Cycle 1
Health 2025-04-17 · Fire 2025-04-17
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Coralville, IA
Windmill Manor
1-star overall rating with 2-star inspections with $11,213 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2332 Liberty Drive, Coralville, IA
(319) 545-7390
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
101
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Residential Alternatives Of Illinois
Operator or chain grouping
Approved since
2004-06-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 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
Staffing
Hours and turnover
RN hours / resident day
0.34
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.50
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
3.04
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
0.84
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.69
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,007
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.74
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.18% · Performance 22.46% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.68% · Performance 7.75% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.41
Baseline 46.99% · Performance 41.56% · Measure score 5.41 · Achievement 5.41 · Improvement 1.95
Adjusted total nurse staffing
3.28
Baseline 3.79 hours · Performance 4.01 hours · Measure score 3.28 · Achievement 3.28 · Improvement 0.60
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.57% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 199 · Observed rate 10.55% · Lower 95% interval 7.91% |
| Discharge to community | 51.92% |
50.57%
1.4 pts better
|
No Different than the National Rate · Eligible stays 164 · Observed rate 44.51% · Lower 95% interval 44.17% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 90.29% |
95.27%
5 pts worse
|
Numerator 93 · Denominator 103 |
| Falls with major injury | 1.94% |
0.77%
1.2 pts worse
|
Numerator 2 · Denominator 103 |
| Discharge self-care score | 47.76% |
53.69%
5.9 pts worse
|
Numerator 32 · Denominator 67 |
| Discharge mobility score | 23.88% |
50.94%
27.1 pts worse
|
Numerator 16 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 2.91% |
2.29%
0.6 pts worse
|
Numerator 3 · Denominator 103 · Adjusted rate 2.84% |
| Healthcare-associated infections requiring hospitalization | 7.75% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 108 · Observed rate 8.33% · Lower 95% interval 4.92% |
| Staff COVID-19 vaccination coverage | 39.86% |
8.2%
31.7 pts better
|
Numerator 59 · Denominator 148 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 151 · Denominator 151 |
| Discharge function score | 52.24% |
56.45%
4.2 pts worse
|
Numerator 35 · Denominator 67 |
| Transfer of health information to provider | 90.91% |
95.95%
5 pts worse
|
Numerator 30 · Denominator 33 |
| Transfer of health information to patient | 97.3% |
96.28%
1 pts better
|
Numerator 36 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 7.32% |
25.2%
17.9 pts worse
|
Numerator 3 · Denominator 41 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.5
0.9 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.3 · Expected 1.8 · 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 2.3 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
94.0%
5.7 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.8% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.0% |
95.2%
11.2 pts worse
|
95.5%
11.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.7%
0.2 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.4% · Q3 3.5% · Q4 4.7% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.1% |
4.0%
5.1 pts worse
|
11.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.3% · Q3 9.2% · Q4 12.3% · 4Q avg 9.1% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
4.9%
3.2 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.5% · Q3 2.5% · Q4 0.0% · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
20.6%
8.5 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 10.7% · Q3 12.3% · Q4 14.8% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.4% |
19.8%
1.6 pts worse
|
16.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 21.7% · Q3 19.3% · Q4 20.3% · 4Q avg 21.4% · 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 | 30.7% |
18.5%
12.2 pts worse
|
16.3%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 25.0% · Q3 45.8% · Q4 23.1% · 4Q avg 30.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 38.3% |
18.3%
20 pts worse
|
14.9%
23.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q2 37.5% · Q3 46.8% · Q4 30.3% · 4Q avg 38.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.7%
1.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.5%
2.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
26.0%
2.5 pts better
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.5% · Q3 29.8% · Q4 19.9% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
4.3%
1.7 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 6.4% · Q3 8.0% · Q4 4.9% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.9% |
84.3%
9.6 pts better
|
81.7%
12.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 93.3% · Q3 91.8% · Q4 95.2% · 4Q avg 93.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 26.2% |
13.1%
13.1 pts worse
|
12.0%
14.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 29.3% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.9%
0.3 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.6% · Q4 2.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.6% |
73.3%
16.7 pts worse
|
79.7%
23.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.1% |
21.3%
10.8 pts worse
|
23.9%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 36.2% · Expected 26.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-16 · Fire 2024-05-16
9 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2023-02-07 · Fire 2023-02-07
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-17
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-16
F · Potential for more than minimal harm
2025-04-17
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-16
F · Potential for more than minimal harm
2025-04-17
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-05-01
F · Potential for more than minimal harm
2024-05-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-23
F · Potential for more than minimal harm
2024-05-16
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-23
E · Potential for more than minimal harm
2024-05-16
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-05-23
E · Potential for more than minimal harm
2024-05-16
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-05-23
F · Potential for more than minimal harm
2023-02-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-08
E · Potential for more than minimal harm
2023-02-07
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-02-08
E · Potential for more than minimal harm
2023-02-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-08
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-12-31
G · Actual harm
2025-09-17
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 2025-09-18
D · Potential for more than minimal harm
2025-04-17
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-28
D · Potential for more than minimal harm
2025-03-18
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 2025-03-19
D · Potential for more than minimal harm
2025-03-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-19
D · Potential for more than minimal harm
2024-07-02
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-29
D · Potential for more than minimal harm
2024-07-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-29
G · Actual harm
2024-05-16
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 2024-05-28
F · Potential for more than minimal harm
2024-05-16
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 2024-05-28
E · Potential for more than minimal harm
2024-05-16
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-28
D · Potential for more than minimal harm
2024-05-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-28
D · Potential for more than minimal harm
2024-05-16
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 2024-05-28
C · Minimal harm
2024-05-16
F865 · Administration Deficiencies
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-05-28
E · Potential for more than minimal harm
2024-03-27
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 2024-03-28
D · Potential for more than minimal harm
2024-01-03
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-04
D · Potential for more than minimal harm
2024-01-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-04
G · Actual harm
2023-02-07
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 2023-02-23
E · Potential for more than minimal harm
2023-02-07
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 2023-02-23
D · Potential for more than minimal harm
2023-02-07
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-02-07
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-02-07
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 2023-02-23
D · Potential for more than minimal harm
2023-02-07
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2023-02-23
Penalties and ownership
What sits behind the stars
$11,213
2024-05-16
Fine
Fine · fine $11,213
Fine
Ownership
Residential Alternatives Of Illinois Inc
5% Or Greater Direct Ownership Interest · Organization
Cremeens, Stacey
W-2 Managing Employee · Individual
Kempiners, William
Corporate Director · Individual
Kniery, John
Corporate Director · Individual
Kniery, John
Corporate Officer · Individual
Mcmahan, Benjamin
Corporate Director · Individual
Shaw, Jeffrey
Corporate Director · Individual
Shaw, Jeffrey
Corporate Officer · Individual
Wilson, Ronald
Corporate Officer · Individual
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#3
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