Federal inspection record · CMS data as of October 1, 2026
Simpson Memorial Home
1000 North Miller Street, West Liberty, IA · (319) 627-4775
- Certified beds
- 55
- Residents per day
- 34
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2000
1
How this home got 5 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
★★★★★+1 star
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
★★★★★no change
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Simpson Memorial Home carries 11 inspection points. That is fewer than 82% 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
9 health citations on record since 2023. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Administration1C
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2025-12-04
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2024-10-17
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-08-17
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
4 h 9 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.4 pts worse | 1.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.8 | 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 vaccine2.7 pts worse | 93.1% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 4.5% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.5 pts worse | 6.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 4.3% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.4 pts better | 8.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medicationAbout the same | 19.8% | 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 worsened16.6 pts worse | 31.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.5 pts worse | 26.1% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 1.3% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3 pts worse | 5.4% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts worse | 33.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 4.4% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts better | 94.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.5 pts worse | 42.9% | 74.4% | 80.1% |
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Who owns and runs it
31 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 |
|---|---|---|---|
| Anderson, Ethan | Corporate Director · Individual | 0% | 2 facilities |
| Barnhart, Miranda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Blue Stone Therapy Inc | Adp Of The SNF · Organization | 0% | 27 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Forge Financial & Management Consulting, Inc | Adp Of The SNF · Organization | 0% | 4 facilities |
| Geertz, Emily | Corporate Director · Individual | 0% | 2 facilities |
| Grunder, Fredrick | Corporate Officer · Individual | 0% | 2 facilities |
| Hazelwood, Melissa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hills Bank And Trust Company | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Hutchings, Mark | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Leggins, Lori | Corporate Director · Individual | 0% | 1 facilities |
| Marolf, Ted | Corporate Director · Individual | 0% | 2 facilities |
| Mccaslin, Timothy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Robert | Corporate Officer · Individual | 0% | 37 facilities |
| Moeller, Gary | Corporate Director · Individual | 0% | 2 facilities |
| Office Machine Consultants | Adp Of The SNF · Organization | 0% | 2 facilities |
| Orvis, Samuel | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Orvis, Samuel | Adp Of The SNF · Individual | 0% | 2 facilities |
| Owen, Robert | Corporate Director · Individual | 0% | 2 facilities |
| Smith, Dawn | Corporate Officer · Individual | 0% | 4 facilities |
| Thomas, Chad | Corporate Director · Individual | 0% | 2 facilities |
| Thomas, Chad | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Wheeler, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| White, Laura | Operational/Managerial Control · Individual | 0% | 2 facilities |
| William Burke Ltd | Adp Of The SNF · Organization | 0% | 8 facilities |
| Wilson, Julie | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Crestview Specialty Care
West Branch, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 35 min
- Fines
- $216,061
-
Lone Tree Health Care Center Inc
Lone Tree, IA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 24 min
- Fines
- $0
-
Accura Healthcare of Muscatine
Muscatine, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0