Cedar Falls, IA

Martin Health Center, INC

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

410 East 10th Street, Cedar Falls, IA

(319) 277-2141

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

50

Certified beds

Average residents

47

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing

LPN hours / resident day

0.55

Licensed practical nurse staffing

Aide hours / resident day

2.96

Nurse aide staffing

Weekend hours

3.77

Weekend nurse staffing

RN turnover

30%

Annual RN turnover

Total nurse turnover

42%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.5
0.1 pts worse
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.5
2.1
0.4 pts worse
1.8
0.7 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.8%
94.0%
5.2 pts worse
93.4%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.7%
1.9 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.5%
4.0%
0.5 pts worse
11.4%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.1%
4.9%
0.2 pts worse
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.4%
20.6%
2.2 pts better
19.6%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 22.6%
19.8%
2.8 pts worse
16.7%
5.9 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 29.6%
18.5%
11.1 pts worse
16.3%
13.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 25.4%
18.3%
7.1 pts worse
14.9%
10.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8%
1.7%
0.1 pts worse
1.0%
0.8 pts worse
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 31.8%
26.0%
5.8 pts worse
19.8%
12 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.1%
4.3%
2.8 pts worse
5.1%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.9%
84.3%
4.6 pts better
81.7%
7.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.6%
13.1%
4.5 pts better
12.0%
3.4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.9%
0.7 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.1%
73.3%
23.8 pts better
79.7%
17.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.0%
21.3%
0.3 pts better
23.9%
2.9 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-15 · Fire 2025-05-15

3 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-07-11 · Fire 2024-07-11

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

8 fire-safety deficiencies

Top issue: Miscellaneous (4 deficiencies)

Cycle 3 Health 2023-06-15 · Fire 2023-06-15

4 health deficiencies

Top issue: Resident Rights (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-20

F · Potential for more than minimal harm 2025-05-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-19

F · Potential for more than minimal harm 2025-05-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-19

F · Potential for more than minimal harm 2024-07-11

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-22

F · Potential for more than minimal harm 2024-07-11

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-07-31

E · Potential for more than minimal harm 2024-07-11

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 2024-08-16

E · Potential for more than minimal harm 2024-07-11

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 2024-07-24

D · Potential for more than minimal harm 2024-07-11

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2024-07-22

D · Potential for more than minimal harm 2024-07-11

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-08-08

D · Potential for more than minimal harm 2024-07-11

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-07-31

D · Potential for more than minimal harm 2024-07-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-22

F · Potential for more than minimal harm 2023-06-15

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-07-18

F · Potential for more than minimal harm 2023-06-15

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-17

F · Potential for more than minimal harm 2023-06-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-12

F · Potential for more than minimal harm 2023-06-15

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 2023-07-19

F · Potential for more than minimal harm 2023-06-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-07-18

E · Potential for more than minimal harm 2023-06-15

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-07-18

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-15

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 2025-06-02

D · Potential for more than minimal harm 2025-05-15

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 2025-06-02

D · Potential for more than minimal harm 2025-05-15

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-06-02

G · Actual harm 2024-12-17

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 2024-09-03

E · Potential for more than minimal harm 2024-07-11

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-07-11

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 2024-08-01

D · Potential for more than minimal harm 2024-07-11

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-01

D · Potential for more than minimal harm 2023-06-15

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 2023-07-06

D · Potential for more than minimal harm 2023-06-15

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-06-15

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 2023-07-06

D · Potential for more than minimal harm 2023-06-15

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 2023-07-06

Penalties and ownership

What sits behind the stars

Ownership

Ager, Wendy

Operational/Managerial Control · Individual

0% 4 facilities 2011-11-01
Behn, Marlene

Corporate Director · Individual

0% 1 facilities 2009-08-01
Bennett, Kevin

Operational/Managerial Control · Individual

0% 1 facilities 1978-09-06
Billman, Emily

Operational/Managerial Control · Individual

0% 1 facilities 2021-08-02
Bittner, Scott

Corporate Director · Individual

0% 1 facilities 2010-08-01
Brown, Sarah

Corporate Director · Individual

0% 4 facilities 2015-01-01
Coil, Joyce

Corporate Director · Individual

0% 1 facilities 2012-08-01
Evans, Angela

Operational/Managerial Control · Individual

0% 6 facilities 2022-01-01
Evans, Angela

Corporate Officer · Individual

0% 6 facilities 2022-01-01
Ferguson, Kathleen

Corporate Director · Individual

0% 1 facilities 2012-01-01
Firman, Steve

Corporate Director · Individual

0% 1 facilities 2009-08-01
First Interstate Bank

5% Or Greater Direct Ownership Interest · Organization

0% 7 facilities 2013-10-23
First Interstate Bank

5% Or Greater Mortgage Interest · Organization

0% 7 facilities 2025-01-01
Fox, Larry

Corporate Director · Individual

0% 3 facilities 2011-08-01
Frankhauser, Richard

Operational/Managerial Control · Individual

0% 4 facilities 2014-10-14
Frankhauser, Richard

Corporate Officer · Individual

0% 4 facilities 2021-01-01
Gaines, Ronald

Corporate Officer · Individual

0% 3 facilities 2021-01-01
Garcia, Jenny

Operational/Managerial Control · Individual

0% 2 facilities 2023-11-13
Gibbs, Stacy

Operational/Managerial Control · Individual

0% 3 facilities 2018-02-26
Hansen, Kris

Corporate Director · Individual

0% 5 facilities 2009-03-01
Harris, Jerry

Operational/Managerial Control · Individual

0% 10 facilities 2009-03-01
Harris, Jerry

Corporate Officer · Individual

0% 10 facilities 2009-03-01
Jenkins, Glenn

Corporate Director · Individual

0% 1 facilities 2011-01-01
Mccormick, Darrell

Operational/Managerial Control · Individual

0% 4 facilities 2022-01-01
Meier, Catherine

Operational/Managerial Control · Individual

0% 1 facilities 2009-11-06
Meier, Catherine

Corporate Officer · Individual

0% 1 facilities 2009-11-06
O'leary, Patrick

Operational/Managerial Control · Individual

0% 4 facilities 2022-01-01
O'leary, Patrick

Corporate Officer · Individual

0% 4 facilities 2022-01-01
Sannes, Aaron

Corporate Director · Individual

0% 4 facilities 2025-01-15
Schmitz, Gregory

Corporate Director · Individual

0% 1 facilities 2015-01-01
Schroeder, Heather

Corporate Director · Individual

0% 4 facilities 2025-01-15
Schultz, Dianne

Corporate Officer · Individual

0% 3 facilities 2021-01-01
Susong, Katherine

Corporate Director · Individual

0% 4 facilities 2025-01-15
Tjaden, Tabitha

Operational/Managerial Control · Individual

0% 2 facilities 2019-04-22
Winter, Floyd

Corporate Director · Individual

0% 1 facilities 2010-08-01
Witt, William

Corporate Director · Individual

0% 1 facilities 2012-08-01

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Staffing
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3-star overall rating with 2-star inspections with $129,025 in total fines with 7 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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Fines
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Staffing
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Fines
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