Cedar Rapids, IA

Living Center West

3-star overall rating with 2-star inspections with $72,070 in total fines with 2 recent health deficiencies

1050 4th Avenue SE, Cedar Rapids, IA

(319) 366-8714

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.40

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.09

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.50

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

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

3.59

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,479

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.55

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

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

1.17

Baseline 57.32% · Performance 58.90% · Measure score 1.17 · Achievement 1.17 · Improvement 0

Adjusted total nurse staffing

3.54

Baseline 3.87 hours · Performance 4.09 hours · Measure score 3.54 · Achievement 3.54 · Improvement 0.64

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.75%	10.72% About the same	No Different than the National Rate · Eligible stays 28 · Observed rate 14.29% · Lower 95% interval 6.77%
Discharge to community	43.8%	50.57% 6.8 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 32.26% · Lower 95% interval 26.81%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 15 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	20.24%	8.2% 12 pts better	Numerator 17 · Denominator 84
Staff flu vaccination coverage	5.56%	42% 36.4 pts worse	Numerator 4 · Denominator 72
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
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 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.4%	94.0% 24.6 pts worse	93.4% 24 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 54.7% · Q2 58.7% · Q3 75.4% · Q4 88.1% · 4Q avg 69.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	95.2% 3.4 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.7% 1.7 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 1.6% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.8%	4.0% 5.8 pts worse	11.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 9.8% · Q3 13.8% · Q4 13.8% · 4Q avg 9.8%
Percentage of long-stay residents who lose too much weight	6.8%	4.9% 1.9 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 9.8% · Q3 8.9% · Q4 1.8% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.4%	20.6% 9.2 pts better	19.6% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 9.8% · Q3 16.1% · Q4 17.5% · 4Q avg 11.4%
Percentage of long-stay residents who received an antipsychotic medication	12.5%	19.8% 7.3 pts better	16.7% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 10.0% · Q3 16.3% · Q4 11.4% · 4Q avg 12.5% · 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	20.6%	18.5% 2.1 pts worse	16.3% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 15.2% · Q3 27.9% · Q4 23.6% · 4Q avg 20.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.8%	18.3% 0.5 pts worse	14.9% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 14.0% · Q3 13.5% · Q4 28.3% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.4%	1.7% 0.3 pts better	1.0% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 1.6% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.2%	26.0% 1.2 pts worse	19.8% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 26.2% · Q3 45.0% · Q4 25.6% · 4Q avg 27.2%
Percentage of long-stay residents with pressure ulcers	5.7%	4.3% 1.4 pts worse	5.1% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.1% · Q3 6.8% · Q4 5.6% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.2%	84.3% 15.1 pts worse	81.7% 12.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 63.6% · Q3 82.6% · Q4 93.5% · 4Q avg 69.2%
Percentage of short-stay residents who newly received an antipsychotic medication	5.0%	1.9% 3.1 pts worse	1.6% 3.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 8.0% · Q4 5.0% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	67.4%	73.3% 5.9 pts worse	79.7% 12.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 67.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-09-19 · Fire 2024-09-19

21 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-01-18 · Fire 2024-01-18

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-27

D · Potential for more than minimal harm 2025-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-27

D · Potential for more than minimal harm 2025-01-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-01-10

D · Potential for more than minimal harm 2025-01-09

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 2025-01-10

E · Potential for more than minimal harm 2024-09-19

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-19

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-19

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-19

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 2024-10-04

D · Potential for more than minimal harm 2024-09-19

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-10-04

J · Immediate jeopardy 2024-07-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-14

J · Immediate jeopardy 2024-07-29

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 2024-06-10

J · Immediate jeopardy 2024-07-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-07-29

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-29

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-08-01

E · Potential for more than minimal harm 2024-06-06

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 2024-06-07

E · Potential for more than minimal harm 2024-06-06

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 2024-06-07

E · Potential for more than minimal harm 2024-06-06

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-06-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-06-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

G · Actual harm 2024-05-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-05-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-13

G · Actual harm 2024-01-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-26

E · Potential for more than minimal harm 2024-01-18