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On With Life Long Term Care
Nursing Home, Independent Living & Skilled Nursing · Polk City, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

On With Life Long Term Care

Nursing Home, Independent Living & Skilled Nursing · Polk City, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1002 W Washington Ave, Polk City, IA 50226 View map Calculator: See prices in your area
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Overview of On with Life Long Term Care

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Operating for 30 years, On with Life Long Term Care is a nursing facility in Polk City, Iowa, operated by On With Life Extended. The 40-bed community has an occupancy rate of 95% and serves residents who need skilled nursing care and rehabilitation services.

Neurorehabilitation is the facility’s primary focus. There are inpatient and outpatient programs available alongside long-term skilled nursing care, short-term rehabilitation, and respite care. Plus, there are specialized services such as neuropsychological evaluations and day programs for residents with neurological conditions.

Daily nurse staffing averages 6 hours and 13 minutes per resident. Registered nurses provide nearly 1 hour and 48 minutes of direct care each day, while nurse aides contribute 4 hours and 56 minutes. Licensed practical nurses add another 1 hour and 12 minutes of daily support. This staffing ratio accommodates the facility’s focus on hands-on care and specialized rehabilitation services.

The community’s location in Polk City has a Walk Score of 43, making the area somewhat walkable. Some nearby services may be within walking distance, but most errands require transportation. The setting has a quieter environment away from busier commercial districts.

State inspections over the past six years identified issues in several operational areas. However, the facility has was able to address deficiencies in medication management, sanitation practices, and infection control protocols. The most recent annual inspection found that the home was substantially compliant. There were no new deficiencies cited due to its ongoing improvements to operational standards.

Facility Direct Line (515) 421-9200
Facility Direct Line (515) 421-9200
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 63.2% Above IA avg. ▲ 63.2% Above IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 75.3% Above IA avg. ▲ 75.3% Above IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 12.8% Above IA avg. ▲ 12.8% Above IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 8.4% Below IA avg. ▼ 8.4% Below IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident Info This home is ranked 3rd out of 235 homes in Iowa for nurse hours. 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.
6h 13m per day
Rank #3 / 235Nurse hours — State benchmarkedThis home is ranked 3rd out of 235 homes in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 235 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Iowa avg (4h 18m per day)
vs Iowa avg
+45%

0 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +146% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 1h 48m per day ▲ 146% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 12m per day ▲ 112% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 4h 56m per day ▲ 95% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 6h 58m per day ▲ 108% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▲ 56% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 59m per day ▲ 97% State avg: 30m per day · National avg: 28m per day
Bed community size
40-bed community Rank #324 / 406Bed count — State benchmarkedThis home is ranked 324th out of 406 homes in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
30 years in operation Rank #46 / 286Years in operation — State benchmarkedThis home is ranked 46th out of 286 homes in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 43 / 100 Rank #276 / 528Walk Score — State benchmarkedThis home is ranked 276th out of 528 homes in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
95%
Rank #17 / 379Occupancy rate — State benchmarkedThis home is ranked 17th out of 379 homes in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 379. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Iowa average: 75.4%
Occupied beds
38 / 40
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
IssuanceMay 23, 1996
CountyPolk
License Number650726
CMS Certification Number165281
Certification TypeFALSE
AccreditationsCARF Accreditation

Ownership & Operating Entity

On With Life Long Term Care is administered by Jeni Lewis.

Owner NameOn With Life(Free Standing Nf/Snf) | 770700 On With Life Residential Neuro Rehabilitation(Rcf 3-5 Bed Id/Mi/Dd/Bi) | 775879

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

6 services
Inpatient Post-Acute Neuro Rehabilitation
Outpatient Neuro Rehabilitation
Long-Term Skilled Care
Residential Neuro Rehabilitation
Day Services
Neuropsychological Services

Contact Information

Email jeni.lewis@onwithlife.org
Fax5155987742

Additional Policies & Features

Pets not allowed

Contact On With Life Long Term Care

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.

Since 2020 · 6 years of data 19 deficiencies 16 inspections

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

Since 2020 vs. Iowa state average
Overall vs. IA average 0 Worse No metrics in this bucket. 2 Better Metrics better than Iowa average:
• Total deficiencies (30% below)
• Deficiencies per inspection (33% below)

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

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1927 This facility has 30% fewer total deficiencies than a typical Iowa nursing home (19 vs. IA avg 27).↓ 30% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.21.8 This facility has 33% fewer deficiencies per inspection than a typical Iowa nursing home (1.2 vs. IA avg 1.8).↓ 33% better

Inspections 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. 1615 This facility has had 7% more total inspections than the Iowa average (16 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 7% more

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The December 31, 2025 annual inspection found the facility in substantial compliance with no deficiencies cited.
  • The August 5, 2025 complaint investigation found failure to control and account for scheduled narcotic medication, including missing Dronabinol and improper disposal by staff.
  • The December 12, 2024 inspection cited two deficiencies for unsanitary food service practices and failure to maintain infection control related to catheter bag care.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 4

State average 4.9

Last Health inspection on Aug 2025

Total health citations
9 Rank #57 / 234Health citations — State benchmarkedThis home is ranked 57th out of 234 homes in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 234 IA facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 21.7

Citations per inspection
2.25 Rank #41 / 234Citations per inspection — State benchmarkedThis home is ranked 41st out of 234 homes in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 234 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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 4 years)
Critical health citations
0
100% better than State average

State average: 0.6

Serious health citations
0
100% better than State average

State average: 0.9

0 critical citations State average: 0.6
0 serious citations State average: 0.9
9 moderate citations State average: 19.7
0 minor citations State average: 0.5
Citations history (last 4 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

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 121
Employees 96
Contractors 25
Staff to resident ratio 3.03 : 1
48% more staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 40
Average shift 9.2 hours
24% better than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 33,946

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 14 total: 10 full-time employees and 4 contractors. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 12 total: 6 full-time employees and 6 contractors. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 66 total: 53 full-time employees and 13 contractors. 66
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

23.5%

7,990 contractor hours this quarter

Certified Nursing Assistant: 13 Licensed Practical Nurse: 6 Registered Nurse: 4 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant53136617,90992100%9.7
Registered Nurse104144,65192100%9.9
Licensed Practical Nurse66124,37692100%9.4
Clinical Nurse Specialist3031,4306368%7.9
Feeding Assistant4041,3026773%7.7
Other Dietary Services Staff3031,2937379%7.2
Nurse Practitioner1014806065%8
Dental Services Staff1014646166%7.6
Administrator2024605560%7.7
Speech Language Pathologist1014256065%7.1
Qualified Social Worker1013764751%8
Physical Therapy Assistant4042573134%6
Physical Therapy Aide3031922325%7.7
Respiratory Therapy Technician2021902932%6.5
Occupational Therapy Aide101881112%8
Occupational Therapy Assistant0112233%7.3
Medical Director0111733%5.7
Medication Aide/Technician1011522%7.7
66 Certified Nursing Assistant
% of Days 100%
14 Registered Nurse
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 68%
4 Feeding Assistant
% of Days 73%
3 Other Dietary Services Staff
% of Days 79%
1 Nurse Practitioner
% of Days 65%
1 Dental Services Staff
% of Days 66%
2 Administrator
% of Days 60%
1 Speech Language Pathologist
% of Days 65%
1 Qualified Social Worker
% of Days 51%
4 Physical Therapy Assistant
% of Days 34%
3 Physical Therapy Aide
% of Days 25%
2 Respiratory Therapy Technician
% of Days 32%
1 Occupational Therapy Aide
% of Days 12%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 3%
1 Medication Aide/Technician
% of Days 2%
View All Staffing Data

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.9
In line with Iowa average

Iowa average: 21.6

Long-stay resident measures
Average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.4%
14% worse than Iowa average

Iowa average: 18.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.3%
23% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.8%
124% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.8%
14% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.0%
41% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.7%
125% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.0%
In line with Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
5% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.0%
In line with Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.53
In line with Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.48
77% better than Iowa average

Iowa average: 2.09

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 40
Medicaid
39
97.5% of residents
Private pay or other
1
2.5% of residents
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.

This home is administered by Jeni Lewis.

This home is owned by On With Life Extended Services, Ltd

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165281

Show certification details

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

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165281
Nursing Home Explorer

Frequently Asked Questions about On With Life Long Term Care

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.

Is On With Life Long Term Care in a walkable area?

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.

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.

What is the occupancy rate at On With Life Long Term Care?

On With Life Long Term Care's occupancy is 95%.

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.

Are pets allowed at On With Life Long Term Care?

No, On With Life Long Term Care has a no-pet policy.

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.

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