse
|
Numerator 10 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 56 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.55% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 46 · Observed rate 4.35% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 2.53% |
8.2%
5.7 pts worse
|
Numerator 2 · Denominator 79 |
| Staff flu vaccination coverage | 9.32% |
42%
32.7 pts worse
|
Numerator 11 · Denominator 118 |
| Discharge function score | 28.21% |
56.45%
28.2 pts worse
|
Numerator 11 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 31.03% |
25.2%
5.8 pts better
|
Numerator 9 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.1
0.5 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
94.0%
0.2 pts worse
|
93.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 100.0% · Q3 97.7% · Q4 100.0% · 4Q avg 93.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.2% |
95.2%
4 pts worse
|
95.5%
4.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.7%
0.1 pts better
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 4.5% · Q4 6.4% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
4.0%
3.4 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
4.9%
2.2 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.5% · Q3 7.1% · Q4 15.2% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.3% |
20.6%
3.7 pts worse
|
19.6%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 16.7% · Q3 27.9% · Q4 32.6% · 4Q avg 24.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
19.8%
10.3 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 8.1% · Q3 9.1% · Q4 11.4% · 4Q avg 9.5% · 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 | 21.0% |
18.5%
2.5 pts worse
|
16.3%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 29.8% · Q3 27.7% · Q4 18.0% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.6% |
18.3%
6.3 pts worse
|
14.9%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 31.9% · Q3 26.8% · Q4 22.7% · 4Q avg 24.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.7%
1.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 12.1% |
2.5%
9.6 pts worse
|
1.7%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 16.3% · Q3 11.6% · Q4 19.1% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.4% |
26.0%
0.6 pts better
|
19.8%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 30.7% · Q3 20.3% · Q4 28.2% · 4Q avg 25.4% |
| Percentage of long-stay residents with pressure ulcers | 6.3% |
4.3%
2 pts worse
|
5.1%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 0.0% · Q3 4.9% · Q4 13.3% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.7% |
84.3%
8.6 pts worse
|
81.7%
6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 64.7% · Q2 74.5% · Q3 80.6% · Q4 78.2% · 4Q avg 75.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 24.9% |
13.1%
11.8 pts worse
|
12.0%
12.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 25.0% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.9%
1.9 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.1% |
73.3%
7.8 pts better
|
79.7%
1.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
21.3%
0.6 pts worse
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 22.5% · Expected 24.5% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Resident Assessment and Care Planning (9 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-08-29
Fire Safety
Use approved construction type or materials.
Corrected 2025-08-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-08-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-29
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-08-29
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-08-29
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-10-04
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-04
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-04
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-01-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-07
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-01-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-07
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-01-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-07
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-01-07
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-02-25
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-02-25
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-12-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-04
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-04
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 2025-09-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-04
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-09-04
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-04
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-09-29
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-09-29
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-09-29
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-09-29
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-07-11
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-11
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-01-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-12
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-12
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-01-12
Health
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
Corrected 2024-01-12
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-01-12
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-12
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-01-12
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2024-01-12
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-01-12
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-12
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-01-12
Health
Assess the resident when there is a significant change in condition
Corrected 2024-01-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-12
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-12
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 2024-01-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-12
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-01-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-12
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-01-12
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-01-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-12
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-01-12
Health
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.
Corrected 2024-01-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
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