Sioux City, IA

Sunrise Retirement Community

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

5501 Gordon Drive East, Sioux City, IA

(712) 276-3821

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

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

74

Certified beds

Average residents

66

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-02-01

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

Hours and turnover

RN hours / resident day

0.92

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

1.14

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

3.33

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

5.39

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

2.06

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

4.95

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.09

CMS adjusted RN staffing hours

Adjusted total hours

6.36

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

45%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,808

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

53.87

Composite VBP score used to determine payment impact.

Payment multiplier

1.0087

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.06

Baseline 16.80% · Performance 18.62% · Measure score 6.06 · Achievement 6.06 · Improvement 0

Healthcare-associated infections

0

Baseline 5.20% · Performance 8.84% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.49

Baseline 37.26% · Performance 41.23% · Measure score 5.49 · Achievement 5.49 · Improvement 0

Adjusted total nurse staffing

10

Baseline 5.14 hours · Performance 6.19 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.12%	10.72% 1.6 pts better	No Different than the National Rate · Eligible stays 103 · Observed rate 3.88% · Lower 95% interval 6.01%
Discharge to community	48.26%	50.57% 2.3 pts worse	No Different than the National Rate · Eligible stays 72 · Observed rate 45.83% · Lower 95% interval 38.35%
Medicare spending per beneficiary	0.69	1.02 0.3 pts better
Drug regimen review with follow-up	96.77%	95.27% 1.5 pts better	Numerator 30 · Denominator 31
Falls with major injury	3.23%	0.77% 2.5 pts worse	Numerator 1 · Denominator 31
Discharge self-care score	60%	53.69% 6.3 pts better	Numerator 18 · Denominator 30
Discharge mobility score	56.67%	50.94% 5.7 pts better	Numerator 17 · Denominator 30
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 31 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.84%	7.12% 1.7 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 11.11% · Lower 95% interval 5.22%
Staff COVID-19 vaccination coverage	2.24%	8.2% 6 pts worse	Numerator 5 · Denominator 223
Staff flu vaccination coverage	45.53%	42% 3.5 pts better	Numerator 112 · Denominator 246
Discharge function score	73.33%	56.45% 16.9 pts better	Numerator 22 · Denominator 30
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · 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	1.2	1.5 0.3 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	94.0% 4.4 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 98.5% · Q3 98.4% · Q4 98.4% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.2%	95.2% 2 pts better	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.1%	3.7% 0.6 pts better	3.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.1% · Q3 4.8% · Q4 3.1% · 4Q avg 3.1% · 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	2.9%	4.9% 2 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 1.9% · Q3 3.9% · Q4 0.0% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.8%	20.6% 7.8 pts better	19.6% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 13.2% · Q3 11.5% · Q4 10.6% · 4Q avg 12.8%
Percentage of long-stay residents who received an antipsychotic medication	17.2%	19.8% 2.6 pts better	16.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 16.3% · Q3 15.6% · Q4 17.9% · 4Q avg 17.2% · 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	11.7%	18.5% 6.8 pts better	16.3% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 14.8% · Q3 8.5% · Q4 10.9% · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.7%	18.3% 1.4 pts worse	14.9% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 8.2% · Q3 32.0% · Q4 19.6% · 4Q avg 19.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.7% 0.4 pts better	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 0.0% · Q4 1.6% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	2.5% 1.7 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.6% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.3%	26.0% 10.7 pts better	19.8% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.1% · Q3 17.9% · Q4 22.9% · 4Q avg 15.3%
Percentage of long-stay residents with pressure ulcers	2.5%	4.3% 1.8 pts better	5.1% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 3.6% · Q4 3.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.9%	84.3% 13.6 pts better	81.7% 16.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 93.3% · 4Q avg 97.9%
Percentage of short-stay residents who had an outpatient emergency department visit	4.6%	13.1% 8.5 pts better	12.0% 7.4 pts better	Short Stay · 20240701-20250630 · Adjusted 4.6% · Observed 3.8% · Expected 9.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	14.5%	1.9% 12.6 pts worse	1.6% 12.9 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 14.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.3%	73.3% 18 pts better	79.7% 11.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.6%	21.3% 7.7 pts better	23.9% 10.3 pts better	Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 11.5% · Expected 20.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

2 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-09-26 · Fire 2024-09-26

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-11-30 · Fire 2023-11-30

6 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-11

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-09-12

F · Potential for more than minimal harm 2024-09-26

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2024-10-14

F · Potential for more than minimal harm 2024-09-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-10-02

F · Potential for more than minimal harm 2024-09-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-16

F · Potential for more than minimal harm 2024-09-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-21

F · Potential for more than minimal harm 2024-09-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-02

F · Potential for more than minimal harm 2024-09-26

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 2024-10-01

D · Potential for more than minimal harm 2024-09-26

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-10-08

F · Potential for more than minimal harm 2023-11-30

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-04

E · Potential for more than minimal harm 2023-11-30

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 2023-12-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

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 2025-09-24

D · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-24

D · Potential for more than minimal harm 2024-09-26

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-09-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-09-26

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-16

E · Potential for more than minimal harm 2023-11-30

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 2023-12-28

D · Potential for more than minimal harm 2023-11-30

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-12-28

D · Potential for more than minimal harm 2023-11-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-28

D · Potential for more than minimal harm 2023-11-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-12-28

D · Potential for more than minimal harm 2023-11-30

F725 · Nursing and Physician Services Deficiencies

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 2023-12-28

D · Potential for more than minimal harm 2023-11-30

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-12-28

Penalties and ownership