Dayton, IA

OPCO Dayton IA LLC

2-star overall rating with 3-star inspections with $33,598 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

508 2nd Street NE, Dayton, IA

(515) 547-2288

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

33

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Arboreta Healthcare

Operator or chain grouping

Approved since

1994-01-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

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

0.78

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.56

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

1.71

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.05

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.51

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.45

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

0.83

CMS adjusted RN staffing hours

Adjusted total hours

3.25

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.87	1.02 0.2 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	13.04%	8.2% 4.8 pts better	Numerator 6 · Denominator 46
Staff flu vaccination coverage	39.06%	42% 2.9 pts worse	Numerator 25 · Denominator 64
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

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 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	2.1 1.1 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.2%	94.0% 0.2 pts better	93.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 76.9% · Q4 100.0% · 4Q avg 94.2%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.8%	3.7% 1.1 pts worse	3.3% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 4.3% · Q3 3.8% · Q4 3.6% · 4Q avg 4.8% · 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	3.4%	4.9% 1.5 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q3 0.0% · Q4 4.2% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.3%	20.6% 4.7 pts worse	19.6% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 25.0% · Q3 21.7% · Q4 25.0% · 4Q avg 25.3%
Percentage of long-stay residents who received an antipsychotic medication	8.9%	19.8% 10.9 pts better	16.7% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q3 10.0% · Q4 13.0% · 4Q avg 8.9% · 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	16.9%	18.5% 1.6 pts better	16.3% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	31.7%	18.3% 13.4 pts worse	14.9% 16.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 47.6% · Q3 40.0% · Q4 13.6% · 4Q avg 31.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.4%	1.7% 0.7 pts worse	1.0% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.9% · Q4 4.3% · 4Q avg 2.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.0%	26.0% 1 pts worse	19.8% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 22.0% · Q3 19.3% · Q4 38.9% · 4Q avg 27.0%
Percentage of long-stay residents with pressure ulcers	2.0%	4.3% 2.3 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 7.1% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.4%	84.3% 4.9 pts worse	81.7% 2.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 79.4%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

4 health deficiencies

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

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-12-05 · Fire 2024-12-05

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

4 fire-safety deficiencies

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

Cycle 3 Health 2023-09-06 · Fire 2023-09-06

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 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 2025-12-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-12-13

F · Potential for more than minimal harm 2025-12-11

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-12-13

D · Potential for more than minimal harm 2025-12-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-11

D · Potential for more than minimal harm 2025-12-11

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-12-13

D · Potential for more than minimal harm 2025-12-11

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 2025-12-18

F · Potential for more than minimal harm 2024-12-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-12-19

F · Potential for more than minimal harm 2024-12-05

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-12-19

F · Potential for more than minimal harm 2024-12-05

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 2025-01-11

F · Potential for more than minimal harm 2024-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-13

F · Potential for more than minimal harm 2023-09-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-10-05

F · Potential for more than minimal harm 2023-09-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-05

F · Potential for more than minimal harm 2023-09-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-05

F · Potential for more than minimal harm 2023-09-06

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-10-05

E · Potential for more than minimal harm 2023-09-06

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 2023-10-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-02

E · Potential for more than minimal harm 2024-12-05

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 2024-12-26

J · Immediate jeopardy 2023-09-06

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-09-06

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-09-06

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 2023-10-10

D · Potential for more than minimal harm 2023-09-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-09-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-10-10

D · Potential for more than minimal harm 2023-09-06

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-10-10

C · Minimal harm 2023-09-06

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 2023-10-10

Penalties and ownership