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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.
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 3rd out of 224 homes in Iowa.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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.
| 7h 19m per day | ▲ 118% State avg: 3h 21m per day · National avg: 3h 26m per day |
Higher than the Iowa average: 75.4%On With Life Long Term Care is administrated by Jeni Lewis.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
The most recent inspection on December 31, 2025 found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a mixed record with deficiencies related primarily to medication management, infection control, and resident care, including issues with narcotic medication accountability, food sanitation, respiratory care, and documentation of vaccinations. Complaint investigations included one substantiated case involving medication mishandling and several unsubstantiated complaints. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows improvement over time, with the most recent surveys indicating compliance following prior citations.
Iowa average 4.9
Last Health inspection on Aug 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.
7 of 9 citations resulted from standard inspections; and 2 of 9 resulted from complaint investigations.
100% better than Iowa averageIowa average: 0.6
0
100% better than Iowa averageIowa average: 0.9
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 05, 2025
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 05, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 12, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 12, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
On With Life Long Term Care is located in Polk City, Iowa.
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32.5 miles from city center
Estimated distance in miles from Polk City's city center to On With Life Long Term Care's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
49% better than Iowa averageIowa average ratio: 2.00:1
23% better than Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Total hours from contractors
10,849 contractor hours this quarter
| Certified Nursing Assistant | 45 | 17 | 62 | 18,230 | 91 | 100% | 9.6 |
| Registered Nurse | 18 | 3 | 21 | 5,249 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 7 | 5 | 12 | 4,016 | 91 | 100% | 9.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,216 | 64 | 70% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,094 | 72 | 79% | 7 |
| Feeding Assistant | 3 | 0 | 3 | 1,012 | 65 | 71% | 6.8 |
| Administrator | 2 | 0 | 2 | 520 | 60 | 66% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 500 | 63 | 69% | 7.9 |
| Physical Therapy Aide | 1 | 0 | 1 | 467 | 63 | 69% | 7.4 |
| Qualified Social Worker | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 445 | 57 | 63% | 7.8 |
| Speech Language Pathologist | 1 | 0 | 1 | 442 | 63 | 69% | 7 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 177 | 25 | 27% | 6.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 141 | 25 | 27% | 5.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Medical Director | 0 | 1 | 1 | 19 | 3 | 3% | 6.3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
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.
9.6
7% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
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
21.4%
14% worse than Iowa averageIowa average: 18.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.3%
23% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
9.8%
124% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.8%
14% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
7.0%
41% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
8.7%
125% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
19.0%
In line with Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.53
In line with Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.48
77% better than Iowa averageIowa average: 2.09
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| Akron Care Center, INC |
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. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | 0 | 4 | 2.0 | 0 | 42 | - | City Of Akron | $4.7M | $2.1M | 45.1% | 165595 | ||||
| On With Life Long Term Care |
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. | Polk City | 40 | 87.5% | +16% | 6.22 | +52% | +45% | 0 | 9 | 2.3 | 0 | 39 | - | On With Life Extended Services, Ltd. | - | - | - | 165281 | ||||
| Accura HealthCare of Carlisle |
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. | Carlisle | 80 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | - | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 165311 | ||||
| Accura Healthcare of Spirit Lake |
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. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | - | - | $7.1M | $3.0M | 42.3% | 165528 | ||||
| Accura Healthcare of Lake City, LLC |
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. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | - | Accura Healthcare Of The Heartland Llc | $2.1M | $1.0M | 46.7% | 165082 |
Historical financial and operational data for On With Life Long Term Care based on CMS SNF Cost Reports.
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