Federal inspection record · CMS data as of October 1, 2026
Timely Mission Nursing Home
109 Mission Drive, Buffalo Center, IA · (641) 562-2494
- CMS high-performer trophy
- Certified beds
- 42
- Residents per day
- 38
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 14, 2008
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
★★★★★no change
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
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
Timely Mission Nursing Home carries 5 inspection points. That is fewer than 92% 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
7 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
Quality of Life and Care2D
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning2D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary2D
- D
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspection history
2025-06-25
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-08-01
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-08-17
4 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 53 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
2 h 53 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
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 days0.4 pts worse | 1.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.6 | 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 vaccine42.9 pts worse | 52.9% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 1.5% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts worse | 4.6% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.6 pts better | 0.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts better | 14.2% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.2 pts worse | 24.0% | 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 worsened2.2 pts better | 13.0% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 14.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.8 pts worse | 5.2% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.7 pts better | 19.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 4.3% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 85.7% | 84.0% | 82.3% |
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Who owns and runs it
24 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 |
|---|---|---|---|
| Armstrong, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Bertram, Lori | Corporate Director · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Coppage Ltc Pharmacy Consulting Plc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Dk Arndt Pc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Holland, Dean | Corporate Officer · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Johnson, Aaron | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Johnson, Aaron | Adp Of The SNF · Individual | 0% | 4 facilities |
| Matson, Diane | Corporate Director · Individual | 0% | 1 facilities |
| Mcgrady, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Meinders, Dennis | Corporate Officer · Individual | 0% | 1 facilities |
| Millennium Rehab & Consulting Inc | Adp Of The SNF · Organization | 0% | 18 facilities |
| Next Generation Technologies | Adp Of The SNF · Organization | 0% | 3 facilities |
| Peterson, Staci | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ruby, Kimberly | Corporate Officer · Individual | 0% | 1 facilities |
| Sabin, Sydney | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sabin, Tanya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sandberg, Alida | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sandberg, Alida | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Properly provide smoke detection systems in areas open to corridors.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Emergency Preparedness4F
- F
Establish roles under a Waiver declared by secretary.
- F
Develop Emergency Preparedness policies and procedures.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Titonka Care Center
Titonka, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 13 min
- Fines
- $0
-
Accura Healthcare of Bancroft
Bancroft, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
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Lake Mills Care Center
Lake Mills, IA · Legacy Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 26 min
- Fines
- $0