0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Solon, IA
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
523 E Fifth Street, Solon, IA
(319) 624-3492
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-06-01
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
0.53
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.57
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
3.13
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
4.43
CMS adjusted total nurse staffing hours
Case-mix index
1.10
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
2,002
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.37
Composite VBP score used to determine payment impact.
Payment multiplier
1.0069
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.15
Baseline 77.78% · Performance 53.16% · Measure score 4.15 · Achievement 2.57 · Improvement 4.15
Adjusted total nurse staffing
6.32
Baseline 4.33 hours · Performance 4.88 hours · Measure score 6.32 · Achievement 6.32 · Improvement 3.27
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.93% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 49 · Observed rate 10.2% · Lower 95% interval 7.05% |
| Discharge to community | 47.08% |
50.57%
3.5 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 43.9% · Lower 95% interval 35.69% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 86.11% |
95.27%
9.2 pts worse
|
Numerator 31 · Denominator 36 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 36 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 17 · Denominator 34 |
| Discharge mobility score | 52.94% |
50.94%
2 pts better
|
Numerator 18 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 36 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 11.67% |
8.2%
3.5 pts better
|
Numerator 14 · Denominator 120 |
| Staff flu vaccination coverage | 37.42% |
42%
4.6 pts worse
|
Numerator 58 · Denominator 155 |
| Discharge function score | 52.94% |
56.45%
3.5 pts worse
|
Numerator 18 · Denominator 34 |
| 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 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 56.67% |
25.2%
31.5 pts better
|
Numerator 17 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.7 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
94.0%
4.5 pts better
|
93.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 94.6% · Q4 100.0% · 4Q avg 98.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
95.2%
1.9 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
3.7%
1.8 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.9% · Q3 5.4% · Q4 4.3% · 4Q avg 5.5% · 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 | 4.6% |
4.9%
0.3 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 10.2% · Q3 3.5% · Q4 1.9% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.7% |
20.6%
7.9 pts better
|
19.6%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.9% · Q3 13.6% · Q4 13.2% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.6% |
19.8%
0.2 pts better
|
16.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 20.0% · Q3 19.6% · Q4 22.9% · 4Q avg 19.6% · 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 | 18.7% |
18.5%
0.2 pts worse
|
16.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 27.1% · Q3 21.3% · Q4 13.0% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.3% |
18.3%
7 pts worse
|
14.9%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 31.7% · Q3 25.5% · Q4 15.1% · 4Q avg 25.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% |
1.7%
2.7 pts worse
|
1.0%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 5.8% · Q3 2.9% · Q4 0.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
2.5%
0.6 pts better
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.5% · Q3 2.8% · Q4 1.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.9% |
26.0%
2.1 pts better
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.0% · Q2 23.3% · Q3 23.3% · Q4 16.8% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
4.3%
2.8 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.5% · Q3 1.5% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.6% |
84.3%
7.3 pts better
|
81.7%
9.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 76.9% · Q2 88.5% · Q3 97.1% · Q4 98.3% · 4Q avg 91.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.6% |
13.1%
6.5 pts worse
|
12.0%
7.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 17.5% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
1.9%
1.7 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 3.4% · Q3 2.7% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.0% |
73.3%
8.7 pts better
|
79.7%
2.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
21.3%
6.3 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 22.5% · Expected 19.5% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-08-23
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-08-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-23
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-27
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-30
Fire Safety
Use approved construction type or materials.
Corrected 2023-06-16
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 2023-06-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-30
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-06-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-13
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-06-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-22
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 2023-06-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-19
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-16
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-06-16
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-06-16
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-06-16
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 2023-06-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-16
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-06-16
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
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1-star overall rating with 2-star inspections with $105,030 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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Iowa City, IA
1-star overall rating with 1-star inspections with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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