Federal inspection record · CMS data as of October 1, 2026
Spurgeon Manor
1204 Linden Street, Dallas Center, IA · (515) 992-3735
- CMS high-performer trophy
- Certified beds
- 55
- Residents per day
- 49
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 17, 2009
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 (already 5)
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
Spurgeon Manor carries 16 inspection points. That is fewer than 74% 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
8 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 Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care1D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights1D
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspection history
2025-09-25
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-11-07
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-10-12
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 5 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
5 h 5 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 33% of registered nurses left in the past year.
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 days1 pts better | 0.4 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.9 | 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 pts better | 97.8% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.9% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.6 pts better | 0.6% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 3.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.3 pts better | 11.7% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.1 pts better | 9.7% | 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 worsened5.4 pts worse | 20.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.6 pts worse | 27.2% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 3.4% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse | 28.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.3% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9 pts better | 4.0% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 1.4% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine44.2 pts worse | 30.2% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 16.8% | 20.7% | 23.4% |
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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, Brenda | Corporate Director · Individual | 0% | 1 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Bennett-Bircher, Chloette | Corporate Officer · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Buffington, Kathryn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cahill, Maureen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Creative Planning Hold Co LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Curis Rx Investments LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Digital Stew Services Inc | Adp Of The SNF · Organization | 0% | 4 facilities |
| Eby, Cynthia | Corporate Director · Individual | 0% | 1 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Emmert, Donna | Corporate Officer · Individual | 0% | 1 facilities |
| Hanson, Scott | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Hanson, Scott | Adp Of The SNF · Individual | 0% | 6 facilities |
| Hyde, Tyler | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Keifer, Rhonda | Corporate Director · Individual | 0% | 1 facilities |
| Lynch, Brenda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mikes, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moss, Donnella | Corporate Director · Individual | 0% | 1 facilities |
| National Therapeutic Associates, Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Peitzman, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Scroggins, Crystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Scroggins, Crystal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sheets, Catherine | Corporate Director · Individual | 0% | 1 facilities |
| Simpson, Matthew | Corporate Officer · Individual | 0% | 1 facilities |
| Trilogy Healthcare Holdings Inc | Adp Of The SNF · Organization | 0% | 31 facilities |
| Watts, Diane | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wise, Samuel | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke4E
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Construction2D
- D
Install a two-hour-resistant firewall separation.
- D
Use approved construction type or materials.
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Other homes nearby
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Adel Acres
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
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-
Kennybrook Village
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- Nursing / resident / day
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-
Granger Nursing & Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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- Fines
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