9 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Sheffield, IA
2-star overall rating with 2-star inspections with $26,402 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
100 Bennett Drive, Sheffield, IA
(641) 892-4691
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
45
Certified beds
Average residents
36
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1998-07-01
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
RN hours / resident day
0.43
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.37
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
0.80
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.42
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
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.81
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 QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.84% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 47 · Observed rate 10.64% · Lower 95% interval 6.82% |
| Discharge to community | 48.6% |
50.57%
2 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 45.95% · Lower 95% interval 34.8% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 0% |
95.27%
95.3 pts worse
|
Numerator 0 · Denominator 24 |
| Falls with major injury | 8.33% |
0.77%
7.6 pts worse
|
Numerator 2 · Denominator 24 |
| Discharge self-care score | 36.36% |
53.69%
17.3 pts worse
|
Numerator 8 · Denominator 22 |
| Discharge mobility score | 36.36% |
50.94%
14.6 pts worse
|
Numerator 8 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 24 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 11 · Denominator 22 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.1
0.1 pts better
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.4 · 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 | 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 | 6.6% |
3.7%
2.9 pts worse
|
3.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.1% · Q3 8.8% · Q4 5.6% · 4Q avg 6.6% · 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 | 4.7% |
4.9%
0.2 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.2% · Q3 3.2% · Q4 3.0% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.4% |
20.6%
4.8 pts worse
|
19.6%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 30.3% · Q3 26.5% · Q4 17.6% · 4Q avg 25.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.5% |
19.8%
15.7 pts worse
|
16.7%
18.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 38.5% · Q3 38.5% · Q4 29.6% · 4Q avg 35.5% · 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 | 15.9% |
18.5%
2.6 pts better
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 15.1% · Q3 17.9% · Q4 15.1% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.2% |
18.3%
6.9 pts worse
|
14.9%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 24.2% · Q3 35.3% · Q4 12.9% · 4Q avg 25.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
1.7%
1.9 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.8% · Q3 3.6% · Q4 3.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.6% |
2.5%
2.1 pts worse
|
1.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.1% · Q3 6.5% · Q4 2.9% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.3% |
26.0%
7.7 pts better
|
19.8%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 23.9% · Q3 17.4% · Q4 16.9% · 4Q avg 18.3% |
| 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 | 100.0% |
84.3%
15.7 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% |
13.1%
9.1 pts better
|
12.0%
8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.0% · Observed 3.6% · Expected 10.0% · 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 rehospitalized after a nursing home admission | 7.6% |
21.3%
13.7 pts better
|
23.9%
16.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 7.1% · Expected 22.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-22
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-08-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-10-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-01
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-12-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-20
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-12-20
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 2023-12-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-12-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-17
Inspection history
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 2025-08-27
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-08-27
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-08-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-27
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 2025-08-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-27
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-27
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 2025-08-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-27
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-10-02
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-02
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-10-02
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-06
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-06
Penalties and ownership
Fine · fine $4,235
Fine
Fine · fine $3,882
Fine
Fine · fine $9,527
Fine
Fine · fine $2,447
Fine
Fine · fine $2,117
Fine
Fine · fine $4,194
Fine
Corporate Director · Individual
W-2 Managing Employee · Individual
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