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Nursing Home in Iowa

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.

Perry Lutheran Home

Nursing Home in Iowa

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.

Perry Lutheran Home

2323 E Willis Avenue, Perry, IA 502202148 View map
Overview of Perry Lutheran Home
Perry Lutheran Homes is a Continuing Care Retirement Community (CCRC) located in Perry, Iowa. It offers a full continuum of services including independent living, assisted living, memory care, and rehabilitative therapy. The community focuses on personalized, faith-filled care and meaningful connections for residents.
(515) 465-5342

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.
1/5
Iowa average: 3.3/5
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.
1/5
Iowa average: 3.0/5
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.
3/5
Iowa average: 3.7/5
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.
3/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 20m per day

This home provides 2% less nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 70

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 74.3%
Residents per day (avg) 59
Occupancy rate
74.3%
Residents per day (avg)
59

Who this home usually serves

TYPE OF STAY

Primarily long-term care, limited rehab

Most residents stay long-term, while a smaller portion are admitted for short-term rehab.

Might be optimal for
Long-term residence Daily assistance Occasional rehab needs

Breakdown by payment type

Medicare

11% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

68% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$8.9M
Surplus of revenue
$84.7K
Voluntary non-profit community Operated by a church.
Home revenue
$8,911,530.00
Surplus of revenue
$84,697.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
51.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
Total costs $8.2M
Bed community size
70-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
26 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
74%
In line with Iowa average
Occupied beds
52 / 70
Average residents 51 per day

License Details

Facility TypeFree Standing Nf/snf
StatusActive
IssuanceOctober 31, 1999
CountyDallas

Additional Licensing Details

License Number250186
CMS Certification Number165606
Certification TypeFALSE

Ownership & Operating Entity

Perry Lutheran Home is administrated by Melissa Gannon.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
Skilled Nursing

Additional Services

3 services
Long Term Care
Rehabilitative Therapy
Home Care

Contact Information

Fax5154655344

Amenities & Lifestyle

0 amenities
Specific ProgramsLong Term Care, Memory Care, Assisted Living, Independent Living, Rehabilitative Therapy, Respite Care, Home Care, Meals on Wheels
Contact Perry Lutheran Home

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.

23 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date November 24, 2025

24 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Iowa average: 27 deficiencies

Inspection Report Summary for Perry Lutheran Home

The most recent inspection on November 20, 2025 found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies primarily related to resident care, including issues with diabetes management, fall prevention, medication storage, infection control, and supervision. Several complaint investigations were substantiated, including cases involving inadequate care following falls, failure to prevent resident-to-resident sexual abuse, and lapses in infection control and supervision, with one immediate jeopardy finding in 2020 that was later resolved. Enforcement actions included a discretionary denial of payment for new admissions in early 2024, and immediate jeopardy was removed after corrective actions in 2023; fines or license suspensions were not listed in the available reports. The trend suggests improvement over time, with recent inspections showing correction of prior deficiencies and compliance with regulatory requirements.

Health Inspection History

Inspections
Total health inspections 7

Iowa average 4.9


Last Health inspection on Oct 2025

Total health citations 19

Iowa average 21.7

Citations per inspection
2.71

Iowa average 4.11


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

7 of 19 citations resulted from standard inspections; 9 of 19 resulted from complaint investigations; and 3 of 19 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 4
567% worse than Iowa average

Iowa average: 0.6


Serious Health citations More info 4
344% worse than Iowa average

Iowa average: 0.9

4 critical citations More info Iowa average: 0.6

4 serious citations More info Iowa average: 0.9

10 moderate citations More info Iowa average: 19.7

1 minor citation More info Iowa average: 0.5
Citations history (last 3 years)
Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 08, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 13, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 13, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Mar 13, 2025
Corrected

Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated Apr 2026

Filter by care type
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
+15%
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
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
-40%
+36%
0
17
5.7
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
-8%
0%
1
21
7.0
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
-33%
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Perry Lutheran Home
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.

Perry
79
76.3%
+1%
4.33
-3%
+1%
1
19
2.7
8
59
Gannon, Melissa
$8.6M
$4.6M
53.6%
165606

Places of interest near Perry Lutheran Home

Address 0.0 miles from city center

Address 2323 E Willis Avenue, Perry, IA 502202148

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 107
Employees 91
Contractors 16
Staff to resident ratio 1.78:1
11% worse than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 34
Average shift 7.1 hours
0% compared with Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 22,089
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

3.5%

775 contractor hours this quarter

Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Occupational Therapy Assistant: 2 Registered Nurse: 1 Nurse Practitioner: 1 Medical Director: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant370377,42991100%6.8
Medication Aide/Technician290297,14891100%7.9
Other Dietary Services Staff6062,3606673%8
Registered Nurse111121,81691100%6.8
Licensed Practical Nurse4041,72491100%10.6
RN Director of Nursing1015126470%8
Nurse Practitioner0113123943%8
Mental Health Service Worker1012863741%7.7
Administrator1012606571%4
Physical Therapy Aide022724145%1.8
Speech Language Pathologist033694246%1.6
Medical Director011241213%2
Occupational Therapy Assistant022201112%1.9
Physical Therapy Assistant033191415%1.3
Respiratory Therapy Technician022161415%1.2
Qualified Social Worker011151618%0.9
Clinical Nurse Specialist101833%2.7
37 Certified Nursing Assistant
% of Days 100%
29 Medication Aide/Technician
% of Days 100%
6 Other Dietary Services Staff
% of Days 73%
12 Registered Nurse
% of Days 100%
4 Licensed Practical Nurse
% of Days 100%
1 RN Director of Nursing
% of Days 70%
1 Nurse Practitioner
% of Days 43%
1 Mental Health Service Worker
% of Days 41%
1 Administrator
% of Days 71%
2 Physical Therapy Aide
% of Days 45%
3 Speech Language Pathologist
% of Days 46%
1 Medical Director
% of Days 13%
2 Occupational Therapy Assistant
% of Days 12%
3 Physical Therapy Assistant
% of Days 15%
2 Respiratory Therapy Technician
% of Days 15%
1 Qualified Social Worker
% of Days 18%
1 Clinical Nurse Specialist
% of Days 3%

Facility Characteristics

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

Total census
60 residents
Residents by payment source
Medicaid
37 residents (61.7%)
Private pay or other
23 residents (38.3%)
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

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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.

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. 11.9
16% worse 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. 26.1
21% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.1%
In line with Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.3%
19% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 35.7%
36% worse 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 3.5%
In line with Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.9%
13% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.0%
22% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.5%
71% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 49.1%
158% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.2%
9% worse than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.9%
19% worse than Iowa average

Iowa average: 85.1%

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 Jan 2026)

Total fines amount $16K
66% lower than Iowa average

Iowa average: $48K

Number of fines 1
41% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
88% more payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $16K
Iowa average $48K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 21, 2023
$16K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Nov 21, 2023
61 days

Last updated: Jan 2026

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Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

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

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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