We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Story Medical Senior Care is a 60-bed skilled nursing and rehabilitation community located at 710 South 19th Street in Nevada, Iowa. Operated by Story Medical and led by administrator Melissa Opperman, the facility serves Story County with 24-hour nursing and medical oversight. The campus is highly accessible, featuring a Walk Score of 71, and was recently recognized on Newsweek’s “America’s Best Nursing Homes 2026” list.
The community is CMS-certified and holds a 5-star overall rating, reflecting “Much Above Average” performance. Between 2020 and 2025, state inspections yielded 15 deficiencies, resulting in an average of 1.3 per inspection, 28% below the Iowa state average. While a December 2025 survey resulted in zero deficiencies, a November 2025 investigation identified two citations related to delayed abuse reporting and safety documentation. No fines or payment denials have been issued in the past three years.
Staffing levels are a primary strength, with total nursing hours at 5 hours 33 minutes per resident day—26% above the state average. Registered Nurse (RN) hours are particularly high at 1 hour 22 minutes, which is 86% above the Iowa average, providing robust clinical coverage on both weekdays and weekends. Services include physical, occupational, and speech therapy, alongside specialized care such as in-house podiatry and restorative exercises.
The facility features a modern, purpose-built design with private rooms, in-room showers, and abundant natural light. Shared amenities and programs include:Nutritious meals with flexible anytime dining, intergenerational activities with local students, and organized day trips. The campus also provides on-site dental and podiatry services to minimize off-site travel. The community currently maintains a high occupancy rate of 95%, significantly exceeding the state average.
Individuals should evaluate the current staffing model and safety protocols during an on-site tour. It is advisable to ask the administrator for specific details on the corrective actions taken following the November 2025 reporting deficiency to ensure continued compliance with state safety and reporting standards.
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 18th out of 241 homes in Iowa. 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.
| 1h 22m per day | ▲ 86% 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.
| 16m per day | ▼ 53% 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.
| 3h 31m per day | ▲ 39% State avg: 2h 32m per day · National avg: 2h 20m 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 47m per day | ▲ 13% State avg: 3h 21m per day · National avg: 3h 26m 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.
| 1h 7m per day | ▲ 123% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Story Medical Senior Care is administrated by Melissa Opperman.
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.
| 15 | 27 | This facility has 44% fewer total deficiencies than a typical Iowa nursing home (15 vs. IA avg 27).↓ 44% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 2.5 | 4.5 | This facility has 44% fewer deficiencies per year than a typical Iowa nursing home (2.5 vs. IA avg 4.5).↓ 44% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.3 | 1.8 | This facility has 28% fewer deficiencies per inspection than a typical Iowa nursing home (1.3 vs. IA avg 1.8).↓ 28% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 12 | 15 | This facility has 20% fewer total inspections than a typical Iowa nursing home (12 vs. IA avg 15).↓ 20% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.92
30% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.08
In line with Iowa averageIowa average: 2.09
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
0.0 miles from city center
Estimated distance in miles from Nevada's city center to Story Medical Senior Care's address, calculated via Google Maps.
Add your location
Story Medical Senior Care is located in 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.
| Oaknoll Retirement Residence |
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. | Iowa City (Roosevelt) | 70 | 81.4% | +8% | 6.02 | +8% | +40% | $0 | 7 | 3.5 | - | 54 | - | 33 | Stephen Roe | $31.2M | $12.7M | 40.7% | 165030 | ||||
| Cedar Ridge 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. | West Des Moines (Heritage Bend) | 40 | 95.0% | +26% | 5.14 | +11% | +20% | $0 | 20 | 5.0 | - | 36 | A+ | 5 | Central Iowa Hospital Corporation | $8.5M | $4.3M | 50.6% | 165790 | ||||
| Rotary Senior Living |
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. | Eagle Grove | 40 | 27.5% | -64% | 3.73 | +45% | -13% | $56.1k | 22 | 4.4 | 2 | 11 | - | 24 | James Christ | $5.6M | $3.6M | 64% | 165500 | ||||
| Ramsey Village Continuing Care |
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. | Des Moines (Drake) | 78 | - | - | 4.04 | -46% | -6% | $0 | 31 | 4.4 | 1 | 61 | - | 38 | Claremont House Inc. | $12.4M | $8.5M | 68.5% | 165514 |
Story Medical Senior Care has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Story Medical Senior Care's license number is 855384.
According to IA state health department records, Story Medical Senior Care's license expires on July 1, 2026.
Story Medical Senior Care's occupancy is 95%.
The team at Story Medical Senior Care can be reached at [email protected].
Melissa Opperman is the administrator of Story Medical Senior Care.
Story Medical Senior Care has 60 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
