We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Make the most of your best years at The Meadows, a welcoming retreat in Manchester, IA, offering assisted living. Featuring specially designed and secure accommodations, the community ensures residents are comfortable and safe. Residents can also keep their peace of mind with a compassionate and well-trained team helping with their daily living activities around the clock.
A thoughtfully planned calendar of engaging activities and fun recreational programs is conducted, encouraging residents to interact with their surroundings and live actively. Residents have a delightful dining experience with delicious and well-balanced dining options that cater to their dietary needs and preferences. The community is ideal for those needing assistance to live comfortably in retirement, especially with its exceptional care and well-maintained amenities.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 47th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 50m per day | ▲ 32% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 7m per day | ■ Avg State avg: 1h 6m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 20m per day | ▼ 6% State avg: 2h 29m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 17m per day | ▲ 22% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 100% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ▲ 45% State avg: 22m per day · National avg: 28m per day |
Lower than the Iowa average: 75.4%The Meadows is administrated by Lindsey Ante.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 27 | This facility has 59% fewer total deficiencies than a typical Iowa nursing home (11 vs. IA avg 27).↓ 59% better |
|
Deficiencies per year
Average deficiencies per year since 2006.
| 0.6 | 1.4 | This facility has 57% fewer deficiencies per year than a typical Iowa nursing home (0.6 vs. IA avg 1.4).↓ 57% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.1 | 1.8 | This facility has 39% fewer deficiencies per inspection than a typical Iowa nursing home (1.1 vs. IA avg 1.8).↓ 39% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 15 | This facility has 33% fewer total inspections than a typical Iowa nursing home (10 vs. IA avg 15).↓ 33% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 18, 2024, found no deficiencies during the recertification visit. Earlier inspections generally showed a clean record with no regulatory insufficiencies cited in multiple recertification and monitoring visits dating back several years. Prior to that, inspections in 2006 and 2008 noted deficiencies related mainly to tenant evaluations, service plan updates, and staffing levels, but these issues were addressed over time. Complaint investigations were conducted in 2012 regarding tenant elopement and rights, but no deficiencies were identified and tenant rights were upheld. The inspection history shows improvement, with no deficiencies found in recent years and no enforcement actions or fines listed in the available reports.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Jun 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 24 citations resulted from standard inspections; 6 of 24 resulted from complaint investigations; and 2 of 24 came from combined inspections (standard and complaint).
67% worse than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
47% better than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,588 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 0 | 35 | 6,638 | 92 | 100% | 7.3 |
| Registered Nurse | 8 | 0 | 8 | 2,766 | 91 | 99% | 9.4 |
| Medication Aide/Technician | 10 | 0 | 10 | 1,367 | 79 | 86% | 7.6 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,314 | 79 | 86% | 10.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,145 | 72 | 78% | 6.7 |
| Nurse Practitioner | 2 | 0 | 2 | 712 | 66 | 72% | 8 |
| Dental Services Staff | 3 | 0 | 3 | 666 | 66 | 72% | 7.6 |
| Administrator | 1 | 1 | 2 | 636 | 70 | 76% | 8.7 |
| RN Director of Nursing | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 343 | 44 | 48% | 7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 243 | 39 | 42% | 6.2 |
| Physical Therapy Aide | 0 | 4 | 4 | 184 | 40 | 43% | 3.6 |
| Qualified Social Worker | 0 | 4 | 4 | 154 | 42 | 46% | 3.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 92 | 24 | 26% | 3.7 |
| Medical Director | 0 | 3 | 3 | 65 | 23 | 25% | 2.8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
59% lower than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 23, 2024 · $16K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 23, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
7% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
In line with Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.3%
34% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
19.4%
In line with Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.6%
28% worse than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
10.0%
177% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
9.4%
280% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.8%
16% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.2%
70% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
24.4%
29% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
78.9%
16% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.48
39% better than Iowa averageIowa average: 2.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.13
61% better than Iowa averageIowa average: 2.88
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.1%
20% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
60% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.6%
19% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.1%
10% better than Iowa averageIowa average: 27.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.9%
75% better than Iowa averageIowa average: 15.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.3%
58% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.0%
10% better than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.9%
30% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
100% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
29Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Meadows based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #102 / 242Payroll — State benchmarkedThis home is ranked 102nd out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
1.2 miles from city center
Estimated distance in miles from Manchester's city center to The Meadows's address, calculated via Google Maps.
Add your location
The Meadows is located in Manchester, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Valley View Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Des Moines (Fairmont Park) | 79 | 100.0% | +33% | 5.52 | +29% | +29% | $18.9k | 19 | 3.2 | 2 | 79 | 38 | Elim Care Inc | $9.7M | $7.0M | 71.8% | 165507 | ||||
| The Meadows |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Manchester | 74 | 51.4% | -32% | 4.95 | -21% | +15% | $19.7k | 24 | 4.8 | 1 | 38 | 29 | Bryan Mckeag | $6.2M | $4.2M | 68.3% | 165618 |
The Meadows has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IA state health department records, The Meadows's license number is S0069.
According to IA state health department records, The Meadows's license expires on March 6, 2028.
The Meadows's occupancy is 51%.
The team at The Meadows can be reached at [email protected].
Lindsey Ante is the administrator of The Meadows.
The Meadows has 74 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
