On With Life Long Term Care
Nursing Home, Independent Living & Skilled Nursing · Polk City, IA

On With Life Long Term Care

Nursing Home, Independent Living & Skilled Nursing · Polk City, IA
On With Life Long Term Care accepts Medicare, Medicaid, and private pay.
On With Life Long Term Care accepts Medicare, Medicaid, and private pay.

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.

Inspection Scorecard Info This scorecard compares key inspection, violation, 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.

Overall vs. IA average 0 Worse No metrics in this bucket. 4 Better Metrics better than Iowa average:
• Violations (40% below)
• Federal violations (58% below)
• State violations (86% below)
• Violations per inspection (44% below)

Violations Info Violations are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Violations Info Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total. 1423.4 This facility has 40% fewer violations than a typical Iowa nursing home (14 vs. IA avg 23.4).↓ 40% better
Federal violations Info Part of the Violations total above — the share cited under federal nursing-home requirements, which apply to Medicare/Medicaid-certified facilities. Federal + state add up to the total. 1331.2 This facility has 58% fewer federal violations than a typical Iowa nursing home (13 vs. IA avg 31.2).↓ 58% better
State violations Info Part of the Violations total above — the share cited under Iowa state licensing requirements. Federal + state add up to the total. 16.9 This facility has 86% fewer state violations than a typical Iowa nursing home (1 vs. IA avg 6.9).↓ 86% better
Violations per inspection Info Average violations per inspection. 0.91.6 This facility has 44% fewer violations per inspection than a typical Iowa nursing home (0.9 vs. IA avg 1.6).↓ 44% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1612.7 This facility has had 26% more total inspections than the Iowa average (16 vs. IA avg 12.7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 26% more
Enforcement

Penalties and fines About 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 Oct 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Oct 2023.

Clean record
Total fines
$0 IA avg $45KIowa average: $45,482. Average among the 160 Iowa facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0 IA avg 1.4Iowa average: 1.4. Average among the 160 Iowa facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 IA avg 0.44Iowa average: 0.44. Average among the 160 Iowa facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Financials

Money and staffing.

On With Life Long Term Care’s finances from its CMS cost report for the fiscal year ending 2021. Includes all financial data for this property, which could include management/ownership changes.

FY 2021

Latest cost report is for the fiscal year ending 2021, older than most Iowa homes. Rankings are not shown because peers report different years.

Is it financially stable?

Losing money on care, and more than last year

−22.3% operating margin

−18.4 pts vs prior year

An operating loss in 6 of the last 8 reported years. Watch for cost-cutting that reaches staffing.

Does it invest in staff?

Payroll in line with Iowa homes

59.5% payroll share of revenue

IA average 60.9%

Payroll fell $0.1M while revenue fell $0.5M. Check hours per resident in the staffing section to confirm it reaches the floor.

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2022
Arriving
63 admissions · FY2022 Residents admitted during the year.
Medicare 10 · 16%
Medicaid 25 · 40%
Private pay & other 28 · 44%
Shows care patterns over time; not used to rate this facility.

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.

Typical stay

Medicare 2 - 3 months Medicaid 7 - 8 months Private pay & other 1 - 2 months

Places of interest near On With Life Long Term Care

Address 0.0 miles from city center Info Estimated distance in miles from Polk City's city center to On With Life Long Term Care's address, calculated via Google Maps.

Calculate Travel Distance to On With Life Long Term Care

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Friendship Village ★ ★ ★ ☆ ☆
NH
AL
IL
MC
SNF
Waterloo
72
Facility 72
IA AVG 70
Rank #84 / 239
83.3%
Facility 83.3%
IA AVG 79.1%
Rank #103 / 226
+5%- ★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -6%-
$0
Facility $0
IA AVG $52.4k
Rank #1 / 234
10
Facility 10
IA AVG 20.7
Rank #63 / 231
2.0
Facility 2.0
IA AVG 3.8
Rank #33 / 231
160-
52
Facility 52
IA AVG 50
Rank #108 / 249
Friends Of Faith Retirement Homes, Inc
$15.4MFiscal year ending 03/2025
Facility $15.4MFiscal year ending 03/2025
IA AVG $7.3M
Rank #11 / 227
$11.8MFiscal year ending 03/2025
Facility $11.8MFiscal year ending 03/2025
IA AVG $4.4M
Rank #6 / 227
76.4%Fiscal year ending 03/2025
Facility 76.4%Fiscal year ending 03/2025
IA AVG 60.9%
Rank #16 / 227
165081
St Francis Manor ★ ★ ★ ★ ★
NH
AL
HOS
SNF
Grinnell
78
Facility 78
IA AVG 70
Rank #68 / 239
69.2%
Facility 69.2%
IA AVG 79.1%
Rank #185 / 226
-12%
5.41
Facility 5.41
IA AVG 4.45
Rank #23 / 229
★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +6%+22%
$0
Facility $0
IA AVG $52.4k
Rank #1 / 234
1
Facility 1
IA AVG 20.7
Rank #1 / 231
1.0
Facility 1.0
IA AVG 3.8
Rank #1 / 231
-54-
82
Facility 82
IA AVG 50
Rank #27 / 249
St Francis Manor Inc
$7.5MFiscal year ending 12/2024
Facility $7.5MFiscal year ending 12/2024
IA AVG $7.3M
Rank #84 / 227
$5.1MFiscal year ending 12/2024
Facility $5.1MFiscal year ending 12/2024
IA AVG $4.4M
Rank #60 / 227
68.7%Fiscal year ending 12/2024
Facility 68.7%Fiscal year ending 12/2024
IA AVG 60.9%
Rank #37 / 227
165480
Friendship Home Association ★ ★ ☆ ☆ ☆
NH
HOS
MC
PC
SNF
Audubon
46
Facility 46
IA AVG 70
Rank #155 / 239
87.8%
Facility 87.8%
IA AVG 79.1%
Rank #64 / 226
+11%
5.16
Facility 5.16
IA AVG 4.45
Rank #41 / 229
★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -22%+16%
$7.3k
Facility $7.3k
IA AVG $52.4k
Rank #148 / 234
15
Facility 15
IA AVG 20.7
Rank #103 / 231
5.0
Facility 5.0
IA AVG 3.8
Rank #169 / 231
-40-
52
Facility 52
IA AVG 50
Rank #108 / 249
Jessica Andersen
$4.9MFiscal year ending 12/2024
Facility $4.9MFiscal year ending 12/2024
IA AVG $7.3M
Rank #150 / 227
$2.8MFiscal year ending 12/2024
Facility $2.8MFiscal year ending 12/2024
IA AVG $4.4M
Rank #164 / 227
56.5%Fiscal year ending 12/2024
Facility 56.5%Fiscal year ending 12/2024
IA AVG 60.9%
Rank #148 / 227
165232
Stonehill Care Center ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Dubuque
185
Facility 185
IA AVG 70
Rank #2 / 239
86.4%
Facility 86.4%
IA AVG 79.1%
Rank #80 / 226
+9%
4.06
Facility 4.06
IA AVG 4.45
Rank #137 / 229
★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +1%-9%
$0
Facility $0
IA AVG $52.4k
Rank #1 / 234
4
Facility 4
IA AVG 20.7
Rank #17 / 231
2.0
Facility 2.0
IA AVG 3.8
Rank #33 / 231
-160-
89
Facility 89
IA AVG 50
Rank #12 / 249
Peggy Stockel
$29.1MFiscal year ending 06/2025
Facility $29.1MFiscal year ending 06/2025
IA AVG $7.3M
Rank #2 / 227
$17.2MFiscal year ending 06/2025
Facility $17.2MFiscal year ending 06/2025
IA AVG $4.4M
Rank #2 / 227
59.1%Fiscal year ending 06/2025
Facility 59.1%Fiscal year ending 06/2025
IA AVG 60.9%
Rank #113 / 227
165471
On With Life Long Term Care -
NH
IL
SNF
Polk City
40
Facility 40
IA AVG 70
Rank #200 / 239
95.0%
Facility 95.0%
IA AVG 79.1%
Rank #16 / 226
+20%----------38-
43
Facility 43
IA AVG 50
Rank #150 / 249
On With Life(Free Standing Nf/Snf) | 770700 On With Life Residential Neuro Rehabilitation(Rcf 3-5 Bed Id/Mi/Dd/Bi) | 775879$3.8M*Fiscal year ending 07/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.2M*Fiscal year ending 07/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.59.5%*Fiscal year ending 07/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.165170

Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Financial assistance

Programs that may help with care and living costs in Iowa

On With Life Long Term Care is in Polk City, Iowa. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.

Get financial aid guidance
Cash support · veterans

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

VA Pension Aid and Attendance and Housebound Benefits (Federal)

Who it is for
Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
Income limit
No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
Asset limit
Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.

Eligibility

General
Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
IA specifics
A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.

What it provides

  • A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
In-home or residential support

State Supplementary Assistance (SSA)

Iowa State Supplementary Assistance (SSA)

Income limit
Below the income limit for the relevant SSA group.
Asset limit
Resources at or below $2,000 for a single person or $3,000 for a married couple living together.

Eligibility

General
Iowa residents who are aged, blind or disabled under Social Security standards, receive SSI or would receive it except for excess income, and meet the relevant assistance-category limits.

What it provides

  • State-funded supplements for qualifying special needs; including family life homes; in-home health-related care and residential care facilities.
In-home & community support

Elderly Waiver

Iowa Medicaid Elderly Waiver

Eligibility

General
Iowa residents age 65 or older who meet Medicaid and nursing-facility-level-of-care requirements.

What it provides

  • Authorized waiver services can include case management; adult day care; homemaker; respite; home health; meals; assistive devices; modifications and transportation.
Caregiver support

Family Caregiver Support Program

Family Caregiver Support Program (Iowa)

Who it is for
Family or informal caregivers of an adult 60+ or of someone of any age with dementia

Eligibility

General
Adult family or informal caregivers of adults age 60 or older or people of any age with Alzheimer's disease or a related disorder. The federal program also supports specified older-relative caregiver categories.

What it provides

  • Caregiver information and access assistance; counseling and training; support groups; respite and limited supplemental services under the federal caregiver-support framework.
Returning home: disability-specific

Money Follows the Person (Intellectual Disability or Brain Injury)

Iowa Money Follows the Person (Intellectual Disability or Brain Injury)

Eligibility

General
People in Iowa with an intellectual-disability or brain-injury diagnosis who have lived in a qualifying facility at least 60 consecutive days and want to move into the community. Iowa Medicaid must complete eligibility determination before discharge.

What it provides

  • Transition services and enhanced supports for the first year after an approved move into the community.
Medicare costs

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Who it is for
Medicare beneficiaries with limited income who need help with premiums or cost sharing

Eligibility

General
Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
IA specifics
Applications are administered by the state Medicaid program.

What it provides

  • Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit

Frequently Asked Questions about On With Life Long Term Care

Quick answers from public records and the community's own listing.
01 Who is the owner of On With Life Long Term Care?
On With Life Long Term Care is legally operated by On With Life(Free Standing NF/SNF) | 770700 On With Life Residential Neuro Rehabilitation(RCF 3-5 Bed ID/MI/DD/BI) | 775879, and administered by Jeni Lewis.
02 Is On With Life Long Term Care in a walkable area?
On With Life Long Term Care has a walk score of 43. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 What is the license number of On With Life Long Term Care?
According to IA state health department records, On With Life Long Term Care's license number is 650726.
04 What is the occupancy rate at On With Life Long Term Care?
On With Life Long Term Care's occupancy is 95%.
05 How long has On With Life Long Term Care been in business?
On With Life Long Term Care has been operating for approximately 30 years, based on available licensing and registration records.
06 Are pets allowed at On With Life Long Term Care?
No, On With Life Long Term Care has a no-pet policy.
07 What is the best email address for On With Life Long Term Care?
The team at On With Life Long Term Care can be reached at jeni.lewis@onwithlife.org.