Storm Lake, IA

Methodist Manor Retirement Community

3-star overall rating with 2-star inspections with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

1206 West Fourth Street, Storm Lake, IA

(712) 732-1120

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

93

Certified beds

Average residents

85

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.94

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.58

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

3.00

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.51

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

4.20

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.06

CMS adjusted RN staffing hours

Adjusted total hours

5.10

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

30%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

26%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,682

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

Performance score

19.5

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.30

Baseline 18.39% · Performance 20.83% · Measure score 1.30 · Achievement 1.30 · Improvement 0

Healthcare-associated infections

0

Baseline 5.12% · Performance 8.49% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0.93

Performance 59.90% · Measure score 0.93 · Achievement 0.93 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

5.57

Baseline 4.90 hours · Performance 4.66 hours · Measure score 5.57 · Achievement 5.57 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.08%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 142 · Observed rate 9.15% · Lower 95% interval 7.73%
Discharge to community 51.77%
50.57%
1.2 pts better
No Different than the National Rate · Eligible stays 112 · Observed rate 53.57% · Lower 95% interval 43.46%
Medicare spending per beneficiary 0.88
1.02
0.1 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 81 · Denominator 81
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 81
Discharge self-care score 50.75%
53.69%
2.9 pts worse
Numerator 34 · Denominator 67
Discharge mobility score 55.22%
50.94%
4.3 pts better
Numerator 37 · Denominator 67
Pressure ulcers or injuries, new or worsened 1.23%
2.29%
1.1 pts better
Numerator 1 · Denominator 81 · Adjusted rate 1.55%
Healthcare-associated infections requiring hospitalization 8.49%
7.12%
1.4 pts worse
No Different than the National Rate · Eligible stays 88 · Observed rate 7.95% · Lower 95% interval 5.24%
Staff COVID-19 vaccination coverage 1.59%
8.2%
6.6 pts worse
Numerator 3 · Denominator 189
Staff flu vaccination coverage 7.02%
42%
35 pts worse
Numerator 17 · Denominator 242
Discharge function score 58.21%
56.45%
1.8 pts better
Numerator 39 · Denominator 67
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 31 · Denominator 31
Resident COVID-19 vaccinations up to date 22.22%
25.2%
3 pts worse
Numerator 10 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.5
About the same
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.9
2.1
0.8 pts worse
1.8
1.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
94.0%
3.8 pts better
93.4%
4.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.6% · Q3 96.3% · Q4 98.7% · 4Q avg 97.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
95.2%
3.7 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury 6.5%
3.7%
2.8 pts worse
3.3%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.7% · Q3 7.4% · Q4 9.0% · 4Q avg 6.5% · 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 3.6%
4.9%
1.3 pts better
5.4%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.3% · Q3 4.3% · Q4 0.0% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.5%
20.6%
1.9 pts worse
19.6%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 23.5% · Q3 21.7% · Q4 22.7% · 4Q avg 22.5%
Percentage of long-stay residents who received an antipsychotic medication 22.9%
19.8%
3.1 pts worse
16.7%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 19.7% · Q3 23.4% · Q4 24.6% · 4Q avg 22.9% · 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 9.7%
18.5%
8.8 pts better
16.3%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 9.2% · Q3 8.4% · Q4 10.9% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.1%
18.3%
7.2 pts better
14.9%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 14.9% · Q3 4.7% · Q4 6.7% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.9%
1.7%
2.2 pts worse
1.0%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.7% · Q3 3.1% · Q4 6.4% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 9.2%
2.5%
6.7 pts worse
1.7%
7.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 11.9% · Q3 6.2% · Q4 5.3% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.6%
26.0%
0.6 pts worse
19.8%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 31.6% · Q3 27.5% · Q4 20.4% · 4Q avg 26.6%
Percentage of long-stay residents with pressure ulcers 4.3%
4.3%
About the same
5.1%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 4.5% · Q3 7.0% · Q4 4.4% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
84.3%
12.9 pts better
81.7%
15.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 100.0% · Q3 94.7% · Q4 98.1% · 4Q avg 97.2%
Percentage of short-stay residents who had an outpatient emergency department visit 9.1%
13.1%
4 pts better
12.0%
2.9 pts better
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 7.8% · Expected 9.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 4.3%
1.9%
2.4 pts worse
1.6%
2.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 8.3% · Q3 0.0% · Q4 0.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.9%
73.3%
9.6 pts better
79.7%
3.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.6%
21.3%
9.7 pts better
23.9%
12.3 pts better
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 9.4% · Expected 19.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2024-05-09 · Fire 2024-05-09

11 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-27

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-03-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-02

F · Potential for more than minimal harm 2024-05-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-06-11

F · Potential for more than minimal harm 2024-05-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-06-13

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

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2023-03-24

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

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-03-27

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

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-15

E · Potential for more than minimal harm 2025-03-27

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 2025-04-26

E · Potential for more than minimal harm 2025-03-27

F887 · Infection Control Deficiencies

Health

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.

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-03-27

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 2025-04-26

D · Potential for more than minimal harm 2025-03-27

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 2025-04-26

D · Potential for more than minimal harm 2025-03-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-03-27

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 2025-04-26

D · Potential for more than minimal harm 2025-03-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-01-02

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 2025-02-02

G · Actual harm 2024-05-09

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 2024-05-22

E · Potential for more than minimal harm 2024-05-09

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 2024-06-09

D · Potential for more than minimal harm 2024-05-09

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-06-09

D · Potential for more than minimal harm 2024-05-09

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 2024-06-09

D · Potential for more than minimal harm 2024-05-09

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 2024-06-09

D · Potential for more than minimal harm 2024-05-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-09

D · Potential for more than minimal harm 2024-05-09

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 2024-06-09

D · Potential for more than minimal harm 2024-05-09

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 2024-06-09

D · Potential for more than minimal harm 2024-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-09

D · Potential for more than minimal harm 2024-05-09

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-06-09

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

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 2023-03-24

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

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-03-24

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

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-03-24

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

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-03-24

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-03-24

Penalties and ownership

What sits behind the stars

$0 2024-05-09

Payment Denial

Payment Denial · denial start 2024-06-06 · 7 days

7 day denial

Ownership

Archer, David

Corporate Director · Individual

0% 1 facilities 2017-01-01
Bennett, Robert

Corporate Director · Individual

0% 1 facilities 2006-01-01
Bennett, Robert

Corporate Officer · Individual

0% 1 facilities 2023-01-01
Campbell, Steven

Corporate Director · Individual

0% 1 facilities 2015-01-01
Campbell, Steven

Corporate Officer · Individual

0% 1 facilities 2023-01-01
Dehaan, Debra

Corporate Director · Individual

0% 1 facilities 2020-01-01
Dentlinger, Joleen

Corporate Director · Individual

0% 1 facilities 2002-01-01
Dentlinger, Joleen

Corporate Officer · Individual

0% 1 facilities 2023-01-01
Fort, Clark

Corporate Director · Individual

0% 1 facilities 2023-01-01
Friedrich, David

Corporate Director · Individual

0% 1 facilities 2003-01-01
Generations Senior Management, LLC

Operational/Managerial Control · Organization

0% 2 facilities 2024-01-01
Gonzalex, Luz

Operational/Managerial Control · Individual

0% 1 facilities 1999-10-07
Hecht, Jennifer

Corporate Director · Individual

0% 1 facilities 2012-01-01
Huisenga, Jason

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Kiboko, Kiboko

Corporate Director · Individual

0% 1 facilities 2020-09-01
Landgraf, Nicholas

Operational/Managerial Control · Individual

0% 1 facilities 2012-01-27
Ltc Accounting Services, LLC

Operational/Managerial Control · Organization

0% 7 facilities 2024-01-01
Patten, Allen

Corporate Director · Individual

0% 1 facilities 2022-01-01
Peterson, David

Operational/Managerial Control · Individual

0% 1 facilities 1999-02-09
Schuelke, Scott

Corporate Director · Individual

0% 1 facilities 2008-01-01
Schuelke, Scott

Corporate Officer · Individual

0% 1 facilities 2023-01-01
Shannon, Tina

Operational/Managerial Control · Individual

0% 1 facilities 1990-09-10
Stevenson, Ronald

Operational/Managerial Control · Individual

0% 1 facilities 2017-08-19
Turner, Carl

Corporate Director · Individual

0% 1 facilities 2022-01-01
Williams & Company Pc

Operational/Managerial Control · Organization

0% 2 facilities 2024-01-01

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