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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.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
22% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Iowa average
Bishop Drumm Retirement Center is administrated by Adam Braden.
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.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
The most recent inspection on November 13, 2025 found the facility to be in substantial compliance with all previously cited deficiencies corrected. Earlier inspections showed a pattern of deficiencies related mainly to resident care issues such as pressure ulcer prevention and treatment, timely notification of condition changes, adequate nursing staff responsiveness, and infection control practices. Several complaint investigations were substantiated over time, including cases involving medication errors, dignity and respect concerns, and environmental safety, but no fines, immediate jeopardy findings, or license actions were listed in the available reports after August 2024. Most recent complaint investigations were unsubstantiated or found the facility in substantial compliance. The facility appears to have made improvements recently, correcting prior deficiencies and maintaining compliance in the latest inspections.
Iowa average 4.9
Last Health inspection on Sep 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.
14 of 67 citations resulted from standard inspections; 37 of 67 resulted from complaint investigations; and 16 of 67 came from combined inspections (standard and complaint).
3
400% worse than Iowa average
Iowa average: 0.6
6
567% worse than Iowa average
Iowa average: 0.9
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 17, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 17, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 17, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 17, 2025
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.
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).
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.
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).
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.
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).
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.
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).
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.
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).
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.
Johnston, IA 501311651
Johnston, IA 501311651
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
36% worse than Iowa average
Iowa average ratio: 2.00:1
12% better than Iowa average
Iowa 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.
8.6 hours
No 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.
8.4 hours
No 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.
8.6 hours
No contractors work on this role.
Total hours from contractors
2,932 contractor hours this quarter
| Certified Nursing Assistant | 54 | 0 | 54 | 20,441 | 91 | 100% | 8.6 |
| Registered Nurse | 23 | 0 | 23 | 7,633 | 91 | 100% | 8.6 |
| Medication Aide/Technician | 15 | 0 | 15 | 6,783 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,524 | 91 | 100% | 8.4 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,583 | 73 | 80% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 947 | 88 | 97% | 7.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 776 | 66 | 73% | 6.5 |
| Physical Therapy Aide | 0 | 5 | 5 | 551 | 68 | 75% | 5.3 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 503 | 74 | 81% | 4.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 499 | 63 | 69% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 489 | 64 | 70% | 7.6 |
| Physical Therapy Assistant | 0 | 3 | 3 | 472 | 64 | 70% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 382 | 55 | 60% | 6.9 |
| Occupational Therapy Aide | 0 | 2 | 2 | 296 | 37 | 41% | 8 |
| Dietitian | 1 | 0 | 1 | 246 | 36 | 40% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 182 | 61 | 67% | 3 |
| Feeding Assistant | 0 | 1 | 1 | 89 | 26 | 29% | 3.4 |
| Medical Director | 0 | 1 | 1 | 50 | 26 | 29% | 1.9 |
| Other Physician | 0 | 1 | 1 | 14 | 4 | 4% | 3.4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
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.
7.6
26% better than Iowa average
Iowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.2
25% better than Iowa average
Iowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
9.7%
48% better than Iowa average
Iowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
10.9%
45% better than Iowa average
Iowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.0%
7% worse than Iowa average
Iowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
16% worse than Iowa average
Iowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
3.1%
30% better than Iowa average
Iowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
90% better than Iowa average
Iowa average: 2.5%
Percent of long-stay residents who lose too much weight
10.0%
100% worse than Iowa average
Iowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.6%
58% better than Iowa average
Iowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
6.5%
66% better than Iowa average
Iowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
5% better than Iowa average
Iowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
6% worse than Iowa average
Iowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
9% better than Iowa average
Iowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
46% better than Iowa average
Iowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.1%
15% better than Iowa average
Iowa average: 73.3%
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 (Data as of Jan 2026)
199% higher than Iowa average
Iowa average: $48K
135% more fines than Iowa average
Iowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
4
652% more payment denials than Iowa average
Iowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 21, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 27, 2024
Last updated: Jan 2026
Historical financial and operational data for Bishop Drumm Retirement Center based on CMS SNF Cost Reports.
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