Nevada, IA

Story Medical Senior Care

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

710 S 19th ST, Nevada, IA

(515) 382-2111

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

57

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-03-31

CMS approved date

Coverage

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

Hours and turnover

RN hours / resident day

1.37

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.27

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

3.52

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

5.17

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.64

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

4.15

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

1.12

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.57

CMS adjusted RN staffing hours

Adjusted total hours

5.90

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 44% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.5 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	2.1 About the same	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.2%	94.0% 2.8 pts worse	93.4% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 84.0% · Q3 83.0% · Q4 96.6% · 4Q avg 91.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.0%	3.7% 2.3 pts worse	3.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 6.0% · Q3 5.7% · Q4 1.7% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	4.0% 3.5 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	5.1%	4.9% 0.2 pts worse	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 2.2% · Q3 2.0% · Q4 3.9% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.2%	20.6% 6.4 pts better	19.6% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 17.4% · Q3 14.3% · Q4 13.7% · 4Q avg 14.2%
Percentage of long-stay residents who received an antipsychotic medication	15.7%	19.8% 4.1 pts better	16.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 17.9% · Q3 12.8% · Q4 17.4% · 4Q avg 15.7% · 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	19.0%	18.5% 0.5 pts worse	16.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 22.2% · Q3 14.6% · Q4 12.9% · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.9%	18.3% 0.6 pts worse	14.9% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 23.8% · Q3 20.5% · Q4 6.4% · 4Q avg 18.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.7%	1.7% About the same	1.0% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	2.5% 1.6 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.9%	26.0% 1.1 pts better	19.8% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 25.8% · Q3 30.1% · Q4 21.3% · 4Q avg 24.9%
Percentage of long-stay residents with pressure ulcers	1.0%	4.3% 3.3 pts better	5.1% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 2.1% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.0%	84.3% 8.3 pts worse	81.7% 5.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 76.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-05-09 · Fire 2024-05-09

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-02-02 · Fire 2023-02-02

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-04-03

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-04-04

F · Potential for more than minimal harm 2025-04-03

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-04-08

F · Potential for more than minimal harm 2024-05-09

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-05-09

F · Potential for more than minimal harm 2024-05-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-09

F · Potential for more than minimal harm 2024-05-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-05-09

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2024-05-24

E · Potential for more than minimal harm 2024-05-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-05-09

K321 · Smoke Deficiencies

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 2024-05-15

E · Potential for more than minimal harm 2024-05-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-05-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-13

F · Potential for more than minimal harm 2023-02-02

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-02-21

F · Potential for more than minimal harm 2023-02-02

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-02-17

F · Potential for more than minimal harm 2023-02-02

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 2023-02-14

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-11-19

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 2025-11-20

D · Potential for more than minimal harm 2025-04-03

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-21

E · Potential for more than minimal harm 2024-05-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-22

E · Potential for more than minimal harm 2024-05-09

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-05-22

D · Potential for more than minimal harm 2023-02-02

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-02-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-02-03

D · Potential for more than minimal harm 2023-02-02

F690 · Quality of Life and Care Deficiencies

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 2023-02-03

D · Potential for more than minimal harm 2023-02-02