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Nursing Home

Simpson Memorial Home

Nursing Home

Simpson Memorial Home

1000 N Miller St, West Liberty, IA 52776 View map
Overview of Simpson Memorial Home

With a proud history dating back to 1975, Simpson Memorial Home has established itself as a trusted provider of high-quality senior care. It has been a remarkable non-profit residence situated in Wilton, Iowa, offering a diverse range of exceptional care services, including independent living, assisted living places, nursing home facilities, and a specialized dementia unit. Their unwavering commitment to providing a nurturing environment where seniors feel valued and supported sets them apart.
The home goes above and beyond to ensure that disabled adults can enjoy comfortable living, providing accessible spaces and round-the-clock emergency call capabilities. The shared spaces at Simpson Memorial Home are also tastefully decorated, fostering a warm and inviting atmosphere for socialization and relaxation. For those seeking independent living, the townhomes offer an unparalleled sense of homeliness, featuring spacious porches and convenient car garages. Additionally, the home provides essential services such as housekeeping, transportation, and delectable dining options.

(319) 627-4775

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.
4/5
Iowa average: 3.2/5
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.
4/5
Iowa average: 2.9/5
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.
4/5
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.
2/5
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 33m per day

This home provides 3% more nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 51m per day 44m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 3h 3m per day 2h 32m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 37m per day 3h 21m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 1m per day 2m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 30m per day 30m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 55

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Iowa average
Occupancy rate 58.2%
Residents per day (avg) 33
Occupancy rate
58.2%
Residents per day (avg)
33

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

68% of new residents, often for short stays.

Typical stay 4 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Voluntary non-profit community
Home revenue
$5.3M
Operating deficit
-$158.1K
Voluntary non-profit community
Home revenue
$5,275,309.00
Operating deficit
$-158,134.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
46.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
Total costs $5.4M
Bed community size
55-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 41 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
58%
In line with Iowa average
Occupied beds
32 / 55
Average residents 51 per day

License details

Status Active
Issuance November 7, 2025
Expiration November 7, 2026
County: Muscatine

Additional licensing details

License number: 700230
CMS Certification Number: 165418

Ownership & operating entity

Simpson Memorial Home is administrated by Chad Thomas.

Contact Information

Fax: 3196274738
Contact Simpson Memorial 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.

18 visits/inspections

3 visits/inspections triggered by complaints

Breakdown by inspection type
  • 10 renewal/recertification inspections
  • 3 complaint investigations
  • 4 incident investigations
  • 1 follow-up inspection

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:December 26, 2025

Inspection history

12/26/2025 Recertification Revisit
Yes
12/04/2025 Recertification
10/23/2025 Incident
06/24/2025 Complaint
11/13/2024 Recertification Revisit
Yes
10/17/2024 Recertification
09/12/2024 Complaint
09/19/2023 Recertification Revisit
Yes
08/17/2023 Recertification
03/23/2023 Complaint, Incident, FIC
06/29/2022 Recertification Revisit, Complaint Revisit, Incident Revisit
Yes
05/20/2022 Recertification, Complaint, Incident
12/08/2020 FIC
10/08/2020 FIC Revisit
Yes
09/21/2020 FIC
06/16/2020 FIC
01/20/2020 Recertification Revisit
Yes
01/09/2020 Recertification

30 deficiencies

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

Inspection Report Summary for Simpson Memorial Home

The most recent inspection on December 4, 2025, identified deficiencies related to failure to notify physicians of significant weight loss and inaccuracies in Minimum Data Set (MDS) assessments. Earlier inspections showed a pattern of issues with MDS accuracy, care plan updates, infection control, medication administration, and documentation. Complaint investigations conducted in 2024 and 2025 were all found to be unsubstantiated or resulted in substantial compliance findings. There were no fines, immediate jeopardy findings, or license actions listed in the available reports, though a prior inspection in May 2022 did include an immediate jeopardy related to COVID-19 infection control. The facility’s recent acceptance of a plan of correction and lack of deficiencies in the latest plan of correction document suggest some improvement in addressing prior concerns.

Health Inspection History

Inspections
Total health inspections 3

Iowa average 4.9


Last Health inspection on Oct 2024

Total health citations 13

Iowa average 21.7

Citations per inspection
4.33

Iowa average 4.11


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

All 13 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 2
233% worse than Iowa average

Iowa average: 0.6


Serious Health citations More info 1
11% worse than Iowa average

Iowa average: 0.9

2 critical citations More info Iowa average: 0.6

1 serious citation More info Iowa average: 0.9

9 moderate citations More info Iowa average: 19.7

1 minor citation More info Iowa average: 0.5
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Oct 17, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 17, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 17, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 17, 2024
Corrected

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

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

Clarence Nursing 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.

Davenport
-
97.4%
-
4.04
-
-
0
0
0
44
26
Clarence Nursing Home Inc
$5,7M
$2,9M
50.8%
165590
Simpson Memorial 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.

West Liberty
55
55.3%
-27%
4.55
+21%
+6%
0
13
3
33
41
Grunder, Fredrick
$4,9M
$2,5M
49.9%
165418
Harmony Davenport
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.

Davenport
105
70.4%
-7%
3.78
+14%
-12%
1
36
3
67
-
Arnold, Rachel
$7,0M
$2,4M
34.5%
165033
Davenport & Vinton Lutheran Homes
-
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.

Davenport
-
-
-
-
-
-
-
-
-
0
0
0
-
43
-
-
-
-
-
Eagle Point Health Care Center
-
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.

Clinton
-
-
-
-
-
-
-
-
-
0
0
0
-
23
-
-
-
-
-

Places of interest near Simpson Memorial Home

Address 0.6 miles from city center — 13.51 miles to nearest hospital (Hy-Vee Pharmacy)

Address 1000 N Miller St, West Liberty, IA 52776

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Address

Staffing Data (Q2 2025)

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

Total staff 107
Employees 61
Contractors 46
Staff to resident ratio 3.34:1
68% better than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 24
Average shift 6.6 hours
11% worse than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 14,385
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 57
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.

Contractor staffing

Total hours from contractors

10%

1,433 contractor hours this quarter

Certified Nursing Assistant: 22 Registered Nurse: 8 Licensed Practical Nurse: 4 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant3522576,84591100%6.8
Medication Aide/Technician9091,8119099%7.7
Registered Nurse78151,35791100%6
Licensed Practical Nurse3471,1479099%7.9
Clinical Nurse Specialist1014786167%7.8
Mental Health Service Worker1014725965%8
Dietitian1014645864%8
Other Dietary Services Staff1014275662%7.6
Nurse Practitioner1014245358%8
Administrator2024095257%7.9
Physical Therapy Aide0221536066%2.5
Speech Language Pathologist0221475864%2.5
Occupational Therapy Aide011971314%7.4
Qualified Social Worker022542426%2.3
Physical Therapy Assistant022472224%2.2
Medical Director011251213%2.1
Respiratory Therapy Technician011172224%0.8
Occupational Therapy Assistant0111333%4.3
57 Certified Nursing Assistant
% of Days 100%
9 Medication Aide/Technician
% of Days 99%
15 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 99%
1 Clinical Nurse Specialist
% of Days 67%
1 Mental Health Service Worker
% of Days 65%
1 Dietitian
% of Days 64%
1 Other Dietary Services Staff
% of Days 62%
1 Nurse Practitioner
% of Days 58%
2 Administrator
% of Days 57%
2 Physical Therapy Aide
% of Days 66%
2 Speech Language Pathologist
% of Days 64%
1 Occupational Therapy Aide
% of Days 14%
2 Qualified Social Worker
% of Days 26%
2 Physical Therapy Assistant
% of Days 24%
1 Medical Director
% of Days 13%
1 Respiratory Therapy Technician
% of Days 24%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total census
32 residents
Residents by payment source
Medicaid
13 residents (40.6%)
Private pay or other
19 residents (59.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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. 15.2
48% 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. 29.3
36% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Below average Iowa avg: 3.0 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 28.4%
51% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 33.9%
72% 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 25.5%
In line with Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
31% 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 7.3%
66% worse than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.5%
In line with Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.9%
23% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 16.7%
329% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.7%
14% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
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. 1.08
27% better than 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. 1.34
36% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 65.1%
23% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 4.2%
126% worse than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 65.0%
11% worse than Iowa average

Iowa average: 73.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.2%
In line with Iowa average

Iowa average: 50.6%

Guides for Better Senior Living

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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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