Lisbon, IA

Rehabilitation Center of Lisbon

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

905 West Main Street, Lisbon, IA

(319) 455-2547

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

64

Certified beds

Average residents

62

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

2017-03-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

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

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.64

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.47

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.44

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.11

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.96

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

4.09

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,221

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

Performance score

45.40

Composite VBP score used to determine payment impact.

Payment multiplier

0.9986

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

3.56

Performance 6.77% · Measure score 3.56 · Achievement 3.56 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

4.59

Baseline 77.59% · Performance 50.72% · Measure score 4.59 · Achievement 3.17 · Improvement 4.59

Adjusted total nurse staffing

5.46

Baseline 4.54 hours · Performance 4.63 hours · Measure score 5.46 · Achievement 5.46 · Improvement 0.24

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.13%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 56 · Observed rate 12.5% · Lower 95% interval 7.83%
Discharge to community	47.76%	50.57% 2.8 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 45% · Lower 95% interval 33.13%
Medicare spending per beneficiary	0.75	1.02 0.3 pts better
Drug regimen review with follow-up	85.71%	95.27% 9.6 pts worse	Numerator 24 · Denominator 28
Falls with major injury	3.57%	0.77% 2.8 pts worse	Numerator 1 · Denominator 28
Discharge self-care score	38.1%	53.69% 15.6 pts worse	Numerator 8 · Denominator 21
Discharge mobility score	52.38%	50.94% 1.4 pts better	Numerator 11 · Denominator 21
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 28 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.77%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 3.16%
Staff COVID-19 vaccination coverage	8.08%	8.2% 0.1 pts worse	Numerator 8 · Denominator 99
Staff flu vaccination coverage	81.98%	42% 40 pts better	Numerator 91 · Denominator 111
Discharge function score	52.38%	56.45% 4.1 pts worse	Numerator 11 · Denominator 21
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	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · 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	2.5	1.5 1 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 1.8 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.1 0.5 pts worse	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.0 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	94.0% 2.6 pts better	93.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.3% · Q3 95.1% · Q4 95.1% · 4Q avg 96.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.1%	95.2% 3.1 pts worse	95.5% 3.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.1%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.7% 3.7 pts better	3.3% 3.3 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 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	4.1%	4.9% 0.8 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 6.2% · Q4 6.4% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.2%	20.6% 4.4 pts better	19.6% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 15.7% · Q3 18.4% · Q4 16.0% · 4Q avg 16.2%
Percentage of long-stay residents who received an antipsychotic medication	16.9%	19.8% 2.9 pts better	16.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.3% · Q3 17.1% · Q4 19.5% · 4Q avg 16.9% · 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	20.0%	18.5% 1.5 pts worse	16.3% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 19.2% · Q3 16.7% · Q4 7.7% · 4Q avg 20.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.1%	18.3% 4.2 pts better	14.9% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 14.6% · Q3 17.0% · Q4 15.2% · 4Q avg 14.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	1.7% 0.1 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 1.7% · Q4 1.6% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.7%	2.5% 0.8 pts better	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.0%	26.0% 3 pts better	19.8% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 29.9% · Q3 17.2% · Q4 20.3% · 4Q avg 23.0%
Percentage of long-stay residents with pressure ulcers	3.7%	4.3% 0.6 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.0% · Q3 1.6% · Q4 3.3% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.8%	84.3% 6.5 pts worse	81.7% 3.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 80.6% · Q3 80.8% · Q4 69.2% · 4Q avg 77.8%
Percentage of short-stay residents who newly received an antipsychotic medication	4.9%	1.9% 3 pts worse	1.6% 3.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	41.9%	73.3% 31.4 pts worse	79.7% 37.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 41.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-12 · Fire 2024-12-12

3 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-01-10 · Fire 2024-01-10

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-12-08 · Fire 2022-12-08

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

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 2024-12-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-17

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

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-01-17

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-23

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

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-01-17

F · Potential for more than minimal harm 2024-01-10

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-01-19

F · Potential for more than minimal harm 2024-01-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-22

F · Potential for more than minimal harm 2024-01-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-18

F · Potential for more than minimal harm 2024-01-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-24

E · Potential for more than minimal harm 2024-01-10

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-01-25

F · Potential for more than minimal harm 2022-12-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-28

F · Potential for more than minimal harm 2022-12-08

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2022-12-28

F · Potential for more than minimal harm 2022-12-08

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-01-04

F · Potential for more than minimal harm 2022-12-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-12-30

D · Potential for more than minimal harm 2022-12-08

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2022-12-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-21

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 2026-02-13

D · Potential for more than minimal harm 2026-01-21

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-02-13

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-12

D · Potential for more than minimal harm 2022-12-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-01-08

Penalties and ownership

What sits behind the stars

Ownership

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

46% 83 facilities 2024-08-15

Beasley, Karla