2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Aspire of Pleasant Valley is an SNF with 44 beds situated in Pleasant Valley, Iowa. It takes Medicare, Medicaid, and private pay, giving families multiple pathways to fund short-term rehabilitation and ongoing nursing care. The car-dependent setting has a Walk Score of 17, reflecting its rural location, where most errands and outings require transportation.
Rehabilitation services are a community speciality, with programs in short-term rehab and long-term care nursing. Averaging a stay length of 437 days, the home caters to residents in the early recovery phase and those needing ongoing skilled care. Total nursing support averages 4 hours per resident day, paired with structured rehabilitation and therapy services. Staffing includes registered nurses delivering about 1 hour of care daily per resident, nurse aides providing roughly 2 hours 49 minutes, and licensed practical nurses contributing 14 minutes. This mix supports the home’s rehabilitation focus. Daily life centers on a central living and dining area where occupants share meals of home-cooked food and snacks. The facility offers private and semi-private room options, along with enriching activities designed to bolster residents’ daily engagement and well-being.
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 147th out of 245 homes in Iowa for nurse hours. 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.
| 1h 3m per day | ▲ 43% State avg: 44m 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.
| 14m per day | ▼ 59% State avg: 34m 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 49m per day | ▲ 11% State avg: 2h 32m 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.
| 3h 32m per day | ▲ 6% State avg: 3h 21m 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.
| 0m per day | ▼ 89% 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.
| 35m per day | ▲ 15% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% fewer staff per resident 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.
7 total: 6 full-time employees and 1 contractor.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursAssists with medical care and medications.
7 total: 2 full-time employees and 5 contractors.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
All 21 CNA Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
275 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 0 | 21 | 5,335 | 92 | 100% | 7.1 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,751 | 92 | 100% | 8.3 |
| Registered Nurse | 6 | 1 | 7 | 1,674 | 90 | 98% | 10.5 |
| Licensed Practical Nurse | 2 | 5 | 7 | 590 | 61 | 66% | 7.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 65 | 71% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 466 | 62 | 67% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 184 | 26 | 28% | 7.1 |
| Speech Language Pathologist | 0 | 1 | 1 | 21 | 18 | 20% | 1.2 |
| Qualified Social Worker | 0 | 1 | 1 | 13 | 11 | 12% | 1.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 9 | 13 | 14% | 0.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
14.6
42% worse than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
31% worse than 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
33.3%
77% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
24.8%
26% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.0%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
40% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
10.6%
144% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
2.0%
61% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
24.4%
28% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better 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.
1.99
34% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.72
30% worse than Iowa averageIowa average: 2.09
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
90.8%
7% better than Iowa averageIowa average: 85.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.8%
26% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.4%
56% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.6%
11% worse than Iowa averageIowa average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
50% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
28Residents meet regularly to discuss policies, care quality, 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.
Historical financial and operational data for Aspire of Pleasant Valley from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #245 / 246Payroll — State benchmarkedThis home is ranked 245th out of 246 homes in Iowa for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #229 / 246Payroll % — State benchmarkedThis home is ranked 229th out of 246 homes in Iowa for Payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (50% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Pleasant Valley's city center to Aspire of Pleasant Valley's address, calculated via Google Maps.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Meth Wick Community | NH AL IL MC RC SNF | Cedar Rapids (The Meth-Wick Community) | 69
Facility
69
IA AVG
71
Rank
#167 / 406 |
81.4%
Facility
81.4%
IA AVG
64.7
Rank
#115 / 379 | +26% | 5.96
Facility
5.96
IA AVG
4.30
Rank
#6 / 245 | +23% | +39% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 3
Facility
3
IA AVG
21.7
Rank
#8 / 244 | 1.5
Facility
1.5
IA AVG
4.1
Rank
#13 / 244 | - | 56 | - |
23
Facility
23
IA AVG
45
Rank
#405 / 528 | Meth Wick Community | $18.2MFiscal year ending 03/2024
Facility
$18.2MFiscal year ending 03/2024
IA AVG
$7.0M
Rank
#8 / 246 | $10.3MFiscal year ending 03/2024
Facility
$10.3MFiscal year ending 03/2024
IA AVG
$3.1M
Rank
#8 / 246 | 56.4%Fiscal year ending 03/2024
Facility
56.4%Fiscal year ending 03/2024
IA AVG
46.3%
Rank
#144 / 246 | 165542 | ||||
| Green Hills Retirement Community | NH AL IL MC SNF | Ames (Hamilton Drive) | 56
Facility
56
IA AVG
71
Rank
#233 / 406 |
78.6%
Facility
78.6%
IA AVG
64.7
Rank
#138 / 379 | +22% | 5.86
Facility
5.86
IA AVG
4.30
Rank
#10 / 245 | -11% | +36% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 8
Facility
8
IA AVG
21.7
Rank
#48 / 244 | 4.0
Facility
4.0
IA AVG
4.1
Rank
#132 / 244 | - | 44 | - |
18
Facility
18
IA AVG
45
Rank
#430 / 528 | Green Hills Residents' Association | $8.0MFiscal year ending 06/2024
Facility
$8.0MFiscal year ending 06/2024
IA AVG
$7.0M
Rank
#89 / 246 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
IA AVG
$3.1M
Rank
#56 / 246 | 67.5%Fiscal year ending 06/2024
Facility
67.5%Fiscal year ending 06/2024
IA AVG
46.3%
Rank
#61 / 246 | 165577 | ||||
| Wesley Acres | NH ADC AL IL MC SNF | Des Moines (Greenwood) | 80
Facility
80
IA AVG
71
Rank
#105 / 406 |
91.3%
Facility
91.3%
IA AVG
64.7
Rank
#44 / 379 | +41% | 4.24
Facility
4.24
IA AVG
4.30
Rank
#119 / 245 | +43% | -1% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 5
Facility
5
IA AVG
21.7
Rank
#19 / 244 | 1.7
Facility
1.7
IA AVG
4.1
Rank
#17 / 244 | - | 73 | - |
72
Facility
72
IA AVG
45
Rank
#89 / 528 | Damon Buskohl | $29.3MFiscal year ending 12/2023
Facility
$29.3MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#1 / 246 | $20.8MFiscal year ending 12/2023
Facility
$20.8MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#1 / 246 | 71%Fiscal year ending 12/2023
Facility
71%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#164 / 246 | 165487 | ||||
| Sunrise Retirement Community | NH AL IL MC RC SNF | Sioux City | 74
Facility
74
IA AVG
71
Rank
#136 / 406 |
90.5%
Facility
90.5%
IA AVG
64.7
Rank
#49 / 379 | +40% | 6.19
Facility
6.19
IA AVG
4.30
Rank
#3 / 245 | -23% | +44% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 11
Facility
11
IA AVG
21.7
Rank
#76 / 244 | 3.7
Facility
3.7
IA AVG
4.1
Rank
#115 / 244 | - | 67 | A+ |
22
Facility
22
IA AVG
45
Rank
#411 / 528 | Samantha Roth | $13.6MFiscal year ending 12/2023
Facility
$13.6MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#26 / 246 | $8.5MFiscal year ending 12/2023
Facility
$8.5MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#19 / 246 | 62.2%Fiscal year ending 12/2023
Facility
62.2%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#94 / 246 | 165473 | ||||
| Aspire of Pleasant Valley | NH SNF | Pleasant Valley | 44
Facility
44
IA AVG
71
Rank
#308 / 406 |
62.3%
Facility
62.3%
IA AVG
64.7
Rank
#214 / 379 | -4% | 4.00
Facility
4.00
IA AVG
4.30
Rank
#147 / 245 | +25% | -7% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 251 | 39
Facility
39
IA AVG
21.7
Rank
#207 / 244 | 5.6
Facility
5.6
IA AVG
4.1
Rank
#189 / 244 | 1 | 27 | - |
17
Facility
17
IA AVG
45
Rank
#436 / 528 | - | $2.8MFiscal year ending 12/2023
Facility
$2.8MFiscal year ending 12/2023
IA AVG
$7.0M
Rank
#233 / 246 | $1.3MFiscal year ending 12/2023
Facility
$1.3MFiscal year ending 12/2023
IA AVG
$3.1M
Rank
#245 / 246 | 46.2%Fiscal year ending 12/2023
Facility
46.2%Fiscal year ending 12/2023
IA AVG
46.3%
Rank
#229 / 246 | 165376 |
Aspire of Pleasant Valley has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.
Aspire of Pleasant Valley's occupancy is 47.9%.
No, Aspire of Pleasant Valley has a no-pet policy.
Aspire of Pleasant Valley is registered as a for-profit.
Aspire of Pleasant Valley is located at 17990 Spencer Road, Pleasant Valley, Ia 527670503.
(563) 332-4600 will put you in contact with the team at Aspire of Pleasant Valley.
Yes — Aspire of Pleasant Valley is a CMS-certified provider of Medicare and Medicaid.
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