Inspection Reports for On With Life Long Term Care
1002 W Washington Ave, IA, 50226
Back to Facility ProfileInspection Report Summary
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.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
55% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
38 residents
Based on a August 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Deficiencies: 0
Dec 31, 2025
Visit Reason
An annual recertification survey was conducted from December 29, 2025 to December 31, 2025 to assess compliance with regulatory requirements.
Findings
The facility was found to be in substantial compliance with no deficiencies cited.
Inspection Report
Plan of Correction
Deficiencies: 0
Aug 27, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's compliance status, indicating acceptance of a credible allegation of substantial compliance and plan of correction.
Findings
The facility was found to be in substantial compliance based on the accepted plan of correction, resulting in certification of compliance effective August 27, 2025. No specific deficiencies are detailed in the report.
Inspection Report
Complaint Investigation
Census: 38
Deficiencies: 1
Aug 5, 2025
Visit Reason
The inspection was conducted as a result of complaints #1790227-C and #1790228-A, and a facility reported incident #1790229-M, focusing on pharmacy services and medication management.
Findings
The facility failed to ensure accurate control, accountability, and disposition of scheduled controlled narcotic medication, specifically Dronabinol, with discrepancies found in medication counts and improper handling by staff. Video evidence and staff interviews confirmed medication mishandling and missing pills.
Complaint Details
The investigation was triggered by complaints #1790227-C and #1790228-A, and a facility reported incident #1790229-M. Complaint #1790228-A resulted in a deficiency. The facility reported incident #1790229-M also resulted in a deficiency.
Severity Breakdown
SS = D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure accurate control, accountability, and disposition of scheduled controlled narcotic medication with narcotic counts not completed accurately. | SS = D |
Report Facts
Resident census: 38
Medication count discrepancy: 1
Dates of inspection visit: Inspection conducted from July 28, 2025 to August 5, 2025
Inspection Report
Renewal
Deficiencies: 0
Dec 31, 2024
Visit Reason
The visit was conducted as a long term care recertification survey to determine compliance for facility certification renewal.
Findings
Based on acceptance of the credible allegation of substantial compliance and the submitted Plan of Correction, the facility will be certified in compliance effective December 31, 2024.
Inspection Report
Annual Inspection
Census: 40
Deficiencies: 2
Dec 12, 2024
Visit Reason
The inspection was conducted as part of the facility's Annual Recertification Survey and included investigation of Complaints #117031-C and #123453-C from December 9, 2024 to December 12, 2024.
Findings
The facility failed to serve food under sanitary conditions to prevent foodborne illness, including improper glove use and hairnet coverage by dietary staff. Additionally, infection control standards were not met due to a catheter bag not being maintained properly, lying on the floor without a cover.
Complaint Details
Investigation included Complaints #117031-C and #123453-C. Substantiation status is not explicitly stated.
Deficiencies (2)
| Description |
|---|
| Facility failed to serve food under sanitary conditions and dietary staff failed to completely conceal hair in hairnets to prevent foodborne illness. |
| Facility failed to maintain infection control standards due to catheter bag not maintained in a bag cover and lying on the floor under the resident's wheelchair. |
Report Facts
Census: 40
Potential residents affected: 40
Potential residents affected: 5
Resident reviewed for catheter care: 1
Inspection Report
Plan of Correction
Deficiencies: 0
Oct 28, 2023
Visit Reason
The document is a Plan of Correction submitted following a prior inspection, indicating acceptance of credible allegation of substantial compliance and certification of the facility.
Findings
The facility was found to be in substantial compliance based on the accepted Plan of Correction, resulting in certification effective October 28, 2023.
Inspection Report
Annual Inspection
Census: 31
Deficiencies: 4
Sep 28, 2023
Visit Reason
The inspection was the facility's annual recertification survey conducted from September 25, 2023 to September 28, 2023.
Findings
The facility was found deficient in several areas including inaccurate pneumococcal vaccination status documentation for one resident, failure to follow comprehensive care plan interventions for one resident, inadequate respiratory care for two residents requiring humidified air through tracheostomy, and failure to provide pneumococcal immunizations as recommended.
Severity Breakdown
SS=D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to accurately reflect pneumococcal vaccination status on the Minimum Data Set (MDS) Assessment for 1 of 5 residents reviewed (Resident #8). | SS=D |
| Failed to follow interventions on a comprehensive care plan for 1 of 12 residents reviewed (Resident #11), including improper application of orthotics and splints. | SS=D |
| Failed to provide respiratory care and services in accordance with professional standards for 2 of 2 residents requiring humidified air through tracheostomy (Residents #10 and #15). | SS=D |
| Failed to provide pneumococcal vaccination as appropriate for 1 of 5 residents reviewed (Resident #8). | SS=D |
Report Facts
Census: 31
MDS Assessments: 6
Residents affected by tracheostomy humidification deficiency: 2
Residents reviewed for pneumococcal vaccination: 5
Residents reviewed for comprehensive care plan: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Certified Nurse Aide (CNA) | Named in failure to apply wrist splints for Resident #11 |
| Staff D | Certified Nurse Aide (CNA) | Named in failure to apply wrist splints for Resident #11 |
| Occupational Therapist | Occupational Therapist (OT) | Provided therapy schedules and care plan information for Resident #11 |
| Director of Nursing | Director of Nursing (DON) | Provided expectations for care plan adherence and respiratory equipment changes |
| Staff A | Registered Nurse (RN) | Provided information on respiratory equipment change frequency |
| Staff B | Licensed Practical Nurse (LPN) | Provided information on respiratory equipment change frequency |
| MDS Coordinator | MDS Coordinator Registered Nurse | Admitted error in marking pneumococcal vaccination status as up to date for Resident #8 |
| Infection Preventionist Nurse | Infection Preventionist Nurse | Discussed pneumococcal vaccination history and tracking improvements |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 0
Apr 18, 2023
Visit Reason
A complaint investigation was conducted for Facility Reported Incident #108155-I from April 14, 2023 through April 18, 2023.
Findings
The facility was found to be in substantial compliance. Additionally, a COVID-19 Focused Infection Control Survey was conducted during the same period and the facility was found to be in compliance with CMS and CDC recommended practices.
Complaint Details
Complaint Investigation for Facility Reported Incident #108155-I was conducted and the facility was found to be in substantial compliance.
Report Facts
Total Residents: 30
Inspection Report
Plan of Correction
Deficiencies: 0
Jul 9, 2022
Visit Reason
The document serves as a plan of correction following a survey to address deficiencies and certify compliance of the facility.
Findings
The facility was found to be in compliance based on acceptance of the credible allegation of compliance and plan of correction effective July 9, 2022.
Inspection Report
Annual Inspection
Deficiencies: 1
Jun 30, 2022
Visit Reason
The inspection was conducted as a Recertification Survey combined with an investigation of Complaint #103688-C from June 27, 2022 to June 30, 2022. The complaint was not substantiated.
Findings
The facility failed to ensure a medication error rate of less than 5%, with two medication errors observed out of 27 opportunities, resulting in a 7.41% medication error rate. Errors included administering Tobradex ointment instead of prescribed eye drops and giving non-enteric coated aspirin when the order specified enteric coated aspirin.
Complaint Details
Complaint #103688-C was investigated and found to be not substantiated.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Medication error rate was 7.41%, exceeding the 5% threshold, due to two errors during medication administration by two nurses. | SS=D |
Report Facts
Medication error rate: 7.41
Medication errors observed: 2
Medication administration opportunities: 27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff J | Registered Nurse | Observed administering Tobradex ointment instead of prescribed eye drops. |
| Staff K | Registered Nurse | Observed administering non-enteric coated aspirin instead of enteric coated as ordered. |
| Kristin Pauley | Administrator | Signed the report. |
| Director of Nursing #1 | Director of Nursing | Interviewed regarding expectation for physician orders to be followed. |
| Executive Director | Interviewed regarding expectation of no medication administration errors. |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 2
Oct 7, 2021
Visit Reason
A focused COVID-19 infection survey was conducted in conjunction with an investigation of facility reported incidents on September 16 - October 7, 2021. The facility was not in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Findings
The facility failed to ensure resident rights were respected, as evidenced by mistreatment of Resident #1 by staff. The facility also failed to report injuries of unknown origin timely for Resident #1. The facility reported a census of 31 residents.
Complaint Details
The investigation was triggered by complaints regarding mistreatment and injuries to Resident #1. Facility reported incidents 98580-I, 98581-I, and 100161-I were substantiated; incident 100165-I was not substantiated.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Resident Rights were not ensured; Resident #1 was treated in a undignified manner during personal cares. | SS=D |
| Failure to report injuries of unknown origin timely for Resident #1. | SS=D |
Report Facts
Total residents: 31
Facility reported incidents: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Certified Nursing Assistant (CNA) | Involved in incident with Resident #1; reported incident to Assistant Director of Nursing |
| Staff B | Certified Nursing Assistant (CNA) | Involved in incident with Resident #1; admitted to inappropriate behavior |
| Staff C | Licensed Practical Nurse (LPN) | Assessed Resident #1 after incident |
| Administrator | Reported on investigation and staff behavior | |
| Assistant Director of Nursing (ADON) | Received reports of incident and involved in investigation |
Inspection Report
Abbreviated Survey
Census: 30
Deficiencies: 0
Dec 30, 2020
Visit Reason
A Focused COVID-19 Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 30
Inspection Report
Abbreviated Survey
Census: 32
Deficiencies: 0
Jun 10, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Total residents: 32
Inspection Report
Annual Inspection
Census: 31
Deficiencies: 2
Mar 12, 2020
Visit Reason
The inspection was conducted as part of the facility's annual health survey and included an investigation of complaint #88373-C, which was not substantiated.
Findings
The facility failed to adequately assess one resident for self-administration of medications and failed to provide proper catheter care using correct infection control practices, potentially risking infections. The facility implemented performance improvement plans and re-education for staff to address these issues.
Complaint Details
Complaint #88373-C was investigated and found not substantiated according to 42 CFR Part 483, Subpart B-C.
Deficiencies (2)
| Description |
|---|
| Failed to adequately assess one resident for self-administration of medications. |
| Failed to provide catheter care using correct infection control practices to prevent infections. |
Report Facts
Resident census: 31
Resident reviewed for self-administration: 1
Medication doses observed: 5
Staff monitoring frequency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in relation to findings on medication self-administration and catheter care performance improvement plans and staff re-education. |
| Staff A | Provided catheter care to Resident #25 during observation. | |
| Staff B | Assisted with catheter care by maintaining clean hands during observation. |
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