Show Inspection Reports
Total Health inspections
4
18% below Iowa average
Iowa average:
4.9
Last Health inspection on Aug 2025
On With Life Long Term Care
On With Life Long Term Care is a Nursing Home in Iowa
On With Life Long… is a Nursing Home in Iowa
On With Life Long Term Care
On With Life Long Term Care is a Nursing Home in Iowa
On With Life Long… is a Nursing Home in Iowa
On With Life is a world-class neuro rehabilitation facility dedicated to providing comprehensive care for individuals recovering from a brain injury, stroke, concussion, Parkinson's disease, spinal cord injury or other neurological condition. The facility aims to help individuals regain their independence and improve quality of life through personalized, transdisciplinary rehabilitation programs. It offers a continuum of care including inpatient, outpatient, long-term skilled care, and independent living.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.5%
Residents per day (avg)
39
Occupancy rate
87.5%
Residents per day (avg)
39
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
29 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
95%
Occupied Beds
38 of 40
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
May 23, 1996
Additional licensing details
License number:
650726
CMS Certification Number:
165281
Certification type:
FALSE
County:
Polk
Accreditations:
CARF Accreditation
Ownership & operating entity
On With Life Long Term Care is administrated by Jeni Lewis.
Owner name:
On With Life(Free Standing NF/SNF) | 770700 On With Life Residential Neuro Rehabilitation(RCF 3-5 Bed ID/MI/DD/BI) | 775879
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
5155987742
Amenities & Lifestyle
Programs & Activities
Specific Programs
Inpatient Post-Acute Neuro Rehabilitation, Outpatient Neuro Rehabilitation, Long-Term Skilled Care, Residential Neuro Rehabilitation, Day Services, Neuropsychological Services, Independent Living
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.
16 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:December 31, 2025
12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
On With Life Long Term Care
+52%
+45%
+16%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 50226
40
No
ON WITH LIFE EXTENDED SERVICES, LTD.
87.5%
-
-
-
38.80
6.2217
-
9
-
+52%+45%+16%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
On With Life Long Term Care
Type of care:
SNF
AL
Community:
IA 50226
Bed Count:
40
Pets Allowed:
No
Operator:
ON WITH LIFE EXTENDED SERVICES, LTD.
CCN:
165281
Occupancy:
87.5%
Avg Residents/Day:
38.80
Overall Rating:
Adj Nurse Hours:
6.2217
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
+45%
+45%
Occupancy vs State Avg:
+16%
+16%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near On With Life Long Term Care
32.5 miles from city center
Polk City, IA 50226
Calculate Travel Distance to On With Life Long Term Care
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
119
Total Staff
92
Employees
27
Contractors
34,013
Total Hours (Quarter)
41
Avg Staff/Day
9.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 21 | 9.7 | Yes |
| Licensed Practical Nurse | 12 | 9.7 | Yes |
| Certified Nursing Assistant | 62 | 9.6 | Yes |
Staff by Category
Administration ⓘ
3 staff
7.8hs shift avg
Nursing Staff ⓘ
98 staff
9.5hs shift avg
Physicians & Practitioners ⓘ
5 staff
8hs shift avg
Therapy Services ⓘ
8 staff
6.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
8hs shift avg
Dietary Services ⓘ
3 staff
7hs shift avg
Other Services ⓘ
1 staff
7.8hs shift avg
Contractor Analysis
31.9%
of total hours from contractors
10,849 contractor hours this quarter
Certified Nursing Assistant: 17
Registered Nurse: 3
Licensed Practical Nurse: 5
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Total Health citations
9
59% below Iowa average
Iowa average:
21.7
2.25 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
7 citations
Complaint investigations
2 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
0
100% below Iowa average
Iowa average:
0.9
Moderate Health citations
9
Minor Health citations
0
Citations history (last 3 years)
Abuse/Neglect moderate citation
Aug 05, 2025
Corrected
Pharmacy moderate citation
Aug 05, 2025
Corrected
Infection Control moderate citation
Dec 12, 2024
Corrected
Nutrition moderate citation
Dec 12, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: On With Life, Inc
Resident Census by Payment Source
40
Total Residents
Medicaid
39
(97.5%)
ⓘ
Private Pay/Other
1
(2.5%)
ⓘ
Specialized Care Beds
40
Total Specialty Beds
100%
of Bed Capacity
40
Head Trauma Beds ⓘ
100%
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
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
9.6
7% better than Iowa average
Iowa average:
10.2
Functional decline score
20.9
Near Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
21.4%
14% above Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.3%
23% below Iowa average.
Safety & clinical stability
Falls with Major Injury
0.0%
100% below Iowa average.
High Risk Residents with Pressure Ulcers
9.8%
124% above Iowa average.
Urinary Tract Infection
2.8%
14% above Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
8.7%
125% above Iowa average.
Antipsychotic Use
19.0%
0% above Iowa average.
Preventive care
Pneumococcal Vaccine
99.3%
5% above Iowa average.
Influenza Vaccine
95.0%
0% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
7.0%
41% above Iowa average.Financial Trends
Historical financial and operational data for On With Life Long Term Care based on CMS SNF Cost Reports.
Occupancy Rate
99.4%
↑ 0.1pp vs 2012
Net Income
-$169,603
↓ $664 vs 2012
Total Payroll
$2,860,500
↑ ~$115K vs 2012
Profit Margin
-3.4%
↓ 0.0pp vs 2012
Loading trend charts...
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