Nevada, IA

Rolling Green Village Care Center

4-star overall rating with 4-star inspections

100 Sixth Street, Nevada, IA

(515) 382-6556

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

58

Certified beds

Average residents

50

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-10-01

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

0.73

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.34

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.97

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.04

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.07

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.66

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.58

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

4.27

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

65%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,402

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

Performance score

12.47

Composite VBP score used to determine payment impact.

Payment multiplier

0.9811

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.81% · Performance 21.90% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.78

Baseline 6.40% · Performance 7.60% · Measure score 0.78 · Achievement 0.78 · Improvement 0

Total nurse turnover

0

Baseline 51.06% · Performance 62.96% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.20

Baseline 4.28 hours · Performance 4.27 hours · Measure score 4.20 · Achievement 4.20 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.42%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 65 · Observed rate 12.31% · Lower 95% interval 7.41%
Discharge to community	48.66%	50.57% 1.9 pts worse	No Different than the National Rate · Eligible stays 51 · Observed rate 45.1% · Lower 95% interval 36.89%
Medicare spending per beneficiary	0.81	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 63 · Denominator 63
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 63
Discharge self-care score	34.04%	53.69% 19.6 pts worse	Numerator 16 · Denominator 47
Discharge mobility score	31.91%	50.94% 19 pts worse	Numerator 15 · Denominator 47
Pressure ulcers or injuries, new or worsened	3.17%	2.29% 0.9 pts worse	Numerator 2 · Denominator 63 · Adjusted rate 3%
Healthcare-associated infections requiring hospitalization	7.6%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 7.69% · Lower 95% interval 3.86%
Staff COVID-19 vaccination coverage	14.46%	8.2% 6.3 pts better	Numerator 12 · Denominator 83
Staff flu vaccination coverage	59.46%	42% 17.5 pts better	Numerator 88 · Denominator 148
Discharge function score	42.55%	56.45% 13.9 pts worse	Numerator 20 · Denominator 47
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	96.15%	96.28% 0.1 pts worse	Numerator 25 · Denominator 26
Resident COVID-19 vaccinations up to date	41.03%	25.2% 15.8 pts better	Numerator 16 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.5 0.9 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.0 · Expected 1.6 · 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 2.3 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.0% 6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	78.3%	95.2% 16.9 pts worse	95.5% 17.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 78.3%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.7% 1.2 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 2.5% · Q4 4.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.1%	4.0% 1.9 pts better	11.4% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 2.6% · Q4 2.9% · 4Q avg 2.1%
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 3.6% · Q2 3.8% · Q3 6.2% · Q4 0.0% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	4.9%	20.6% 15.7 pts better	19.6% 14.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.7% · Q3 3.1% · Q4 6.1% · 4Q avg 4.9%
Percentage of long-stay residents who received an antipsychotic medication	19.4%	19.8% 0.4 pts better	16.7% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 9.1% · Q3 17.9% · Q4 25.9% · 4Q avg 19.4% · 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	17.6%	18.5% 0.9 pts better	16.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.4%	18.3% 2.9 pts better	14.9% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 14.3% · Q3 15.6% · Q4 15.2% · 4Q avg 15.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.2%	1.7% 1.5 pts worse	1.0% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 3.2% · 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	32.2%	26.0% 6.2 pts worse	19.8% 12.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 37.2% · Q3 28.3% · Q4 24.5% · 4Q avg 32.2%
Percentage of long-stay residents with pressure ulcers	1.2%	4.3% 3.1 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 2.6% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	84.3% 14.6 pts better	81.7% 17.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9%
Percentage of short-stay residents who had an outpatient emergency department visit	12.4%	13.1% 0.7 pts better	12.0% 0.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 10.2% · Expected 9.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	35.7%	73.3% 37.6 pts worse	79.7% 44 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 35.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.8%	21.3% 2.5 pts worse	23.9% 0.1 pts better	Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 20.4% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-14 · Fire 2026-01-14

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-11-14 · Fire 2024-11-14

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-10-26 · Fire 2023-10-26

5 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

G · Actual harm 2024-11-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-11-14

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 2024-12-10

D · Potential for more than minimal harm 2024-11-14

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 2024-12-10

D · Potential for more than minimal harm 2024-11-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-11-14

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 2024-12-10

D · Potential for more than minimal harm 2024-11-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-11-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-11-14

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-11-14

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 2024-12-10

E · Potential for more than minimal harm 2023-10-26

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-11-26

D · Potential for more than minimal harm 2023-10-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-26

D · Potential for more than minimal harm 2023-10-26

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-26

D · Potential for more than minimal harm 2023-10-26

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 2023-11-26

D · Potential for more than minimal harm 2023-10-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-26

Penalties and ownership