Boone, IA

Eastern Star Masonic Home

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

715 West Mamie Eisenhower, Boone, IA

(515) 432-5274

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

76

Certified beds

Average residents

74

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2002-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing

LPN hours / resident day

0.66

Licensed practical nurse staffing

Aide hours / resident day

2.65

Nurse aide staffing

Weekend hours

3.27

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.4
1.5
1.1 pts better
1.9
1.5 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
2.1
0.4 pts better
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
94.0%
5.6 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4%
95.2%
0.8 pts worse
95.5%
1.1 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
3.7%
3.3 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 11.6%
4.0%
7.6 pts worse
11.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 13.2%
4.9%
8.3 pts worse
5.4%
7.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.2%
20.6%
2.4 pts better
19.6%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 27.2%
19.8%
7.4 pts worse
16.7%
10.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 14.7%
18.5%
3.8 pts better
16.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.1%
18.3%
0.8 pts worse
14.9%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.0%
2.5%
2.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.5%
26.0%
2.5 pts better
19.8%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.6%
4.3%
1.7 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
84.3%
13.9 pts better
81.7%
16.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 22.3%
13.1%
9.2 pts worse
12.0%
10.3 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.6%
73.3%
4.3 pts better
79.7%
2.1 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.4%
21.3%
5.9 pts better
23.9%
8.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-18 · Fire 2024-07-18

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-09-14 · Fire 2023-09-14

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

14 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-24

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-05

F · Potential for more than minimal harm 2025-04-24

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-04-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-19

F · Potential for more than minimal harm 2025-04-24

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-04-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-04-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-04-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-23

F · Potential for more than minimal harm 2024-07-18

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-08-19

E · Potential for more than minimal harm 2024-07-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-07-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-07-26

F · Potential for more than minimal harm 2023-09-14

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-10-05

F · Potential for more than minimal harm 2023-09-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-10-19

F · Potential for more than minimal harm 2023-09-14

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-10-19

F · Potential for more than minimal harm 2023-09-14

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-10-05

F · Potential for more than minimal harm 2023-09-14

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-10-19

F · Potential for more than minimal harm 2023-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-09-14

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-10-19

F · Potential for more than minimal harm 2023-09-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-19

F · Potential for more than minimal harm 2023-09-14

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-10-02

F · Potential for more than minimal harm 2023-09-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-09-14

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-09-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-19

E · Potential for more than minimal harm 2023-09-14

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-09-19

E · Potential for more than minimal harm 2023-09-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-19

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-24

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 2025-05-15

D · Potential for more than minimal harm 2025-04-24

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-24

F758 · Pharmacy Service Deficiencies

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 2025-05-15

D · Potential for more than minimal harm 2025-04-24

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-15

D · Potential for more than minimal harm 2024-07-18

F584 · Resident Rights Deficiencies

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 2024-08-01

D · Potential for more than minimal harm 2024-07-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-18

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 2024-08-01

E · Potential for more than minimal harm 2024-04-09

F803 · Nutrition and Dietary Deficiencies

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 2024-04-29

E · Potential for more than minimal harm 2024-04-09

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 2024-04-29

F · Potential for more than minimal harm 2023-09-14

F803 · Nutrition and Dietary Deficiencies

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 2023-10-01

D · Potential for more than minimal harm 2023-09-14

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 2023-10-01

D · Potential for more than minimal harm 2023-09-14

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-09-14

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 2023-10-01

D · Potential for more than minimal harm 2023-09-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-01

D · Potential for more than minimal harm 2023-03-09

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-03-28

D · Potential for more than minimal harm 2023-03-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-03-28

D · Potential for more than minimal harm 2023-03-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-28

Penalties and ownership

What sits behind the stars

Ownership

Anderson, Joshua

Operational/Managerial Control · Individual

0% 1 facilities 2021-06-30
Brighton Consulting Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2024-10-01
Elsberry, April

Operational/Managerial Control · Individual

0% 1 facilities 2022-01-24
Henson, Cody

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-17
Hull, Tiffany

Operational/Managerial Control · Individual

0% 1 facilities 2024-06-10
Koss, Robert

Corporate Director · Individual

0% 1 facilities 2021-11-01
Metzger, Ashley

Operational/Managerial Control · Individual

0% 1 facilities 2017-05-01
Mishler, Christopher

Corporate Director · Individual

0% 1 facilities 2022-10-01
Ramlhun, Timothy

Corporate Director · Individual

0% 1 facilities 2021-11-01
Rossow, Julie

Operational/Managerial Control · Individual

0% 1 facilities 2020-09-21
Walsh, Christina

Operational/Managerial Control · Individual

0% 1 facilities 2022-11-01
Whitaker, John

Corporate Officer · Individual

0% 1 facilities 2022-10-22

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