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5/5
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.
5/5
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.
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.
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.
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.
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.
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.
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.
This home is ranked 80th out of 241 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 49m per day | ▲ 12% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 22m per day | ▼ 35% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 55m per day | ▲ 15% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 3h 33m per day | ▲ 6% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 1m per day | ▼ 70% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 39m per day | ▲ 28% State avg: 30m per day · National avg: 29m per day |
Lower than the Iowa average: 75.4%Simpson Memorial Home is administrated by Chad Thomas.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 30 | 27 | This facility has 11% more total deficiencies than a typical Iowa nursing home (30 vs. IA avg 27).↑ 11% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 5 | 4.5 | This facility has 11% more deficiencies per year than a typical Iowa nursing home (5 vs. IA avg 4.5).↑ 11% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.7 | 1.8 | This facility has 6% fewer deficiencies per inspection than a typical Iowa nursing home (1.7 vs. IA avg 1.8).↓ 6% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 15 | This facility has 20% more total inspections than a typical Iowa nursing home (18 vs. IA avg 15).↑ 20% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Oct 2024
Iowa average 21.7
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.
233% worse than Iowa averageIowa average: 0.6
11% worse than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
56% more staff per resident than Iowa average
9% worse than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
13 total: 9 full-time employees and 4 contractors.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursAssists with medical care and medications.
8 total: 2 full-time employees and 6 contractors.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursHelps with daily care and mobility.
53 total: 34 full-time employees and 19 contractors.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,263 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 19 | 53 | 7,010 | 92 | 100% | 6.9 |
| Registered Nurse | 9 | 4 | 13 | 1,803 | 92 | 100% | 7.2 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,705 | 91 | 99% | 7.7 |
| Licensed Practical Nurse | 2 | 6 | 8 | 722 | 77 | 84% | 7.4 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 384 | 49 | 53% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 384 | 50 | 54% | 7.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 206 | 69 | 75% | 2.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 181 | 60 | 65% | 3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 176 | 22 | 24% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 135 | 16 | 17% | 8.4 |
| Qualified Social Worker | 0 | 3 | 3 | 54 | 25 | 27% | 2.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 54 | 26 | 28% | 2.1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 30 | 21 | 23% | 1.4 |
| Medical Director | 0 | 1 | 1 | 27 | 13 | 14% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 19 | 6 | 7% | 3.2 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.3
36% worse than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
28.4%
51% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
33.9%
72% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
31% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.3%
66% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.5%
In line with Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.9%
23% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
16.7%
329% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
21.7%
14% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.08
27% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.34
36% better than Iowa averageIowa average: 2.09
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.1%
23% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
4.2%
126% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.0%
11% worse than Iowa averageIowa average: 73.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
49.2%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
68% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Simpson Memorial Home from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #149 / 242Payroll — State benchmarkedThis home is ranked 149th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.6 miles from city center
Estimated distance in miles from West Liberty's city center to Simpson Memorial Home's address, calculated via Google Maps.
— 13.07 miles to nearest hospital (Center for Medicine and Healing)
Add your location
Simpson Memorial Home is located in West Liberty, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | West Liberty (North Miller Street) | 55
Facility
55
IA AVG
71
Rank
#240 / 407 |
58.2%
Facility
58.2%
IA AVG
75.4%
Rank
#234 / 401 | -23% | 4.55
Facility
4.55
IA AVG
4.30
Rank
#80 / 241 | +9% | +6% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 13
Facility
13
IA AVG
21.7
Rank
#95 / 241 | 4.3
Facility
4.3
IA AVG
4.1
Rank
#152 / 241 | 3 | 32 | - |
41
Facility
41
IA AVG
45
Rank
#287 / 528 | Fredrick Grunder | $5.3M
Facility
$5.3M
IA AVG
$7.0M
Rank
#170 / 242 | $3.2M
Facility
$3.2M
IA AVG
$3.1M
Rank
#149 / 242 | 61.3%
Facility
61.3%
IA AVG
46.3%
Rank
#73 / 242 | 165418 | ||||
| Friendship Manor |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Rock Island | 98 | 74.5% | +8% | 4.62 | +2% | +49% | $10.5k | 17 | 3.4 | 3 | 78 | - | 36 | Friendship Manor Inc | $20.2M | $12.1M | 59.6% | 146099 | ||||
| Alverno Senior Care Community |
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).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Clinton (13Th Avenue North) | 112
Facility
112
IA AVG
71
Rank
#50 / 407 |
78.4%
Facility
78.4%
IA AVG
75.4%
Rank
#136 / 401 | +4% | 4.39
Facility
4.39
IA AVG
4.30
Rank
#97 / 241 | +14% | +2% | $0
Facility
$0
IA AVG
$53.4k
Rank
#154 / 246 | 17
Facility
17
IA AVG
21.7
Rank
#134 / 241 | 3.4
Facility
3.4
IA AVG
4.1
Rank
#106 / 241 | - | 93 | - |
35
Facility
35
IA AVG
45
Rank
#332 / 528 | Letha Dolph | $13.9M
Facility
$13.9M
IA AVG
$7.0M
Rank
#35 / 242 | $6.9M
Facility
$6.9M
IA AVG
$3.1M
Rank
#33 / 242 | 49.8%
Facility
49.8%
IA AVG
46.3%
Rank
#170 / 242 | 165509 | ||||
| Ridgecrest Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Davenport (Northwest Boulevard) | 82
Facility
82
IA AVG
71
Rank
#100 / 407 |
67.1%
Facility
67.1%
IA AVG
75.4%
Rank
#202 / 401 | -11% | 3.98
Facility
3.98
IA AVG
4.30
Rank
#148 / 241 | +31% | -7% | $118.9k
Facility
$118.9k
IA AVG
$53.4k
Rank
#223 / 246 | 43
Facility
43
IA AVG
21.7
Rank
#213 / 241 | 7.2
Facility
7.2
IA AVG
4.1
Rank
#220 / 241 | 3 | 55 | - |
41
Facility
41
IA AVG
45
Rank
#287 / 528 | Michael Beaderstadt | $15.8M
Facility
$15.8M
IA AVG
$7.0M
Rank
#20 / 242 | $8.1M
Facility
$8.1M
IA AVG
$3.1M
Rank
#23 / 242 | 51.1%
Facility
51.1%
IA AVG
46.3%
Rank
#156 / 242 | 165049 | ||||
| Ivy At 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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Davenport (Downtown Davenport) | 75
Facility
75
IA AVG
71
Rank
#130 / 407 |
88.0%
Facility
88.0%
IA AVG
75.4%
Rank
#75 / 401 | +17% | 3.56
Facility
3.56
IA AVG
4.30
Rank
#205 / 241 | -29% | -17% | $232.6k
Facility
$232.6k
IA AVG
$53.4k
Rank
#241 / 246 | 68
Facility
68
IA AVG
21.7
Rank
#232 / 241 | 7.6
Facility
7.6
IA AVG
4.1
Rank
#225 / 241 | 8 | 64 | - |
90
Facility
90
IA AVG
45
Rank
#13 / 528 | Accordius Health At St Mary, LLC | $6.5M
Facility
$6.5M
IA AVG
$7.0M
Rank
#130 / 242 | $3.8M
Facility
$3.8M
IA AVG
$3.1M
Rank
#120 / 242 | 58.5%
Facility
58.5%
IA AVG
46.3%
Rank
#91 / 242 | 165436 |
Simpson Memorial Home is in the North Miller Street neighborhood of West Liberty.
Simpson Memorial Home has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to IA state health department records, Simpson Memorial Home's license number is 700230.
According to IA state health department records, Simpson Memorial Home's license expires on July 11, 2026.
Simpson Memorial Home's occupancy is 58%.
The team at Simpson Memorial Home can be reached at [email protected].
Chad Thomas is the administrator of Simpson Memorial Home.
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