Cycle 1
Health 2025-05-01 · Fire 2025-05-01
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
West Burlington, IA
Southeast Iowa Regional Medical - Klein Center
2-star overall rating with 1-star inspections with $65,094 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1307 South Gear Avenue, West Burlington, IA
(319) 768-1000
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
160
Certified beds
Average residents
136
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-05-01
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.33
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.71
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.53
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.99
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.91
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
1.65
CMS adjusted RN staffing hours
Adjusted total hours
5.59
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
12%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
18%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,620
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.23
Composite VBP score used to determine payment impact.
Payment multiplier
1.0102
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.58
Baseline 17.71% · Performance 20.24% · Measure score 2.58 · Achievement 2.58 · Improvement 0
Healthcare-associated infections
4.44
Baseline 5.66% · Performance 6.51% · Measure score 4.44 · Achievement 4.44 · Improvement 0
Total nurse turnover
7.14
Baseline 39.68% · Performance 34.51% · Measure score 7.14 · Achievement 7.14 · Improvement 2.99
Adjusted total nurse staffing
7.94
Baseline 5.03 hours · Performance 5.34 hours · Measure score 7.94 · Achievement 7.94 · Improvement 3.61
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.49% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 5.13% · Lower 95% interval 5.92% |
| Discharge to community | 65.63% |
50.57%
15.1 pts better
|
Better than the National Rate · Eligible stays 67 · Observed rate 68.66% · Lower 95% interval 56.44% |
| Medicare spending per beneficiary | 0.59 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 6.51% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 3.95% · Lower 95% interval 3.23% |
| Staff COVID-19 vaccination coverage | 0.56% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 177 |
| Staff flu vaccination coverage | 60.11% |
42%
18.1 pts better
|
Numerator 113 · Denominator 188 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| 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 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.5
0.8 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.1
0.6 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.0% |
94.0%
4 pts worse
|
93.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.8% · Q2 90.6% · Q3 81.6% · Q4 93.3% · 4Q avg 90.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
95.2%
1.9 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.7%
0.9 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 2.1% · Q3 1.9% · Q4 1.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.9% |
4.0%
0.1 pts better
|
11.4%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.2% · Q3 2.1% · Q4 1.1% · 4Q avg 3.9% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
4.9%
1.3 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.5% · Q3 2.2% · Q4 2.2% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.4% |
20.6%
5.8 pts worse
|
19.6%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 29.5% · Q3 24.2% · Q4 23.7% · 4Q avg 26.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.9% |
19.8%
4.9 pts better
|
16.7%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 15.7% · Q3 12.6% · Q4 14.3% · 4Q avg 14.9% · 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 | 12.1% |
18.5%
6.4 pts better
|
16.3%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 15.6% · Q3 7.0% · Q4 8.4% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.1% |
18.3%
5.8 pts worse
|
14.9%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 25.0% · Q3 28.7% · Q4 13.6% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.7%
0.5 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.2% · Q3 1.1% · Q4 1.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
2.5%
1 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 4.2% · Q3 0.0% · Q4 1.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
26.0%
3 pts better
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 25.9% · Q3 20.0% · Q4 19.7% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
4.3%
3.2 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 8.4% · Q3 6.6% · Q4 8.7% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 67.8% |
84.3%
16.5 pts worse
|
81.7%
13.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 90.1% · Q2 62.3% · Q3 50.0% · Q4 72.0% · 4Q avg 67.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
13.1%
3.8 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.5% · Expected 10.2% · 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 · 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 who were assessed and appropriately given the seasonal influenza vaccine | 89.2% |
73.3%
15.9 pts better
|
79.7%
9.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.5% |
21.3%
12.2 pts worse
|
23.9%
9.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.5% · Observed 29.2% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-13 · Fire 2024-06-13
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2023-03-16 · Fire 2023-03-16
3 health deficiencies
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-01
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-05-22
F · Potential for more than minimal harm
2025-05-01
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-05-22
F · Potential for more than minimal harm
2025-05-01
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-05-22
F · Potential for more than minimal harm
2025-05-01
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-22
E · Potential for more than minimal harm
2025-05-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-22
F · Potential for more than minimal harm
2024-06-13
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-07-03
F · Potential for more than minimal harm
2023-03-16
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-04-16
Inspection history
Recent health citations
J · Immediate jeopardy
2025-12-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-22
D · Potential for more than minimal harm
2025-10-30
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 2025-11-13
D · Potential for more than minimal harm
2025-06-26
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 2025-07-03
E · Potential for more than minimal harm
2025-05-01
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-05-01
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-05-01
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-05-01
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-23
D · Potential for more than minimal harm
2025-05-01
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-23
J · Immediate jeopardy
2024-11-13
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 2024-12-05
E · Potential for more than minimal harm
2024-06-13
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-06-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-12
E · Potential for more than minimal harm
2023-03-16
F836 · Administration Deficiencies
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2023-04-13
D · Potential for more than minimal harm
2023-03-16
F727 · Nursing and Physician Services Deficiencies
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 2023-04-13
D · Potential for more than minimal harm
2023-03-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-13
Penalties and ownership
What sits behind the stars
$57,073
2025-12-17
Fine
Fine · fine $57,073
Fine
$8,021
2024-11-12
Fine
Fine · fine $8,021
Fine
Ownership
Great River Health System Inc
5% Or Greater Direct Ownership Interest · Organization
Alexander, Jeremy
Operational/Managerial Control · Individual
Anderson, Joy
Operational/Managerial Control · Individual
Anderson, Joy
Corporate Director · Individual
Aramark Healthcare Support Services LLC
Operational/Managerial Control · Organization
Barr, Deanna
Operational/Managerial Control · Individual
Barr, Deanna
Corporate Director · Individual
Chelf, Todd
Operational/Managerial Control · Individual
Colgan, Teresa
Operational/Managerial Control · Individual
Colgan, Teresa
Corporate Officer · Individual
Deets, Ryan
Operational/Managerial Control · Individual
Deets, Ryan
Corporate Director · Individual
Dodd, Neal
Operational/Managerial Control · Individual
Dodd, Neal
Corporate Director · Individual
Engberg, Robert
Operational/Managerial Control · Individual
Engberg, Robert
Corporate Director · Individual
Fleming, Beth
Operational/Managerial Control · Individual
Great River Health System Inc
Operational/Managerial Control · Organization
Hagan, Tomi
Operational/Managerial Control · Individual
Hickey, Michael
Operational/Managerial Control · Individual
Hickey, Michael
Corporate Director · Individual
Huffman, Robert
Operational/Managerial Control · Individual
Huffman, Robert
Corporate Director · Individual
Klopfenstein, Mary
Operational/Managerial Control · Individual
Martin, Douglas
Operational/Managerial Control · Individual
Martin, Douglas
Corporate Director · Individual
Mccoy, Michael
Operational/Managerial Control · Individual
Mccoy, Michael
Corporate Director · Individual
Mccoy, Michael
Corporate Officer · Individual
Mckillip, John
Operational/Managerial Control · Individual
Mckillip, John
Corporate Director · Individual
Mcnamee, Carla
Operational/Managerial Control · Individual
Mcnamee, Carla
Corporate Director · Individual
Rashid, John
Operational/Managerial Control · Individual
Riherd, Gina
Corporate Director · Individual
Rodriguez, Russell
Operational/Managerial Control · Individual
Ryon, Joel
Operational/Managerial Control · Individual
Southeast Iowa Regional Medical Center Inc
Operational/Managerial Control · Organization
Stephenson, Victoria
Operational/Managerial Control · Individual
Stephenson, Victoria
Corporate Director · Individual
West, Amy
Operational/Managerial Control · Individual
Yost, Michael
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Oakview Nursing and Rehabilitation
Burlington, IA
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Azria Health Prairie Ridge
Mediapolis, IA
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Henderson County Ret Center
Stronghurst, IL
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
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