Federal inspection record · CMS data as of October 1, 2026
Deerfield Health Care Center
13731 Hickman Road, Urbandale, IA · (515) 331-6900
- CMS high-performer trophy
- Certified beds
- 30
- Residents per day
- 24
- Ownership
- Non-Profit
- Chain
- Immanuel
- Medicare / Medicaid
- Medicare
- Certified since
- July 22, 2005
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Deerfield Health Care Center carries 5 inspection points. That is fewer than 92% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
4 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service1D
- D
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.
Inspection history
2026-05-07
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-03-27
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2024-04-25
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 52 min of nursing staff time a day, 1 h 36 min of it from a registered nurse.
This home
5 h 52 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 27% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts better | 0.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 95.7% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 4.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts worse | 6.4% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts worse | 27.1% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.3 pts better | 13.5% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.8 pts better | 6.8% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts worse | 28.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 3.5% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts better | 91.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts better | 9.1% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.8 pts better | 96.2% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse | 22.9% | 20.7% | 23.4% |
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Who owns and runs it
38 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alloway, Cindy | Corporate Director · Individual | 0% | 3 facilities |
| Balluff, Mary | Corporate Director · Individual | 0% | 3 facilities |
| Bear, Scott | Contracted Managing Employee · Individual | 0% | 3 facilities |
| Bear, Scott | Corporate Officer · Individual | 0% | 3 facilities |
| Bear, Scott | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Benson, Ellsworth | Corporate Director · Individual | 0% | 3 facilities |
| Bergman-Evans, Brenda | Corporate Director · Individual | 0% | 3 facilities |
| Bothof, John | Corporate Director · Individual | 0% | 3 facilities |
| Bothof, John | Corporate Officer · Individual | 0% | 3 facilities |
| Bullock, Steve | Corporate Director · Individual | 0% | 3 facilities |
| Burns, Randal | Corporate Director · Individual | 0% | 3 facilities |
| Friedlund, Danny | Corporate Director · Individual | 0% | 3 facilities |
| Gurley, Eric | Contracted Managing Employee · Individual | 0% | 3 facilities |
| Gurley, Eric | Corporate Director · Individual | 0% | 3 facilities |
| Gurley, Eric | Corporate Officer · Individual | 0% | 3 facilities |
| Gurley, Eric | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Hanson, Scott | Contracted Managing Employee · Individual | 0% | 6 facilities |
| Hawlik, Teresa | Corporate Director · Individual | 0% | 3 facilities |
| Howerter, Scott | Corporate Director · Individual | 0% | 3 facilities |
| Hudnutt, Kari | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hudnutt, Kari | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johnson, Scott | Corporate Director · Individual | 0% | 4 facilities |
| Mason, Kimberly | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Mason, Kimberly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nichols, Clarence | Corporate Director · Individual | 0% | 3 facilities |
| Nichols, Clarence | Corporate Officer · Individual | 0% | 3 facilities |
| Paladino-Kaminski, Julie | Contracted Managing Employee · Individual | 0% | 3 facilities |
| Paladino-Kaminski, Julie | Corporate Officer · Individual | 0% | 3 facilities |
| Paladino-Kaminski, Julie | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Parker, Mary | Corporate Director · Individual | 0% | 3 facilities |
| Powers, Jill | Corporate Director · Individual | 0% | 4 facilities |
| Powers, Jill | Corporate Officer · Individual | 0% | 4 facilities |
| Scanlan, Steven | Corporate Director · Individual | 0% | 3 facilities |
| Sealer, Tamara | Contracted Managing Employee · Individual | 0% | 3 facilities |
| Sealer, Tamara | Corporate Officer · Individual | 0% | 3 facilities |
| Sealer, Tamara | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Skolkin, Andrea | Corporate Director · Individual | 0% | 3 facilities |
| Thompson, Roger | Corporate Director · Individual | 0% | 3 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
-
Walnut Ridge
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 56 min
- Fines
- $0
-
Arbor Springs of West Des Moines L L C
West Des Moines, IA
★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 5 h 40 min
- Fines
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-
Cedar Ridge Village
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 22 min
- Fines
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