Federal inspection record · CMS data as of October 1, 2026
On With Life Long Term Care
1002 W Washington Ave., Polk City, IA · (515) 421-9200
- Certified beds
- 40
- Residents per day
- 39
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 3, 1996
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.
-
Staffing
Not ratednot rated
CMS did not rate staffing here, so it does not move the star.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
On With Life Long Term Care carries 4 inspection points. That is fewer than 95% 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
7 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
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2025-12-31
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-12-12
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-09-28
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
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 days2.3 pts worse | 3.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 98.7% | 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 injury3.9 pts better | 0.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts better | 3.1% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 2.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication22.4 pts worse | 43.4% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.5 pts worse | 22.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained14.9 pts worse | 15.1% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better | 14.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts worse | 2.9% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 3.1% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.4 pts better | 10.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 5.9% | 4.1% | 4.5% |
·
Who owns and runs it
12 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 |
|---|---|---|---|
| Benson Larson, Kate | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Foreman, Jim | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Fors, Rudy | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Fors, Rudy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hoogestraat, Diana | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Hoogestraat, Diana | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lewis, Jennifer | Operational/Managerial Control · Individual | 0% | 2 facilities |
| On With Life Extended Services Ltd | Operational/Managerial Control · Organization | 0% | 1 facilities |
| On With Life Inc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Shelton, Jeanette | Corporate Officer · Individual | 0% | 2 facilities |
| Shelton, Jeanette | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Snyder, John | Managing Control - Governing Body · Individual | 0% | 1 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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Other homes nearby
-
Granger Nursing & Rehabilitation Center
Granger, IA · Campbell Street Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Brio of Johnston, LLC
Johnston, IA · Wesleylife
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 29 min
- Fines
- $0
-
Sunny View Care Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 23 min
- Fines
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