Cycle 1
Health 2025-10-02 · Fire 2025-10-02
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Ruthven, IA
Ruthven Community Care Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies
2701 Mitchell Street Box 0, Ruthven, IA
(712) 837-5411
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
46
Certified beds
Average residents
42
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.51
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.16
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.34
CMS adjusted total nurse staffing hours
Case-mix index
1.07
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
8,992
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
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
1.45
Baseline 6.82% · Performance 7.40% · Measure score 1.45 · Achievement 1.45 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.56
Baseline 3.46 hours · Performance 4.09 hours · Measure score 3.56 · Achievement 3.56 · Improvement 2.22
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.62% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 4.44% · Lower 95% interval 6.43% |
| Discharge to community | 49.4% |
50.57%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 36 · Observed rate 47.22% · Lower 95% interval 35.88% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 90.91% |
95.27%
4.4 pts worse
|
Numerator 30 · Denominator 33 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 33 |
| Discharge self-care score | 60.87% |
53.69%
7.2 pts better
|
Numerator 14 · Denominator 23 |
| Discharge mobility score | 56.52% |
50.94%
5.6 pts better
|
Numerator 13 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 33 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.4% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 6.9% · Lower 95% interval 3.97% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 55 |
| Staff flu vaccination coverage | 25.56% |
42%
16.4 pts worse
|
Numerator 34 · Denominator 133 |
| Discharge function score | 69.57% |
56.45%
13.1 pts better
|
Numerator 16 · Denominator 23 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 23.81% |
25.2%
1.4 pts worse
|
Numerator 5 · Denominator 21 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.1
About the same
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.5 · Expected 1.2 · 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 | 73.5% |
95.2%
21.7 pts worse
|
95.5%
22 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 73.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.7%
0.7 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.3% · Q3 2.8% · Q4 2.6% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
4.0%
2.4 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 2.8% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
4.9%
2.9 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 0.0% · Q4 3.6% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.8% |
20.6%
16.8 pts better
|
19.6%
15.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 0.0% · Q3 6.9% · Q4 3.3% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.9% |
19.8%
5.9 pts better
|
16.7%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 9.1% · Q4 13.0% · 4Q avg 13.9% · 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 | 15.4% |
18.5%
3.1 pts better
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.7% · Q3 11.0% · Q4 20.8% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
18.3%
About the same
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 8.3% · Q3 17.2% · Q4 20.0% · 4Q avg 18.3% · 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 | 0.8% |
2.5%
1.7 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% |
26.0%
3.2 pts better
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 21.0% · Q3 21.4% · Q4 21.8% · 4Q avg 22.8% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
4.3%
4.3 pts better
|
5.1%
5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
84.3%
14.8 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.2% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.7% |
13.1%
2.6 pts worse
|
12.0%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 14.7% · Expected 10.5% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 13.3% |
73.3%
60 pts worse
|
79.7%
66.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 13.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.0% |
21.3%
3.7 pts worse
|
23.9%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 23.5% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-19 · Fire 2024-09-19
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2023-06-22 · Fire 2023-06-22
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 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
2024-09-19
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-28
F · Potential for more than minimal harm
2023-06-22
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-06-30
E · Potential for more than minimal harm
2023-06-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-06-22
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-10-02
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 2025-11-25
D · Potential for more than minimal harm
2025-10-02
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-11-25
D · Potential for more than minimal harm
2024-09-19
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-25
D · Potential for more than minimal harm
2024-09-19
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-09-25
E · Potential for more than minimal harm
2023-06-22
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 2023-06-23
D · Potential for more than minimal harm
2023-06-22
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-06-23
Penalties and ownership
What sits behind the stars
Ownership
Ruthven Community Care Center Inc
5% Or Greater Direct Ownership Interest · Organization
Feldmann, Bruce
Operational/Managerial Control · Individual
Feldmann, Bruce
Corporate Director · Individual
Hamm, Michael
Operational/Managerial Control · Individual
Hart, Christa
Operational/Managerial Control · Individual
Hart, Christa
Corporate Director · Individual
King, Dennis
Operational/Managerial Control · Individual
King, Dennis
Corporate Director · Individual
Langner, Maricia
Operational/Managerial Control · Individual
Langner, Maricia
Corporate Director · Individual
Ltc Accounting Services, LLC
Operational/Managerial Control · Organization
Markley, Lisa
Operational/Managerial Control · Individual
Markley, Lisa
Corporate Director · Individual
Neighbors, James
Operational/Managerial Control · Individual
Neighbors, James
Corporate Director · Individual
Nelson, Julie
Operational/Managerial Control · Individual
Nelson, Julie
Corporate Director · Individual
Olson, Gregory
Operational/Managerial Control · Individual
Olson, Gregory
Corporate Director · Individual
Osthus, David
Operational/Managerial Control · Individual
Premier Senior Management LLC
Operational/Managerial Control · Organization
Rabel, Sarah
Operational/Managerial Control · Individual
Rabel, Sarah
Corporate Director · Individual
Ruthven Community Care Center Inc
Operational/Managerial Control · Organization
Sikora, Ryan
Operational/Managerial Control · Individual
Sikora, Ryan
Corporate Director · Individual
Stearns, Susan
Operational/Managerial Control · Individual
Stearns, Susan
Corporate Director · Individual
T.p. Anderson & Company
Operational/Managerial Control · Organization
White, Candice
Operational/Managerial Control · Individual
White, Candice
Corporate Director · Individual
Wichman, Diana
Operational/Managerial Control · Individual
Wichman, Diana
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Palo Alto County Hospital
Emmetsburg, IA
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Lakeside Lutheran Home
Emmetsburg, IA
1-star overall rating with 2-star inspections with 13 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
#3
Emmetsburg Care Center
Emmetsburg, IA
2-star overall rating with 2-star inspections with $25,695 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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