Spurgeon Manor
Nursing Home, Assisted Living, Independent Living & Memory Care · Dallas Center, 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.

Spurgeon Manor

Nursing Home, Assisted Living, Independent Living & Memory Care · Dallas Center, 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.
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Spurgeon Manor accepts Medicare, Medicaid, and private pay.

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Since 2020 · 6 years of data 29 deficiencies 21 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 3 Worse Metrics worse than Iowa average:
• Total deficiencies (7% above)
• Deficiencies per year (7% above)
• Total inspections (40% above)
1 Better Metrics better than Iowa average:
• Deficiencies per inspection (22% below)
Latest Inspection December 10, 2025

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. 2927 This facility has 7% more total deficiencies than a typical Iowa assisted living residence (29 vs. IA avg 27).↑ 7% worse
Deficiencies per year Info Average deficiencies per year since 2020. 4.84.5 This facility has 7% more deficiencies per year than a typical Iowa assisted living residence (4.8 vs. IA avg 4.5).↑ 7% worse
Deficiencies per inspection Info Average deficiencies per inspection. 1.41.8 This facility has 22% fewer deficiencies per inspection than a typical Iowa assisted living residence (1.4 vs. IA avg 1.8).↓ 22% 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 routine and focused inspections. Excludes complaint investigations. 2115 This facility has 40% more total inspections than a typical Iowa assisted living residence (21 vs. IA avg 15).↑ 40% worse

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

  • The December 10, 2025 plan of correction was accepted, certifying the facility in substantial compliance with no deficiencies cited.
  • The September 25, 2025 annual inspection found 2 deficiencies related to improper meat thawing and failure to maintain infection control barrier precautions.
  • Complaints investigated in November 2025 and earlier were found in substantial compliance, but substantiated complaints in 2024 involved failure to post survey results and ombudsman information.

Health Inspection History

Inspections since 2023
Total health inspections 5

State average N/A


Last Health inspection on Sep 2025

Total health citations
10 Rank #67 / 250Health citations — State benchmarkedThis home is ranked 67th out of 250 homes in Iowa. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 250 IA facilities. Lower citation counts earn a better 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 N/A

Citations per inspection
2 Rank #23 / 250Citations per inspection — State benchmarkedThis home is ranked 23rd out of 250 homes in Iowa. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 250 facilities with citation data. Lower is better.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 N/A


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

5 of 10 citations resulted from standard inspections; 4 of 10 resulted from complaint investigations; and 1 of 10 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

10 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Sep 25, 2025
Corrected

Nutrition moderate citation Sep 25, 2025
Corrected

Quality of Care moderate citation Nov 07, 2024
Corrected

Care Planning moderate citation Nov 07, 2024
Corrected

Staffing Data

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

Total staff 108
Employees 93
Contractors 15
Staff to resident ratio 2.16 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 39
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 26,446

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 All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 50 CNA Staff are full-time employees. No contractors work on this role. 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 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

5.9%

1,564 contractor hours this quarter

Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Occupational Therapy Aide: 2 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Physical Therapy Aide: 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 Assistant5005010,80292100%7.3
Medication Aide/Technician130133,29792100%7.6
Licensed Practical Nurse7073,27992100%8.4
Registered Nurse130133,15092100%9.1
Administrator2029526470%8
Nurse Aide in Training2026438491%6.4
Nurse Practitioner1014886166%8
Mental Health Service Worker1014886166%8
Clinical Nurse Specialist1014706065%7.8
Dietitian1014676166%7.6
Respiratory Therapy Technician0334427480%5.9
RN Director of Nursing1014415661%7.9
Other Dietary Services Staff1014076166%6.7
Speech Language Pathologist0113586672%5.4
Physical Therapy Assistant0442705762%4.3
Occupational Therapy Aide0221652729%6.1
Physical Therapy Aide0111492224%6.8
Qualified Social Worker0221335560%2.1
Medical Director0113033%10
Occupational Therapy Assistant0111733%5.5
50 Certified Nursing Assistant
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
2 Administrator
% of Days 70%
2 Nurse Aide in Training
% of Days 91%
1 Nurse Practitioner
% of Days 66%
1 Mental Health Service Worker
% of Days 66%
1 Clinical Nurse Specialist
% of Days 65%
1 Dietitian
% of Days 66%
3 Respiratory Therapy Technician
% of Days 80%
1 RN Director of Nursing
% of Days 61%
1 Other Dietary Services Staff
% of Days 66%
1 Speech Language Pathologist
% of Days 72%
4 Physical Therapy Assistant
% of Days 62%
2 Occupational Therapy Aide
% of Days 29%
1 Physical Therapy Aide
% of Days 24%
2 Qualified Social Worker
% of Days 60%
1 Medical Director
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%

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. 12.9
26% worse than State average

State average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.5
27% worse than State average

State average: 21.6

Long-stay resident measures
Above average State 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 26.6%
41% worse than State average

State average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 22.7%
16% worse than State average

State 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 33.1%
26% worse than State average

State average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
17% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.9%
57% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
30% worse than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.1%
82% worse than State average

State average: 5.0%

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

State average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.1%
52% better than State average

State average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than State average

State average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.9%
In line with State average

State average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.72
51% better than State average

State average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.30
38% better than State average

State average: 2.09

Short-stay resident measures
Significantly above average State avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better than State average

State average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 10.3%
86% worse than State average

State average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.6%
6% worse than State average

State average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.2%
68% better than State average

State average: 13.1%

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

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 43.6%
19% worse than State average

State average: 53.7%

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 State average

State average: 50.6%

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 16 days

Private pay

61% of new residents, often for short stays.

Typical stay 6 months

Medicaid

3% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

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

Total residents 50
Medicare
3
6% of residents
Medicaid
13
26% of residents
Private pay or other
34
68% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$77.0K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.4M Rank #57 / 251Revenue — State benchmarkedThis home is ranked 57th out of 251 homes in Iowa. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$77.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.4M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #54 / 251Payroll — State benchmarkedThis home is ranked 54th out of 251 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.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.
$5.1M 60.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #147 / 251Payroll % — State benchmarkedThis home is ranked 147th out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.5M

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.

Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 6 months.

Admissions
120 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 61%
Medicaid 3%
Discharges
106 total

Coverage residents most often leave under.

Medicare 28%
Private pay 67%
Medicaid 5%

Places of interest near Spurgeon Manor

Address 0.0 miles from city center Info Estimated distance in miles from Dallas Center's city center to Spurgeon Manor's address, calculated via Google Maps.

Calculate Travel Distance to Spurgeon Manor

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Frequently Asked Questions about Spurgeon Manor

Is Spurgeon Manor in a walkable area?

Spurgeon Manor has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Spurgeon Manor?

According to IA state health department records, Spurgeon Manor's license number is 250199.

When does Spurgeon Manor's license expire?

According to IA state health department records, Spurgeon Manor's license expires on May 28, 2026.

What is the occupancy rate at Spurgeon Manor?

Spurgeon Manor's occupancy is 89%.

What is the best email address for Spurgeon Manor?

The team at Spurgeon Manor can be reached at cscroggin@spurgeonmanor.com.

Does Spurgeon Manor operate as a for-profit or non-profit?

Spurgeon Manor is registered as a non-profit in IA.

Who is the administrator of Spurgeon Manor?

Crystal Scroggin is the administrator of Spurgeon Manor.

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