Cycle 1
Health 2025-11-20 · Fire 2025-11-20
3 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Tipton, IA
Cedar Manor Nursing Home
4-star overall rating with 3-star inspections with $44,087 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1200 Mulberry Street, Tipton, IA
(563) 886-2133
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
54
Certified beds
Average residents
50
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-07-01
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
Hours and turnover
RN hours / resident day
0.82
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.30
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.81
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.12
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.45
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,752
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.22
Composite VBP score used to determine payment impact.
Payment multiplier
0.9821
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
0.91
Baseline 7.36% · Performance 7.56% · Measure score 0.91 · Achievement 0.91 · Improvement 0
Total nurse turnover
1.99
Baseline 13.33% · Performance 55.56% · Measure score 1.99 · Achievement 1.99 · Improvement 0
Adjusted total nurse staffing
2.87
Baseline 3.86 hours · Performance 3.89 hours · Measure score 2.87 · Achievement 2.87 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.51% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 4.92% · Lower 95% interval 6.33% |
| Discharge to community | 53.38% |
50.57%
2.8 pts better
|
No Different than the National Rate · Eligible stays 53 · Observed rate 50.94% · Lower 95% interval 45.01% |
| Medicare spending per beneficiary | 0.7 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 96% |
95.27%
0.7 pts better
|
Numerator 24 · Denominator 25 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 25 |
| Discharge self-care score | 31.82% |
53.69%
21.9 pts worse
|
Numerator 7 · Denominator 22 |
| Discharge mobility score | 45.45% |
50.94%
5.5 pts worse
|
Numerator 10 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 4% |
2.29%
1.7 pts worse
|
Numerator 1 · Denominator 25 · Adjusted rate 5.11% |
| Healthcare-associated infections requiring hospitalization | 7.56% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 4.17% |
| Staff COVID-19 vaccination coverage | 14.12% |
8.2%
5.9 pts better
|
Numerator 12 · Denominator 85 |
| Staff flu vaccination coverage | 41.67% |
42%
0.3 pts worse
|
Numerator 70 · Denominator 168 |
| Discharge function score | 45.45% |
56.45%
11 pts worse
|
Numerator 10 · Denominator 22 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.6 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
2.1
1.4 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
94.0%
1.8 pts better
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.7% · Q2 95.6% · Q3 97.9% · Q4 98.0% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
95.2%
2.7 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.7%
1.1 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.2% · Q3 4.2% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
4.0%
3.5 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
4.9%
1.7 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.1% · Q3 6.8% · Q4 9.1% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
20.6%
11 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.7% · Q3 9.1% · Q4 13.6% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.8% |
19.8%
1 pts worse
|
16.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 17.9% · Q3 17.6% · Q4 20.6% · 4Q avg 20.8% · 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 | 21.8% |
18.5%
3.3 pts worse
|
16.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q4 13.0% · 4Q avg 21.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.1% |
18.3%
8.8 pts worse
|
14.9%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 26.5% · Q3 30.6% · Q4 17.9% · 4Q avg 27.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.7%
0.4 pts better
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.5%
0.4 pts better
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.4% · Q3 4.2% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% |
26.0%
0.7 pts better
|
19.8%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 15.7% · Q3 17.1% · Q4 42.7% · 4Q avg 25.3% |
| Percentage of long-stay residents with pressure ulcers | 1.0% |
4.3%
3.3 pts better
|
5.1%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 2.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.0% |
84.3%
2.7 pts better
|
81.7%
5.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 72.0% · Q2 87.1% · Q3 95.8% · 4Q avg 87.0% |
| 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 · Q2 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 | 81.2% |
73.3%
7.9 pts better
|
79.7%
1.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.2% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-03 · Fire 2024-10-03
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-06-29 · Fire 2023-06-29
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-11-20
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-12-17
F · Potential for more than minimal harm
2025-11-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-12
F · Potential for more than minimal harm
2025-11-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-11-21
F · Potential for more than minimal harm
2024-10-03
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-08
F · Potential for more than minimal harm
2024-10-03
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-08
F · Potential for more than minimal harm
2024-10-03
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-12
F · Potential for more than minimal harm
2023-06-29
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-07-11
F · Potential for more than minimal harm
2023-06-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-18
E · Potential for more than minimal harm
2023-06-29
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-07-12
E · Potential for more than minimal harm
2023-06-29
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-07-14
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-11-20
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-16
D · Potential for more than minimal harm
2025-11-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-16
D · Potential for more than minimal harm
2025-11-20
F725 · Nursing and Physician Services Deficiencies
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 2025-12-16
D · Potential for more than minimal harm
2024-10-03
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-11-03
D · Potential for more than minimal harm
2024-10-03
F690 · Quality of Life and Care Deficiencies
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 2024-11-03
G · Actual harm
2024-05-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-09
G · Actual harm
2024-05-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-05-01
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-09
D · Potential for more than minimal harm
2024-05-01
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-05-09
G · Actual harm
2023-12-07
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-08
G · Actual harm
2023-06-29
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-07
E · Potential for more than minimal harm
2023-06-29
F800 · Nutrition and Dietary Deficiencies
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-07-07
E · Potential for more than minimal harm
2023-06-29
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-07
D · Potential for more than minimal harm
2023-06-29
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-07
D · Potential for more than minimal harm
2023-06-29
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2023-07-07
Penalties and ownership
What sits behind the stars
$24,099
2024-05-01
Fine
Fine · fine $24,099
Fine
$8,190
2023-12-07
Fine
Fine · fine $8,190
Fine
$11,798
2023-06-29
Fine
Fine · fine $11,798
Fine
Ownership
Clarence Nursing Home Inc
Operational/Managerial Control · Organization
Ford, Cathy
Corporate Director · Individual
Gama, Julie
Operational/Managerial Control · Individual
Jedlicka, Dale
Corporate Director · Individual
Jorgensen, James
Corporate Officer · Individual
Knipe, Teresa
Operational/Managerial Control · Individual
Miller, Bart
Operational/Managerial Control · Individual
Paul, Rhonda
Operational/Managerial Control · Individual
Pelzer, Michael
Corporate Officer · Individual
Salrin, Thomas
Corporate Officer · Individual
Schuett, Clayton
Operational/Managerial Control · Individual
Sloma-Weber, Heather
Corporate Director · Individual
Suchomel, Sue
Corporate Officer · Individual
Tjaden, Jason
Operational/Managerial Control · Individual
Valet, Callie
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Clarence Nursing Home
Clarence, IA
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Mechanicsville Specialty Care
Mechanicsville, IA
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Crestview Specialty Care
West Branch, IA
1-star overall rating with 1-star inspections with $263,922 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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