Occupancy rate
95%
In line with Iowa average
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Nursing Home
On With Life Long Term Care
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
40
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
95%
Residents per day (avg)
39
Occupancy rate
95%
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
In line with Iowa averageOccupied beds
38 / 40
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
May 23, 1996
County:
Polk
Additional licensing details
License number:
650726
CMS Certification Number:
165281
Certification type:
FALSE
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
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
Show Inspection Reports
Latest inspection
Date:December 31, 2025
12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for On With Life Long Term Care
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.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Aug 2025
Total health citations
9
Iowa average 21.7
Citations per inspection
2.25
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 05, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 05, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 05, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 05, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 12, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 12, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 12, 2024
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
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
+45%
0
9
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
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
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
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
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
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near On With Life Long Term Care
32.5 miles from city center
Polk City, IA 50226
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
119
Employees
92
Contractors
27
Staff to resident ratio
2.98:1
49% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
41
Average shift
9.1 hours
23% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
34,013
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
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.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
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.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
62
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
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.
Contractor staffing
Total hours from contractors
31.9%
10,849 contractor hours this quarter
Certified Nursing Assistant: 17
Licensed Practical Nurse: 5
Registered Nurse: 3
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
62 Certified Nursing Assistant
% of Days
100%
21 Registered Nurse
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
3 Clinical Nurse Specialist
% of Days
70%
3 Other Dietary Services Staff
% of Days
79%
3 Feeding Assistant
% of Days
71%
2 Administrator
% of Days
66%
2 Nurse Practitioner
% of Days
69%
1 Physical Therapy Aide
% of Days
69%
1 Qualified Social Worker
% of Days
64%
1 Dental Services Staff
% of Days
63%
1 Speech Language Pathologist
% of Days
69%
2 Respiratory Therapy Technician
% of Days
27%
3 Physical Therapy Assistant
% of Days
27%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
40 residents
Residents by payment source
Medicaid
39 residents (97.5%)
Private pay or other
1 resident (2.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.4%
Percent of long-stay residents whose need for help with daily activities has increased
21.4%
14% worse than Iowa averageIowa average: 18.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.3%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.8%
Percent of long-stay high risk residents with pressure ulcers
9.8%
124% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.8%
Percent of long-stay residents with a urinary tract infection
2.8%
14% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.0%
Percent of long-stay residents who lose too much weight
7.0%
41% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.7%
Percent of long-stay residents who have depressive symptoms
8.7%
125% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.0%
Percent of long-stay residents who received an antipsychotic medication
19.0%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
In line with Iowa averageIowa average: 95.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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...
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Iowa Seniors
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