Story City, IA
1-star overall rating with 1-star inspections with abuse icon flag with $41,701 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
212 Lafayette Street, Story City, IA
(515) 733-4325
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
126
Certified beds
Average residents
118
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.62
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.03
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.54
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.05
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
5,165
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9904
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.93
Baseline 18.23% · Performance 20.07% · Measure score 2.93 · Achievement 2.93 · Improvement 0
Healthcare-associated infections
4.60
Baseline 5.07% · Performance 6.46% · Measure score 4.60 · Achievement 4.60 · Improvement 0
Total nurse turnover
5.53
Baseline 41.07% · Performance 41.07% · Measure score 5.53 · Achievement 5.53 · Improvement 0
Adjusted total nurse staffing
1.81
Baseline 4 hours · Performance 3.59 hours · Measure score 1.81 · Achievement 1.81 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.66% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 167 · Observed rate 4.19% · Lower 95% interval 5.82% |
| Discharge to community | 55.18% |
50.57%
4.6 pts better
|
No Different than the National Rate · Eligible stays 146 · Observed rate 54.11% · Lower 95% interval 46.66% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 83 · Denominator 83 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 83 |
| Discharge self-care score | 69.86% |
53.69%
16.2 pts better
|
Numerator 51 · Denominator 73 |
| Discharge mobility score | 69.86% |
50.94%
18.9 pts better
|
Numerator 51 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 1.2% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 83 · Adjusted rate 1.25% |
| Healthcare-associated infections requiring hospitalization | 6.46% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 4.17% · Lower 95% interval 3.7% |
| Staff COVID-19 vaccination coverage | 7.22% |
8.2%
1 pts worse
|
Numerator 19 · Denominator 263 |
| Staff flu vaccination coverage | 53.62% |
42%
11.6 pts better
|
Numerator 163 · Denominator 304 |
| Discharge function score | 71.23% |
56.45%
14.8 pts better
|
Numerator 52 · Denominator 73 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 41 · Denominator 41 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 58.97% |
25.2%
33.8 pts better
|
Numerator 23 · Denominator 39 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.1
0.8 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
94.0%
4.9 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.2% · Q4 97.3% · 4Q avg 98.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
95.2%
2.1 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% |
3.7%
1.1 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.6% · Q3 4.4% · Q4 6.2% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
4.0%
3.3 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
4.9%
1.9 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.4% · Q3 1.0% · Q4 1.0% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
20.6%
2 pts worse
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 22.5% · Q3 23.7% · Q4 23.0% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.1% |
19.8%
3.3 pts worse
|
16.7%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 21.1% · Q3 21.0% · Q4 26.4% · 4Q avg 23.1% · 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 | 25.8% |
18.5%
7.3 pts worse
|
16.3%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 21.6% · Q3 34.5% · Q4 24.2% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.6% |
18.3%
7.3 pts worse
|
14.9%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 14.0% · Q3 34.7% · Q4 26.3% · 4Q avg 25.6% · 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 0.9% · Q2 0.9% · 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 | 2.3% |
2.5%
0.2 pts better
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.8% · Q3 1.8% · Q4 3.6% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.1% |
26.0%
3.1 pts worse
|
19.8%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 28.6% · Q3 30.4% · Q4 29.1% · 4Q avg 29.1% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.3%
0.1 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.6% · Q3 3.2% · Q4 4.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
84.3%
12.6 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 94.1% · Q3 98.2% · Q4 100.0% · 4Q avg 96.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.7% |
13.1%
8.4 pts better
|
12.0%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.3% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.9%
1.1 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.6% |
73.3%
22.3 pts better
|
79.7%
15.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.7% |
21.3%
2.4 pts worse
|
23.9%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 20.3% · Expected 20.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-02-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-28
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-28
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 2025-02-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-28
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-03-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-14
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-03-14
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-04-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-03-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-13
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 2024-03-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-07
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-03-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-03-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-12-11
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-26
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-12-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-11-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-21
Health
Respond appropriately to all alleged violations.
Corrected 2025-11-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-10-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-25
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 2024-08-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-14
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 2024-04-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-14
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 2024-04-18
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-18
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-04-18
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-04-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-18
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 2024-04-18
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-18
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-04-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-27
Health
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.
Corrected 2023-11-22
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-01-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-01-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-01-02
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-02
Penalties and ownership
Fine · fine $41,701
Fine
Payment Denial · denial start 2024-03-28 · 47 days
47 day denial
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
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