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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 3rd out of 241 homes in Iowa. 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 |
|---|---|---|
|
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.
| 7h 19m per day | ▲ 118% State avg: 3h 21m per day · National avg: 3h 26m per day |
Higher than the Iowa average: 75.4%On With Life Long Term Care is administrated by Jeni Lewis.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 19 | 27 | This facility has 30% fewer total deficiencies than a typical Iowa nursing home (19 vs. IA avg 27).↓ 30% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 3.2 | 4.5 | This facility has 29% fewer deficiencies per year than a typical Iowa nursing home (3.2 vs. IA avg 4.5).↓ 29% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.2 | 1.8 | This facility has 33% fewer deficiencies per inspection than a typical Iowa nursing home (1.2 vs. IA avg 1.8).↓ 33% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 15 | This facility has 7% more total inspections than a typical Iowa nursing home (16 vs. IA avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Aug 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.
7 of 9 citations resulted from standard inspections; and 2 of 9 resulted from complaint investigations.
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
48% better than Iowa average
24% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
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.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,990 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 53 | 13 | 66 | 17,909 | 92 | 100% | 9.7 |
| Registered Nurse | 10 | 4 | 14 | 4,651 | 92 | 100% | 9.9 |
| Licensed Practical Nurse | 6 | 6 | 12 | 4,376 | 92 | 100% | 9.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,430 | 63 | 68% | 7.9 |
| Feeding Assistant | 4 | 0 | 4 | 1,302 | 67 | 73% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,293 | 73 | 79% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 464 | 61 | 66% | 7.6 |
| Administrator | 2 | 0 | 2 | 460 | 55 | 60% | 7.7 |
| Speech Language Pathologist | 1 | 0 | 1 | 425 | 60 | 65% | 7.1 |
| Qualified Social Worker | 1 | 0 | 1 | 376 | 47 | 51% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 257 | 31 | 34% | 6 |
| Physical Therapy Aide | 3 | 0 | 3 | 192 | 23 | 25% | 7.7 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 190 | 29 | 32% | 6.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 88 | 11 | 12% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 3 | 3% | 7.3 |
| Medical Director | 0 | 1 | 1 | 17 | 3 | 3% | 5.7 |
| Medication Aide/Technician | 1 | 0 | 1 | 15 | 2 | 2% | 7.7 |
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.
9.6
7% better than Iowa averageIowa average: 10.2
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
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
21.4%
14% worse than Iowa averageIowa average: 18.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
9.8%
124% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.8%
14% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
7.0%
41% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
8.7%
125% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
19.0%
In line with Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.53
In line with Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.48
77% better than Iowa averageIowa average: 2.09
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 On With Life Long Term Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #165 / 242Payroll — State benchmarkedThis home is ranked 165th out of 242 homes in Iowa. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
32.5 miles from city center
Estimated distance in miles from Polk City's city center to On With Life Long Term Care's address, calculated via Google Maps.
Add your location
On With Life Long Term Care is located in Polk City, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Sunrise Retirement Community |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Sioux City | 74 | 134.2% | +78% | 6.19 | -23% | +44% | $0 | 11 | 3.7 | - | 66 | A+ | 22 | Samantha Roth | $14.6M | $8.5M | 58.2% | 165473 | ||||
| Terrace Glen Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Marion (Flynn) | 40 | 94.7% | +26% | 4.48 | +20% | +4% | $12.2k | 14 | 4.7 | 4 | 39 | A | 14 | Abernathy Family Farms LLC | $9.5M | $4.5M | 47.9% | 165625 | ||||
| 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 | -1% | +45% | $0 | 9 | 2.3 | - | 39 | - | 43 | On With Life Extended Services, Ltd. | $5.0M | $2.9M | 57.5% | 165281 | ||||
| Maple Crest Manor |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fayette (Bolger Drive) | 46 | 82.4% | +9% | 4.01 | +29% | -7% | $97.2k | 8 | 4.0 | - | 39 | - | 29 | Albert W Martin Estate | $5.8M | $3.6M | 61.6% | 165437 | ||||
| Ramsey Village Continuing 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Moines (Drake) | 78 | 85.8% | +14% | 4.04 | -46% | -6% | $0 | 31 | 4.4 | 1 | 61 | - | 38 | Claremont House Inc. | $12.4M | $8.5M | 68.5% | 165514 |
The legal owner and operator of On With Life Long Term Care is On With Life(Free Standing NF/SNF) | 770700 On With Life Residential Neuro Rehabilitation(RCF 3-5 Bed ID/MI/DD/BI) | 775879.
On With Life Long Term Care has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IA state health department records, On With Life Long Term Care's license number is 650726.
On With Life Long Term Care's occupancy is 95%.
The team at On With Life Long Term Care can be reached at [email protected].
Jeni Lewis is the administrator of On With Life Long Term Care.
On With Life Long Term Care has 40 beds.
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