Cycle 1
Health 2025-08-14 · Fire 2025-08-14
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cresco, IA
Evans Senior Living Community
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
1010 North Elm Street, Cresco, IA
(563) 547-2364
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
43
Certified beds
Average residents
31
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Healthcare Of Iowa
Operator or chain grouping
Approved since
2003-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 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
Hours and turnover
RN hours / resident day
0.66
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.80
CMS adjusted RN staffing hours
Adjusted total hours
4.43
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
431
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.11
Composite VBP score used to determine payment impact.
Payment multiplier
1.0224
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
9.31
Baseline 35.90% · Performance 25.64% · Measure score 9.31 · Achievement 9.31 · Improvement 8.78
Adjusted total nurse staffing
4.71
Baseline 4.31 hours · Performance 4.42 hours · Measure score 4.71 · Achievement 4.71 · Improvement 0.24
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.05% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 12.2% · Lower 95% interval 7.93% |
| Discharge to community | 48.38% |
50.57%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 42.42% · Lower 95% interval 35.46% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 23 · Denominator 23 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 23 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 8.7% |
2.29%
6.4 pts worse
|
Numerator 2 · Denominator 23 · Adjusted rate 10.37% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 1.18% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 85 |
| Staff flu vaccination coverage | 64.29% |
42%
22.3 pts better
|
Numerator 63 · Denominator 98 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · 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 | 2.3 |
1.5
0.8 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.0 |
2.1
1.9 pts worse
|
1.8
2.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 4Q avg 94.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
3.7%
0.4 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 2.9% · Q3 3.6% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.0%
4 pts better
|
11.4%
11.4 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 who lose too much weight | 6.3% |
4.9%
1.4 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 3.7% · Q3 4.3% · Q4 10.0% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.7% |
20.6%
7.9 pts better
|
19.6%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 13.8% · Q3 16.7% · Q4 13.6% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
19.8%
11 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 13.0% · 4Q avg 8.8% · 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 | 9.0% |
18.5%
9.5 pts better
|
16.3%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.1% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.1% |
18.3%
5.2 pts better
|
14.9%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 7.1% · Q3 8.7% · Q4 19.0% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
1.7%
0.4 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
2.5%
1 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.1% · Q3 3.7% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.3% |
26.0%
7.3 pts worse
|
19.8%
13.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 41.8% · Q3 28.9% · Q4 28.5% · 4Q avg 33.3% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
4.3%
1.3 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.7% · Q3 0.0% · Q4 8.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
84.3%
14.6 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.2% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 29.4% |
13.1%
16.3 pts worse
|
12.0%
17.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 28.0% · Expected 10.6% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
73.3%
26.7 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.7% |
21.3%
10.4 pts worse
|
23.9%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.7% · Observed 28.0% · Expected 21.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-19 · Fire 2024-09-19
0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-06-15 · Fire 2023-06-15
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-08-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-14
F · Potential for more than minimal harm
2024-09-19
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-17
E · Potential for more than minimal harm
2024-09-19
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-09-19
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-24
E · Potential for more than minimal harm
2024-09-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-25
E · Potential for more than minimal harm
2024-09-19
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-09-19
K321 · Smoke Deficiencies
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 2024-09-25
E · Potential for more than minimal harm
2023-06-15
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-15
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 2023-06-26
D · Potential for more than minimal harm
2023-06-15
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-06-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-30
Penalties and ownership
What sits behind the stars
Ownership
Bowser, Rachel
Operational/Managerial Control · Individual
Brace, Matthew
Corporate Director · Individual
Easler, Susan
Corporate Director · Individual
Hughes, Jarold
Corporate Director · Individual
Kacher, Brendon
Corporate Director · Individual
Kacher, Brendon
Corporate Officer · Individual
Maher, Jon
Operational/Managerial Control · Individual
Midthus, Brian
Corporate Officer · Individual
Noe, Harold
Corporate Director · Individual
Noe, Harold
Corporate Officer · Individual
Putnam, Tiffany
Operational/Managerial Control · Individual
Rice, Heidi
Corporate Director · Individual
Rice, Heidi
Corporate Officer · Individual
Rice, Kathy
Corporate Director · Individual
Stevenson, Tammy
Corporate Director · Individual
Nearby options
Other facilities in reach
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Accura Healthcare of Cresco
Cresco, IA
1-star overall rating with 1-star inspections with 22 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Gundersen Harmony Care Center
Harmony, MN
5-star overall rating with 5-star inspections with $12,649 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Green Lea Senior Living
Mabel, MN
1-star overall rating with 1-star inspections with 15 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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