Cycle 1
Health 2025-07-17 · Fire 2025-07-17
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Sioux City, IA
St Luke's Regional Medical Center SNF
5-star overall rating with 5-star inspections
801 Fifth Street, Sioux City, IA
(712) 279-5697
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
20
Certified beds
Average residents
6
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Trinity Health
Operator or chain grouping
Approved since
2017-09-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
1,723
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0093
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.31
Baseline 21.33% · Performance 19.90% · Measure score 3.31 · Achievement 3.31 · Improvement 2.83
Healthcare-associated infections
7.58
Baseline 5.62% · Performance 5.57% · Measure score 7.58 · Achievement 7.58 · Improvement 0.35
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.42% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 135 · Observed rate 9.63% · Lower 95% interval 7.7% |
| Discharge to community | 75.69% |
50.57%
25.1 pts better
|
Better than the National Rate · Eligible stays 118 · Observed rate 76.27% · Lower 95% interval 67.78% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 55 · Denominator 55 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 55 |
| Discharge self-care score | 33.33% |
53.69%
20.4 pts worse
|
Numerator 14 · Denominator 42 |
| Discharge mobility score | 47.62% |
50.94%
3.3 pts worse
|
Numerator 20 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 55 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.57% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 1.52% · Lower 95% interval 2.52% |
| Staff COVID-19 vaccination coverage | 21.88% |
8.2%
13.7 pts better
|
Numerator 7 · Denominator 32 |
| Staff flu vaccination coverage | 48.28% |
42%
6.3 pts better
|
Numerator 14 · Denominator 29 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 21 · Denominator 42 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 37 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 6 · Denominator 24 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
13.1%
3.3 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 16.7% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.4% |
1.9%
2.5 pts worse
|
1.6%
2.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.5% · Q3 6.2% · Q4 0.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.3% |
73.3%
23 pts better
|
79.7%
16.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.7% |
21.3%
8.4 pts worse
|
23.9%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 28.6% · Expected 23.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-08 · Fire 2024-08-08
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-01-18 · Fire 2024-01-18
3 health deficiencies
Top issue: Administration (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-01-18
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-02-13
F · Potential for more than minimal harm
2024-01-18
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-13
Penalties and ownership
What sits behind the stars
Ownership
Arnold, Jane
Operational/Managerial Control · Individual
Arnold, Jane
Corporate Officer · Individual
Beaulieu, Renee
Corporate Director · Individual
Bullock, Dennis
Corporate Director · Individual
Choquette, Holly
Operational/Managerial Control · Individual
Crone, Michael
Corporate Director · Individual
Dewald, Hannah
Corporate Director · Individual
Drew, Cara
Operational/Managerial Control · Individual
Iowa Health System
Operational/Managerial Control · Organization
James, Angelo
Corporate Director · Individual
Knapp, Leah
Operational/Managerial Control · Individual
Knapp, Leah
Corporate Officer · Individual
Lindley, Wendy
Operational/Managerial Control · Individual
Palmer, James
Corporate Director · Individual
Palmer, James
Corporate Officer · Individual
Sayler, Robert
Operational/Managerial Control · Individual
Smith, Garrett
Corporate Director · Individual
St. Luke's Health System, Inc.
Operational/Managerial Control · Organization
Trejo, Beth
Corporate Director · Individual
Trinity Continuing Care Services
Operational/Managerial Control · Organization
Wolfe, Charles
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Holy Spirit Retirement Home
Sioux City, IA
4-star overall rating with 2-star inspections with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Casa De Paz Health Care Center
Sioux City, IA
1-star overall rating with 2-star inspections with 11 recent health deficiencies
#3
Continental Springs, LLC
South Sioux City, NE
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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