0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Iowa Falls, IA
4-star overall rating with 4-star inspections with 5 fire-safety deficiencies in the latest cycle
1409 Fremont Street, Iowa Falls, IA
(641) 648-4671
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
77
Certified beds
Average residents
60
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.67
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
2.60
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.98
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.53
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
4.33
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
933
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.98
Composite VBP score used to determine payment impact.
Payment multiplier
1.0170
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.57
Baseline 18.25% · Performance 17.93% · Measure score 7.57 · Achievement 7.57 · Improvement 2.19
Healthcare-associated infections
4.38
Baseline 6.06% · Performance 6.53% · Measure score 4.38 · Achievement 4.38 · Improvement 0
Total nurse turnover
8.28
Baseline 29.76% · Performance 29.85% · Measure score 8.28 · Achievement 8.28 · Improvement 0
Adjusted total nurse staffing
4.57
Baseline 3.84 hours · Performance 4.38 hours · Measure score 4.57 · Achievement 4.57 · Improvement 2.25
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.96% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 2.56% · Lower 95% interval 5.82% |
| Discharge to community | 53.75% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 53.97% · Lower 95% interval 43.25% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 42.31% |
95.27%
53 pts worse
|
Numerator 11 · Denominator 26 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 26 |
| Discharge self-care score | 62.5% |
53.69%
8.8 pts better
|
Numerator 15 · Denominator 24 |
| Discharge mobility score | 62.5% |
50.94%
11.6 pts better
|
Numerator 15 · Denominator 24 |
| Pressure ulcers or injuries, new or worsened | 7.69% |
2.29%
5.4 pts worse
|
Numerator 2 · Denominator 26 · Adjusted rate 12.17% |
| Healthcare-associated infections requiring hospitalization | 6.53% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 39 · Observed rate 2.56% · Lower 95% interval 3.57% |
| Staff COVID-19 vaccination coverage | 14.17% |
8.2%
6 pts better
|
Numerator 17 · Denominator 120 |
| Staff flu vaccination coverage | 54.2% |
42%
12.2 pts better
|
Numerator 71 · Denominator 131 |
| Discharge function score | 79.17% |
56.45%
22.7 pts better
|
Numerator 19 · Denominator 24 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.5
0.6 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · 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 | 97.0% |
95.2%
1.8 pts better
|
95.5%
1.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| 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 4.9% · Q2 0.0% · Q3 0.0% · Q4 5.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
4.0%
2.1 pts worse
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 8.5% · Q3 5.2% · Q4 3.6% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
4.9%
3.7 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.4% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.0% |
20.6%
7.6 pts better
|
19.6%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 16.7% · Q3 14.3% · Q4 11.6% · 4Q avg 13.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
19.8%
9.2 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 8.8% · Q3 7.9% · Q4 13.5% · 4Q avg 10.6% · 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 | 20.3% |
18.5%
1.8 pts worse
|
16.3%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 15.1% · Q3 25.3% · Q4 25.6% · 4Q avg 20.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.9% |
18.3%
5.6 pts worse
|
14.9%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 12.8% · Q3 35.0% · Q4 29.3% · 4Q avg 23.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.1% |
1.7%
1.4 pts worse
|
1.0%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.2% · Q3 4.3% · Q4 5.7% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.1% |
2.5%
2.6 pts worse
|
1.7%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.4% · Q3 8.6% · Q4 7.1% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
26.0%
2.6 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.5% · Q2 26.3% · Q3 21.9% · Q4 28.7% · 4Q avg 28.6% |
| Percentage of long-stay residents with pressure ulcers | 8.3% |
4.3%
4 pts worse
|
5.1%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 11.2% · Q3 6.7% · Q4 6.6% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
84.3%
13.9 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 95.8% · Q3 100.0% · Q4 100.0% · 4Q avg 98.2% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.5% |
1.9%
4.6 pts worse
|
1.6%
4.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 68.0% |
73.3%
5.3 pts worse
|
79.7%
11.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 68.0% |
Survey summary
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Pharmacy Service (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-12
Fire Safety
Use approved construction type or materials.
Corrected 2025-05-09
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-10
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-06-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-06-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-06-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-23
Inspection history
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-10-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-14
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-14
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 2024-06-14
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-14
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-05-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-22
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 2023-03-22
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Ackley, IA
1-star overall rating with 1-star inspections with $99,979 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Eldora, IA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Hampton, IA
4-star overall rating with 4-star inspections with 3 recent health deficiencies
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