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Assisted Living Home

Cornerstone AL

Overview of Cornerstone Al

Cornerstone Caregiving provides in-home care services in Mason City, IA. They offer a range of services including Alzheimer’s and dementia care, respite care, and 24-hour care. Their dedicated team focuses on compassionate care to enhance the quality of life for seniors.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5
Iowa average: 3.2/5
Health Inspection Info 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.
2/5
Iowa average: 2.9/5
Staffing Info 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.
3/5
Iowa average: 3.7/5
Quality Measures Info 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.
3/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 27m per day

This home provides 1% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 92

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 32.6%
Residents per day 30
Occupancy rate
32.6%
Residents per day
30

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 12 days

Private pay

44% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Voluntary non-profit community
Home revenue
$20.8M
Surplus of revenue
$484.3K
Voluntary non-profit community
Home revenue
$20,798,835.00
Surplus of revenue
$484,302.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.5M
45.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.6M
Total costs $20.1M
Bed community size
92-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
24 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 84 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
33%
In line with Iowa average
Occupied beds
30 / 92
Average residents 51 per day

License details

Facility type
Assisted Living Programs
Status Active
Issuance July 12, 2001
County: Cerro Gordo

Additional licensing details

License number: S0120
CMS Certification Number: 165072

Ownership & operating entity

Cornerstone AL is administrated by Connie Bleile.

Owner name: No Related Entities Found

Care Services

Respite Care
Memory Care
24-Hour Staffing

Contact Information

Fax: 6414231751
Contact Cornerstone AL

Inspection History

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.

12 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:October 22, 2025

4 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Cornerstone AL

The most recent inspection on October 22, 2025, was a complaint investigation that found no regulatory insufficiencies. Earlier inspections were mostly free of deficiencies, with a few isolated issues noted in 2023 and 2011 related to nurse delegation documentation, medication administration, food storage, and annual health evaluations. Complaint investigations have consistently been unsubstantiated, with no enforcement actions or fines listed in the available reports. Prior reports generally showed positive tenant satisfaction and compliance with certification requirements. The facility’s inspection history indicates improvement since the last cited deficiencies, with recent inspections showing no issues.

Health Inspection History

Inspections
Total health inspections 8

State average 4.9


Last Health inspection on Mar 2025

Total health citations 32

State average 21.7

Citations per inspection
4

State average 4.11


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

23 of 32 citations resulted from standard inspections; and 9 of 32 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
67% worse than State average

State average: 0.6


Serious Health citations More info 2
122% worse than State average

State average: 0.9

1 critical citation More info State average: 0.6

2 serious citations More info State average: 0.9

29 moderate citations More info State average: 19.7

0 minor citations More info State average: 0.5
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 13, 2025
Corrected

Nursing Services serious citation Info Issues related to the availability and quality of nursing staff and the care they provide. Mar 13, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Mar 13, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Oct 31, 2024
Corrected

Compare Assisted Living around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

Cornerstone AL
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.

Mason City
180
No
84
-
Apple Valley Place
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.

Osage
78
No
-
-
Aspen Heights Assisted Living
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.

Hull
48
No
-
-
Bavarian Meadows
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.

Remsen
44
No
-
-
Avoca Lodge Assisted Living
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.

Avoca
40
No
0
Semi-Private / 1 Bed

Places of interest near Cornerstone AL

Address Mason City, IA 504013412

Address Mason City, IA 504013412

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 281
Employees 113
Contractors 168
Staff to resident ratio 1.77:1
11% worse than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 77
Average shift 8.7 hours
18% better than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 60,638
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 174
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

43.8%

26,568 contractor hours this quarter

Certified Nursing Assistant: 122 Registered Nurse: 18 Licensed Practical Nurse: 10 Occupational Therapy Assistant: 5 Speech Language Pathologist: 4 Physical Therapy Assistant: 3 Respiratory Therapy Technician: 2 Physical Therapy Aide: 2 Medical Director: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant5212217434,77891100%9
Licensed Practical Nurse1910299,35591100%9.4
Registered Nurse818263,90191100%8.5
Medication Aide/Technician140143,81691100%8
Dietitian8083,1957886%7.2
Clinical Nurse Specialist4041,0856369%7.9
Administrator2029686268%8
Mental Health Service Worker2029426774%8
Therapeutic Recreation Specialist2027255864%7.9
Nurse Practitioner1014405560%8
Occupational Therapy Aide1014244448%9.6
Speech Language Pathologist0442672224%3.8
Physical Therapy Aide0221952123%5.1
Physical Therapy Assistant0331832224%8.3
Occupational Therapy Assistant0551452325%5.8
Respiratory Therapy Technician0221172022%5.6
Qualified Social Worker011871820%4.8
Medical Director0111833%6
174 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
26 Registered Nurse
% of Days 100%
14 Medication Aide/Technician
% of Days 100%
8 Dietitian
% of Days 86%
4 Clinical Nurse Specialist
% of Days 69%
2 Administrator
% of Days 68%
2 Mental Health Service Worker
% of Days 74%
2 Therapeutic Recreation Specialist
% of Days 64%
1 Nurse Practitioner
% of Days 60%
1 Occupational Therapy Aide
% of Days 48%
4 Speech Language Pathologist
% of Days 24%
2 Physical Therapy Aide
% of Days 23%
3 Physical Therapy Assistant
% of Days 24%
5 Occupational Therapy Assistant
% of Days 25%
2 Respiratory Therapy Technician
% of Days 22%
1 Qualified Social Worker
% of Days 20%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
159 residents
Residents by payment source
Medicare
7 residents (4.4%)
Medicaid
77 residents (48.4%)
Private pay or other
75 residents (47.2%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.3
20% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.9
20% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.5%
15% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 26.2%
33% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.9%
14% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.4%
22% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.1%
6% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
45% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.4%
8% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.4%
39% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.0%
11% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.0%
8% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.7%
49% worse than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 52.2%
29% worse than Iowa average

Iowa average: 73.3%

Penalties and fines

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)

Total fines amount $87K
82% higher than Iowa average

Iowa average: $48K

Number of fines 1
41% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $87K
Iowa average $48K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 30, 2024
$87K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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