Federal inspection record · CMS data as of October 1, 2026
Rotary Senior Living
500 South Blaine Avenue, Eagle Grove, IA · (515) 448-5124
- Certified beds
- 46
- Residents per day
- 30
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 15, 2003
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Rotary Senior Living carries 80.25 inspection points. That is fewer than 21% 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
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
J
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights5D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services1D
- D
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.
Pharmacy Service1D
- D
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.
Inspection history
2026-07-23
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-06-12
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-07-18
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 54 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 83% of registered nurses left in the past year, along with 2 administrators.
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
$65,036 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-17 | Fine | $65,036 |
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 days1 pts better | 0.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.7 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better | 97.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.4 pts better | 1.8% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 4.2% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts better | 14.4% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts better | 16.0% | 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 worsened1.7 pts better | 13.5% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts worse | 20.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.8% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse | 28.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 5.2% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 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
15 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 |
|---|---|---|---|
| Casperson, Diane | Corporate Director · Individual | 0% | 1 facilities |
| Casperson, Diane | Corporate Officer · Individual | 0% | 1 facilities |
| Casperson, Diane | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Casperson, Diane | Adp Of The SNF · Individual | 0% | 1 facilities |
| Christ, James | Corporate Director · Individual | 0% | 1 facilities |
| Larson, Lyle | Corporate Director · Individual | 0% | 1 facilities |
| Larson, Lyle | Corporate Officer · Individual | 0% | 1 facilities |
| Moffitt, Jordan | Corporate Director · Individual | 0% | 1 facilities |
| Moffitt, Jordan | Corporate Officer · Individual | 0% | 1 facilities |
| Mofitt, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Mofitt, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Smith, Dustin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Smith, Dustin | Adp Of The SNF · Individual | 0% | 2 facilities |
| Tokheim, Paul | Corporate Director · Individual | 0% | 1 facilities |
| Tokheim, Paul | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Smoke2E
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Egress1E
- E
Have exits that are accessible at all times.
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Other homes nearby
-
Clarion Wellness and Rehabilitation Center
Clarion, IA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 59 min
- Fines
- $24,174
-
Crestview Nursing and Rehabilitation
Webster City, IA
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 42 min
- Fines
- $13,036
-
Southfield Wellness Community
Webster City, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 40 min
- Fines
- $88,252