Federal inspection record · CMS data as of October 1, 2026
Tripoli Nursing & Rehab
604 Third Street SW, Tripoli, IA · (319) 882-4269
- Certified beds
- 28
- Residents per day
- 25
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2003
1
How this home got 3 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.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Tripoli Nursing & Rehab carries 29 inspection points. That is fewer than 55% 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
25 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 Planning6D
- D
Assess the resident when there is a significant change in condition
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Nutrition and Dietary5E
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
Quality of Life and Care4D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration1E
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2025-07-23
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-08-15
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-12-11
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 10 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
5 h 10 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 71% 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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 93.8% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts worse | 7.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts better | 0.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17 pts better | 4.0% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.2 pts worse | 41.0% | 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 worsened7.1 pts worse | 22.3% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better | 12.7% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts worse | 2.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 2.1% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence17.6 pts worse | 42.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.3 pts better | 0.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.3 pts worse | 66.7% | 84.0% | 82.3% |
·
Who owns and runs it
33 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 |
|---|---|---|---|
| Bcg Holdings Inc | Direct Ownership Interest · Organization | 0% | 49 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Bishop, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Blume, Sherri | Corporate Officer · Individual | 0% | 1 facilities |
| Bond, Jordan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Direct Ownership Interest · Organization | 0% | 73 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Buls, Laura | Corporate Director · Individual | 0% | 1 facilities |
| Bunce, Bradley | Corporate Officer · Individual | 0% | 1 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Consulting LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Davis, Megan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Davis, Megan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ecsi Inc | Direct Ownership Interest · Organization | 0% | 49 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Fox Rehab Ot Ia LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Fox Rehab Pt Ia Pllc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Fox Rehab Slp Ia Pllc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Gosling And Company, P.c. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Johnson, Holly | Corporate Director · Individual | 0% | 2 facilities |
| Kirk, Lamaurice | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kuhlmann, Karen | Corporate Director · Individual | 0% | 1 facilities |
| Mathew, Stanley | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Mathew, Stanley | Adp Of The SNF · Individual | 0% | 13 facilities |
| Meyer, Brian | Corporate Director · Individual | 0% | 1 facilities |
| Meyer, Brian | Corporate Officer · Individual | 0% | 1 facilities |
| Miles, Cecille | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Millard, Emily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Premier Technology, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Smith, Carynn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vogt, Michelle | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
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
Ensure that testing and maintenance of electrical equipment is performed.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct testing and exercise requirements.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Hillcrest Home
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 45 min
- Fines
- $0
-
Denver Sunset Home
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- Nursing / resident / day
- 4 h 2 min
- Fines
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-
Woodland Terrace
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 15 min
- Fines
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