Ottumwa, IA

Ridgewood Specialty Care

4-star overall rating with 3-star inspections with $8,999 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1977 Albia Road, Ottumwa, IA

(641) 683-3111

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

54

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Care Initiatives

Operator or chain grouping

Approved since

1994-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 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

0.66

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.49

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.19

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.72

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

3.50

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,449

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

Performance score

5.14

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

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

Not reported

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

Total nurse turnover

0.79

Baseline 64.81% · Performance 60.47% · Measure score 0.79 · Achievement 0.79 · Improvement 0.59

Adjusted total nurse staffing

0.24

Baseline 2.97 hours · Performance 3.18 hours · Measure score 0.24 · Achievement 0 · Improvement 0.24

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.53%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 34 · Observed rate 11.76% · Lower 95% interval 6.71%
Discharge to community 61.24%
50.57%
10.7 pts better
No Different than the National Rate · Eligible stays 29 · Observed rate 58.62% · Lower 95% interval 44.57%
Medicare spending per beneficiary 0.98
1.02
About the same
Drug regimen review with follow-up 96.3%
95.27%
1 pts better
Numerator 26 · Denominator 27
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 27
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 27 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 7.94%
8.2%
0.3 pts worse
Numerator 5 · Denominator 63
Staff flu vaccination coverage 7.34%
42%
34.7 pts worse
Numerator 8 · Denominator 109
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
94.0%
5.5 pts better
93.4%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.9% · 4Q avg 99.5%
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 4.2%
3.7%
0.5 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.3% · Q3 2.2% · Q4 4.2% · 4Q avg 4.2% · 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 5.1%
4.9%
0.2 pts worse
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 7.0% · Q3 0.0% · Q4 10.6% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.9%
20.6%
11.7 pts better
19.6%
10.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 11.6% · Q3 9.3% · Q4 12.8% · 4Q avg 8.9%
Percentage of long-stay residents who received an antipsychotic medication 9.8%
19.8%
10 pts better
16.7%
6.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 9.7% · Q3 9.4% · Q4 13.9% · 4Q avg 9.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 2.1%
0.2%
1.9 pts worse
0.1%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 2.2% · Q4 2.1% · 4Q avg 2.1%
Percentage of long-stay residents whose ability to walk independently worsened 14.5%
18.5%
4 pts better
16.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.6%
18.3%
8.7 pts better
14.9%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.7% · Q3 12.5% · Q4 11.1% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.7%
1.7 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
2.5%
2 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.5%
26.0%
1.5 pts better
19.8%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 18.0% · Q3 28.5% · Q4 17.0% · 4Q avg 24.5%
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 2.0% · Q2 0.0% · Q3 0.0% · Q4 5.7% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.2%
84.3%
1.9 pts better
81.7%
4.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 78.9% · Q4 66.7% · 4Q avg 86.2%
Percentage of short-stay residents who had an outpatient emergency department visit 10.5%
13.1%
2.6 pts better
12.0%
1.5 pts better
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 11.5% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 6.4%
1.9%
4.5 pts worse
1.6%
4.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.9% · Q3 4.8% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.6%
73.3%
24.3 pts better
79.7%
17.9 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 14.9%
21.3%
6.4 pts better
23.9%
9 pts better
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 19.2% · Expected 30.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-22 · Fire 2025-12-22

3 health deficiencies

Top issue: Administration (1 deficiency)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2024-10-31 · Fire 2024-10-31

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-10-05 · Fire 2023-10-05

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-12-29

E · Potential for more than minimal harm 2025-12-22

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-12-29

F · Potential for more than minimal harm 2024-10-31

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-14

F · Potential for more than minimal harm 2024-10-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-31

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-10-31

F · Potential for more than minimal harm 2023-10-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-10-16

F · Potential for more than minimal harm 2023-10-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-16

E · Potential for more than minimal harm 2023-10-05

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-20

E · Potential for more than minimal harm 2023-10-05

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 2023-10-13

E · Potential for more than minimal harm 2023-10-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-10-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-06

D · Potential for more than minimal harm 2023-10-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-10-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-22

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 2025-12-30

D · Potential for more than minimal harm 2025-12-22

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-12-30

D · Potential for more than minimal harm 2025-12-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-30

J · Immediate jeopardy 2024-10-31

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-31

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 2024-11-01

E · Potential for more than minimal harm 2024-10-31

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 2024-11-01

D · Potential for more than minimal harm 2024-10-31

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-31

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-31

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-31

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 2024-11-01

D · Potential for more than minimal harm 2024-04-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-02-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-04

D · Potential for more than minimal harm 2023-10-05

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-10-05

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-10-16

Penalties and ownership

What sits behind the stars

$8,999 2024-10-31

Fine

Fine · fine $8,999

Fine

Ownership

Care Initiatives

5% Or Greater Direct Ownership Interest · Organization

100% 43 facilities 2010-11-12
Beal, Michael

Corporate Director · Individual

0% 43 facilities 2020-06-01
Beal, Michael

Corporate Officer · Individual

0% 43 facilities 2020-06-01
Bowen, Lane

Corporate Director · Individual

0% 44 facilities 2021-01-01
Carothers, Mary Jane

Corporate Director · Individual

0% 43 facilities 2023-01-01
Childs, Kevin

Corporate Director · Individual

0% 43 facilities 2023-04-01
Computershare Corporate Trust

5% Or Greater Mortgage Interest · Organization

0% 41 facilities 2025-01-01
Corless, Peter

Corporate Director · Individual

0% 40 facilities 2025-01-01
Dixon, David

Corporate Officer · Individual

0% 44 facilities 2016-06-01
Drake, Emily

Corporate Officer · Individual

0% 43 facilities 2023-01-04
Gilyard, Tanya

Corporate Officer · Individual

0% 40 facilities 2025-05-23
Gorman, Valeria

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-14
Krein, Keith

Corporate Director · Individual

0% 43 facilities 2022-06-29
Kuhn, Jeramy

Corporate Officer · Individual

0% 43 facilities 2008-06-25
Mahler, Carla

Operational/Managerial Control · Individual

0% 12 facilities 2024-01-01
Mcdyer, Jessica

Corporate Officer · Individual

0% 43 facilities 2023-02-22
Rust, Elizabeth

Corporate Director · Individual

0% 43 facilities 2023-01-01
Sturm, Denise

Corporate Director · Individual

0% 43 facilities 2021-01-01
Upmeyer, Linda

Corporate Director · Individual

0% 43 facilities 2022-06-29
Volm, Johanna

Corporate Officer · Individual

0% 27 facilities 2021-01-01
Whyms, Brian

Operational/Managerial Control · Individual

0% 11 facilities 2024-01-01

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Staffing
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Fines
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Staffing
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