Federal inspection record · CMS data as of October 1, 2026
Newaldaya Lifescapes
7511 University Avenue, Cedar Falls, IA · (319) 268-0401
- Certified beds
- 112
- Residents per day
- 101
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2002
1
How this home got 2 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
★★★★★no change
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Newaldaya Lifescapes carries 61.25 inspection points. That is fewer than 28% 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
18 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (1)
-
K
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Everything else, by area of care
Resident Assessment and Care Planning7D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- B
Assess the resident when there is a significant change in condition
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care2D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights2D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2026-07-09
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-05-22
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-06-27
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 26 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
4 h 26 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 40% 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
Fines and payment denials
$132,074 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-27 | Fine | $132,074 |
6
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 days0.2 pts better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 2.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 2.6% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 4.3% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.4 pts better | 10.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.7 pts worse | 28.5% | 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 worsened6.6 pts better | 8.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10 pts better | 6.6% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.1% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.3% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse | 27.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.1% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.2 pts better | 99.2% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.4 pts better | 10.6% | 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 vaccine20.9 pts better | 95.3% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts better | 18.2% | 20.7% | 23.4% |
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Who owns and runs it
17 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 |
|---|---|---|---|
| Cedar Falls Lutheran Home | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Curley, Amy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Fishel, Jeff | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Gillett, Darrin | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hatch, Shelleen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hatch, Shelleen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Heinen, Annelie | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Jasper, Crystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jasper, Crystal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kestner, Diane | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lupkes, Beverly | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mcholm, Drew | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| O'neill-Gleason, Erin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ramesh, Pradeep | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Ramesh, Pradeep | Adp Of The SNF · Individual | 0% | 3 facilities |
| Scheff, Dawna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spears, Ron | Managing Control - Governing Body · Individual | 0% | 1 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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