Perry Lutheran Homes Eden Acres Campus ratings, inspections, staffing, and fines

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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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.
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

2 of 5

Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Iowa homes

Perry Lutheran Homes Eden Acres Campus carries 58 inspection points. That is fewer than 30% 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

9 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts

E 1 8 pts

F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

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 (2)

G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

January 7, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 23, 2025
G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

October 30, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 18, 2025

Everything else, by area of care

Resident Rights2D

D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
July 30, 2026 · Standard · F582 · Corrected August 10, 2026
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
July 30, 2026 · Standard · F628 · Corrected August 10, 2026

Nursing and Physician Services1F

F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
July 30, 2026 · Standard · F727 · Corrected August 10, 2026

Freedom from Abuse, Neglect, and Exploitation1D

D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
October 30, 2025 · Complaint · F943 · Corrected November 18, 2025

Administration1F

F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
June 26, 2025 · Standard · F851 · Corrected July 8, 2025

Nutrition and Dietary1E

E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 26, 2025 · Standard · F812 · Corrected July 8, 2025

Resident Assessment and Care Planning1D

D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
June 26, 2025 · Standard · F656 · Corrected July 8, 2025

Inspection history

2026-07-30
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-06-26
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2024-07-18
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 18 min of nursing staff time a day, 33 min of it from a registered nurse.

This home

3 h 18 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 42% of nursing staff and 50% 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

$9,110 in federal fines on record over the past three years.

Date	Penalty	Amount
2026-01-07	Fine	$9,110

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 days0.8 pts better	0.6	1.4	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better	1.7	1.9	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts worse	83.8%	94.2%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better	95.9%	95.8%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better	2.2%	3.9%	3.2%
Percentage of long-stay residents who have depressive symptoms4.2 pts better	0.0%	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 medication14.9 pts better	6.1%	21.0%	19.5%
Percentage of long-stay residents who received an antipsychotic medication1.1 pts worse	20.9%	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 worsenedAbout the same	15.2%	15.2%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts worse	20.5%	16.6%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better	1.2%	1.4%	0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts worse	2.7%	2.4%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better	23.5%	25.0%	18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better	3.6%	4.1%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine61.6 pts worse	22.4%	84.0%	82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better	0.0%	2.1%	1.5%

·

Who owns and runs it

48 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
Lutheran Home For The Aged Association-West	5% Or Greater Direct Ownership Interest · Organization	100%	1 facilities
Adair, Cole	Managing Control - Governing Body · Individual	0%	2 facilities
Adair, Cole	Corporate Director · Individual	0%	2 facilities
Blue Stone Therapy Inc	Adp Of The SNF · Organization	0%	27 facilities
Brighton Consulting Group LLC	Adp Of The SNF · Organization	0%	73 facilities
Carlson, Curtis	Managing Control - Governing Body · Individual	0%	1 facilities
Carlson, Curtis	Corporate Director · Individual	0%	1 facilities
Carrick, Antoinette	Managing Control - Governing Body · Individual	0%	2 facilities
Carrick, Antoinette	Corporate Director · Individual	0%	2 facilities
Carrick, Antoinette	Corporate Officer · Individual	0%	2 facilities
Forvis Mazars, Llp	Adp Of The SNF · Organization	0%	17 facilities
Gannon, Melissa	Managing Control - Governing Body · Individual	0%	2 facilities
Gannon, Melissa	Corporate Officer · Individual	0%	2 facilities
Gannon, Melissa	Operational/Managerial Control · Individual	0%	2 facilities
Gannon, Melissa	Adp Of The SNF · Individual	0%	2 facilities
Gerken, Mark	Managing Control - Governing Body · Individual	0%	2 facilities
Gerken, Mark	Corporate Director · Individual	0%	2 facilities
Grothe, Michael	Managing Control - Governing Body · Individual	0%	2 facilities
Grothe, Michael	Corporate Director · Individual	0%	2 facilities
Haerther, Sara	Operational/Managerial Control · Individual	0%	2 facilities
Harker, Nancy	Managing Control - Governing Body · Individual	0%	1 facilities
Harker, Nancy	Corporate Director · Individual	0%	1 facilities
Hilsenbeck, Geneen	Operational/Managerial Control · Individual	0%	2 facilities
Koelin, Debra	Managing Control - Governing Body · Individual	0%	2 facilities
Koelin, Debra	Corporate Director · Individual	0%	2 facilities
Kruse, Kurt	Operational/Managerial Control · Individual	0%	2 facilities
Lucht, Debra	Managing Control - Governing Body · Individual	0%	1 facilities
Lucht, Debra	Corporate Director · Individual	0%	1 facilities
Lutheran Home For The Aged Association-West	Operational/Managerial Control · Organization	0%	1 facilities
Martens, Dennis	Managing Control - Governing Body · Individual	0%	2 facilities
Martens, Dennis	Corporate Director · Individual	0%	2 facilities
Martens, Dennis	Corporate Officer · Individual	0%	2 facilities
Mccaulley, Randall	Managing Control - Governing Body · Individual	0%	2 facilities
Mccaulley, Randall	Corporate Director · Individual	0%	2 facilities
Mcvey, Anita	Managing Control - Governing Body · Individual	0%	2 facilities
Mcvey, Anita	Corporate Director · Individual	0%	2 facilities
Merrill, Esther	Operational/Managerial Control · Individual	0%	2 facilities
Metz, Alan	Managing Control - Governing Body · Individual	0%	2 facilities
Metz, Alan	Corporate Director · Individual	0%	2 facilities
Ncs Healthcare Of Iowa, LLC	Adp Of The SNF · Organization	0%	4 facilities
Phillips, Max	Operational/Managerial Control · Individual	0%	2 facilities
Roederer, Lisa	Operational/Managerial Control · Individual	0%	2 facilities
Rothfus, Jennifer	Operational/Managerial Control · Individual	0%	2 facilities
Sohn, Steven	Operational/Managerial Control · Individual	0%	2 facilities
Sohn, Steven	Adp Of The SNF · Individual	0%	2 facilities
Wheeldon, Rhonda	Operational/Managerial Control · Individual	0%	2 facilities
White, Carole	Managing Control - Governing Body · Individual	0%	1 facilities
White, Carole	Corporate Director · Individual	0%	1 facilities

·

Fire safety

10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Egress4F

F
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.
July 30, 2026 · K222 · Corrected August 6, 2026
F
Have exits that are accessible at all times.
July 30, 2026 · K271 · Corrected August 4, 2026
E
Meet other general requirements.
July 30, 2026 · K200 · Corrected August 12, 2026
E
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.
July 18, 2024 · K222 · Corrected July 29, 2024

Smoke4F

F
Have approved installation, maintenance and testing program for fire alarm systems.
July 30, 2026 · K345 · Corrected August 7, 2026
F
Inspect, test, and maintain automatic sprinkler systems.
June 26, 2025 · K353 · Corrected July 7, 2025
F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
June 26, 2025 · K362 · Corrected July 7, 2025
E
Inspect, test, and maintain automatic sprinkler systems.
July 18, 2024 · K353 · Corrected July 30, 2024

Gas, Vacuum, and Electrical Systems2F

F
Have generator or other power source capable of supplying service within 10 seconds.
July 18, 2024 · K918 · Corrected August 5, 2024
D
Meet requirements for the use and maintenance of medical gas equipment.
July 18, 2024 · K922 · Corrected July 30, 2024

·

Other homes nearby

Perry Lutheran Home
Perry, IA

Worst citation, 3 yrs
K

Nursing / resident / day
3 h 50 min

Fines
$16,351
Spurgeon Manor
Dallas Center, IA

Worst citation, 3 yrs
E

Nursing / resident / day
5 h 5 min

Fines
$0
Madrid Home for the Aged
Madrid, IA · Western Home Communities

Worst citation, 3 yrs
E

Nursing / resident / day
3 h 46 min

Fines
$0

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