Federal inspection record · CMS data as of October 1, 2026
Lone Tree Health Care Center Inc
501 East Pioneer Road, Lone Tree, IA · (319) 629-4255
- CMS high-performer trophy
- Certified beds
- 44
- Residents per day
- 31
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1998
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
★★★★★+1 star
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
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
Lone Tree Health Care Center Inc carries 7 inspection points. That is fewer than 89% 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
8 health citations on record since 2023. 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
Resident Assessment and Care Planning3D
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care1D
- D
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.
Nutrition and Dietary1D
- D
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.
Inspection history
2025-11-20
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-09-19
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-06-22
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 24 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
4 h 24 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 0% of registered nurses left in the past year.
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 days2 pts worse | 3.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts worse | 92.7% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.8 pts worse | 90.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse | 6.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts worse | 4.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts worse | 7.9% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts worse | 23.9% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication19.8 pts better | 0.0% | 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 ability to walk independently worsened1.3 pts worse | 16.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better | 15.2% | 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 incontinence4.5 pts worse | 29.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 1.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts worse | 79.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts better | 11.2% | 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 vaccine22.7 pts worse | 51.7% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission22 pts worse | 42.7% | 20.7% | 23.4% |
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Who owns and runs it
9 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 |
|---|---|---|---|
| Eberly, Scott | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Eberly, Scott | Adp Of The SNF · Individual | 0% | 8 facilities |
| Jimenez, Skye | Corporate Director · Individual | 0% | 1 facilities |
| Jimenez, Skye | Adp Of The SNF · Individual | 0% | 1 facilities |
| Krueger, Shelby | Corporate Director · Individual | 0% | 1 facilities |
| Peiffer, Leah | Corporate Director · Individual | 0% | 1 facilities |
| Stieger, Lindsey | Corporate Director · Individual | 0% | 1 facilities |
| Stieger, Lindsey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stieger, Lindsey | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke3F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Install corridor and hallway doors that block smoke.
Construction1D
- D
Use approved construction type or materials.
Egress1F
- F
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.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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Other homes nearby
-
Simpson Memorial Home
West Liberty, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0
-
Iowa City Rehab & Health Care
Iowa City, IA · Campbell Street Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Briarwood Healthcare Center
Iowa City, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0