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The Meadows
Nursing Home & Assisted Living · Iowa, 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.
Exterior view of a senior living facility with landscaped grounds Bright, open common area with dining setup Bright, modern kitchen in a residential setting Interior view of a bathroom with shower and toilet

The Meadows

Nursing Home & Assisted Living · Iowa, 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.
200 Mccarren Dr, Manchester, IA 52057 View map Calculator: See prices in your area
The Meadows accepts private pay.
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The Meadows accepts private pay.

Overview of The Meadows

Make the most of your best years at The Meadows, a welcoming retreat in Manchester, IA, offering assisted living. Featuring specially designed and secure accommodations, the community ensures residents are comfortable and safe. Residents can also keep their peace of mind with a compassionate and well-trained team helping with their daily living activities around the clock.

A thoughtfully planned calendar of engaging activities and fun recreational programs is conducted, encouraging residents to interact with their surroundings and live actively. Residents have a delightful dining experience with delicious and well-balanced dining options that cater to their dietary needs and preferences. The community is ideal for those needing assistance to live comfortably in retirement, especially with its exceptional care and well-maintained amenities.

(563) 927-6467
(563) 927-6467

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.
▼ 34.7% Below IA avg. ▼ 34.7% Below IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 29.9% Below IA avg. ▼ 29.9% Below IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 12.8% Above IA avg. ▲ 12.8% Above IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 8.4% Below IA avg. ▼ 8.4% Below IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident Info This home is ranked 47th out of 249 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.
4h 57m per day
Rank #47 / 249Nurse hours — State benchmarkedThis home is ranked 47th out of 249 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 249 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
This facility Iowa avg (4h 18m per day)
vs Iowa avg
+15%

1 of 6 metrics below state avg

Standout metric Physical Therapist is +273% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 16m per day ▲ 99% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info 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. 37m per day ▼ 43% State avg: 1h 6m per day · National avg: 52m per day
Nurse Aide Info 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 54m per day ▲ 17% State avg: 2h 29m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 54m per day ▲ 11% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 7m per day ▲ 273% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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. 51m per day ▲ 130% State avg: 22m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
74 days
Bed community size
74-bed community Rank #136 / 407Bed count — State benchmarkedThis home is ranked 136th out of 407 homes in Iowa. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
26 years in operation Rank #74 / 282Years in operation — State benchmarkedThis home is ranked 74th out of 282 homes in Iowa. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.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.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 29 / 100 Rank #372 / 528Walk Score — State benchmarkedThis home is ranked 372nd out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa facilities. Higher scores benefit residents, families, and staff.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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
51%
Rank #272 / 407Occupancy rate — State benchmarkedThis home is ranked 272nd out of 407 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Iowa average: 75.4%
Occupied beds
38 / 74
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeAssisted Living Programs
StatusActive
IssuanceMarch 8, 2000
ExpirationMarch 6, 2028
CountyDelaware
License NumberS0069
Year Opened03/08/2000

Ownership & Operating Entity

The Meadows is administered by Lindsey Ante.

Contact Information

Email [email protected]
Fax5639278436

Contact The Meadows

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 2006 · 20 years of data 11 deficiencies 10 inspections

Inspection Scorecard Info 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.

Since 2006 vs. Iowa state average
Overall vs. IA average 0 Worse No metrics in this bucket. 4 Better Metrics better than Iowa average:
• Total deficiencies (59% below)
• Deficiencies per year (57% below)
• Deficiencies per inspection (39% below)
• Total inspections (33% below)
Latest Inspection January 18, 2024

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. 1127 This facility has 59% fewer total deficiencies than a typical Iowa nursing home (11 vs. IA avg 27).↓ 59% better
Deficiencies per year Info Average deficiencies per year since 2006. 0.61.4 This facility has 57% fewer deficiencies per year than a typical Iowa nursing home (0.6 vs. IA avg 1.4).↓ 57% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.11.8 This facility has 39% fewer deficiencies per inspection than a typical Iowa nursing home (1.1 vs. IA avg 1.8).↓ 39% 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. 1015 This facility has 33% fewer total inspections than a typical Iowa nursing home (10 vs. IA avg 15).↓ 33% better
Inspection breakdown
6renewal/recertification inspections
4complaint investigations

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

  • The most recent inspection on January 18, 2024, found no regulatory insufficiencies and no complaints were filed.
  • Previous recertification visits in 2020, 2018, 2016, and 2014 also reported no deficiencies and positive tenant satisfaction.
  • Earlier inspections in 2008 and 2006 cited multiple deficiencies in tenant evaluations, service plan updates, staffing, and documentation, though these issues were not repeated in later visits.
Show Inspection Reports

Health Inspection History

Inspections since 2023
Total health inspections 5

Iowa average 4.9

Last Health inspection on Jun 2025

Total health citations
24 Rank #169 / 250Health citations — State benchmarkedThis home is ranked 169th 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.

Iowa average 21.7

Citations per inspection
4.8 Rank #170 / 250Citations per inspection — State benchmarkedThis home is ranked 170th 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.

Iowa average 4.11

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

16 of 24 citations resulted from standard inspections; 6 of 24 resulted from complaint investigations; and 2 of 24 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
1
67% worse than Iowa average

Iowa average: 0.6

Serious health citations
0
100% better than Iowa average

Iowa average: 0.9

1 critical citation Iowa average: 0.6
0 serious citations Iowa average: 0.9
22 moderate citations Iowa average: 19.7
1 minor citation Iowa average: 0.5
Citations history (last 3 years)
Resident Rights moderate citation Jun 13, 2025
Corrected
Nutrition moderate citation Mar 06, 2025
Corrected
Pharmacy moderate citation Mar 06, 2025
Corrected
Quality of Care moderate citation Mar 06, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

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

Total staff 87
Employees 68
Contractors 19
Staff to resident ratio 3.00 : 1
47% more staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 24
Average shift 7.6 hours
0% compared with Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 16,732

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 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 4 LPN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 35 CNA Staff are full-time employees. No contractors work on this role. 35
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

9.5%

1,588 contractor hours this quarter

Physical Therapy Aide: 4 Qualified Social Worker: 4 Respiratory Therapy Technician: 3 Medical Director: 3 Physical Therapy Assistant: 2 Speech Language Pathologist: 2 Administrator: 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 Assistant350356,63892100%7.3
Registered Nurse8082,7669199%9.4
Medication Aide/Technician100101,3677986%7.6
Licensed Practical Nurse4041,3147986%10.5
Other Dietary Services Staff4041,1457278%6.7
Nurse Practitioner2027126672%8
Dental Services Staff3036666672%7.6
Administrator1126367076%8.7
RN Director of Nursing1014085155%8
Respiratory Therapy Technician0333434448%7
Physical Therapy Assistant0222433942%6.2
Physical Therapy Aide0441844043%3.6
Qualified Social Worker0441544246%3.6
Speech Language Pathologist022922426%3.7
Medical Director033652325%2.8
35 Certified Nursing Assistant
% of Days 100%
8 Registered Nurse
% of Days 99%
10 Medication Aide/Technician
% of Days 86%
4 Licensed Practical Nurse
% of Days 86%
4 Other Dietary Services Staff
% of Days 78%
2 Nurse Practitioner
% of Days 72%
3 Dental Services Staff
% of Days 72%
2 Administrator
% of Days 76%
1 RN Director of Nursing
% of Days 55%
3 Respiratory Therapy Technician
% of Days 48%
2 Physical Therapy Assistant
% of Days 42%
4 Physical Therapy Aide
% of Days 43%
4 Qualified Social Worker
% of Days 46%
2 Speech Language Pathologist
% of Days 26%
3 Medical Director
% of Days 25%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2024

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 $20K Rank #173 / 255Federal fines — State benchmarkedThis home is ranked 173rd out of 255 homes in Iowa. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 255 facilities in the pool. Lower total dollars mean 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.
59% lower than Iowa average

Iowa average: $48K

Number of fines 2
18% more 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. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $20K
Iowa average $48K
Penalty History

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

1 penalty in the past 3 years

Apr 23, 2024 · $16K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 23, 2024
$16K

Last updated: Jan 2026

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. 9.5
7% better 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. 21.8
In line with Iowa average

Iowa average: 21.6

Long-stay resident measures
Significantly below average 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 12.3%
34% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.4%
In line with 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 33.6%
28% 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 10.0%
177% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 9.4%
280% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.8%
16% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.2%
70% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 24.4%
29% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 78.9%
16% 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.48
39% better than Iowa average

Iowa average: 2.44

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.13
61% better than Iowa average

Iowa average: 2.88

Short-stay resident measures
Significantly above average 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 68.1%
20% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.9%
60% worse than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 59.6%
19% worse than Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.1%
10% better than Iowa average

Iowa average: 27.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 3.9%
75% better than Iowa average

Iowa average: 15.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.3%
58% better than Iowa average

Iowa 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. 59.0%
10% better than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 65.9%
30% better than Iowa average

Iowa average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Private pay

100% of new residents, often for short stays.

Typical stay 3 - 4 months

Facility Characteristics

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

Total residents 29
Medicare
6
20.7% of residents
Medicaid
10
34.5% of residents
Private pay or other
13
44.8% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Voluntary non-profit community
Operated by a church.
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."
$5.6M
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."
-$2.1M
Voluntary non-profit community Operated by a church.
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."
$5.6M Rank #145 / 251Revenue — State benchmarkedThis home is ranked 145th 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."
-$2.1M
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.
$12.3K
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 #106 / 251Payroll — State benchmarkedThis home is ranked 106th 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.
$4.2M 76.1% 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 #30 / 251Payroll % — State benchmarkedThis home is ranked 30th 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).
$3.5M
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).
$7.7M
How we calculate these figures

This home is administered by Lindsey Ante.

This home is owned by Bryan Mckeag

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165618

Show certification details

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 (100% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
148 total

Coverage residents most often arrive under.

Private pay 100%
Discharges
147 total

Coverage residents most often leave under.

Medicare 49%
Private pay 51%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Meadows

Address 1.2 miles from city center Info Estimated distance in miles from Manchester's city center to The Meadows's address, calculated via Google Maps.

Calculate Travel Distance to The Meadows

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Address

Compare Nursing Homes around Iowa

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

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165507
The Meadows
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Rank #272 / 407
-32%
4.95
Facility 4.95
IA AVG 4.30
Rank #47 / 249
 -21%+15%
$16.4k
Facility $16.4k
IA AVG $53.4k
Rank #173 / 255
24
Facility 24
IA AVG 21.7
Rank #169 / 250
4.8
Facility 4.8
IA AVG 4.1
Rank #170 / 250
138-
29
Facility 29
IA AVG 45
Rank #372 / 528
Bryan Mckeag
$5.6M
Facility $5.6M
IA AVG $7.0M
Rank #145 / 251
$4.2M
Facility $4.2M
IA AVG $3.1M
Rank #106 / 251
76.1%
Facility 76.1%
IA AVG 46.3%
Rank #30 / 251
165618
Ramsey Village Continuing Care
NH
AL
IL
MC
RC
Des Moines (Drake)
78
Facility 78
IA AVG 71
Rank #119 / 407
85.8%
Facility 85.8%
IA AVG 75.4%
Rank #94 / 407
+14%
4.04
Facility 4.04
IA AVG 4.30
Rank #148 / 249
 -46%-6%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 255
31
Facility 31
IA AVG 21.7
Rank #190 / 250
4.4
Facility 4.4
IA AVG 4.1
Rank #158 / 250
170-
38
Facility 38
IA AVG 45
Rank #305 / 528
Claremont House Inc
$9.4M
Facility $9.4M
IA AVG $7.0M
Rank #44 / 251
$7.3M
Facility $7.3M
IA AVG $3.1M
Rank #20 / 251
78.4%
Facility 78.4%
IA AVG 46.3%
Rank #29 / 251
165514
Ridgecrest Village
NH
AL
IL
MC
Davenport (Northwest Boulevard)
82
Facility 82
IA AVG 71
Rank #100 / 407
67.1%
Facility 67.1%
IA AVG 75.4%
Rank #208 / 407
-11%
3.98
Facility 3.98
IA AVG 4.30
Rank #148 / 249
 +31%-7%
$118.9k
Facility $118.9k
IA AVG $53.4k
Rank #236 / 255
43
Facility 43
IA AVG 21.7
Rank #218 / 250
7.2
Facility 7.2
IA AVG 4.1
Rank #227 / 250
355-
41
Facility 41
IA AVG 45
Rank #287 / 528
Michael Beaderstadt
$13.3M
Facility $13.3M
IA AVG $7.0M
Rank #20 / 251
$8.1M
Facility $8.1M
IA AVG $3.1M
Rank #23 / 251
60.7%
Facility 60.7%
IA AVG 46.3%
Rank #160 / 251
165049
Nursing Home Explorer

Financial Assistance for
Nursing Home in Iowa

The Meadows is located in Manchester, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

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

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

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

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

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

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

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

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about The Meadows

Is The Meadows in a walkable area?

The Meadows has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of The Meadows?

According to IA state health department records, The Meadows's license number is S0069.

When does The Meadows's license expire?

According to IA state health department records, The Meadows's license expires on March 6, 2028.

What is the occupancy rate at The Meadows?

The Meadows's occupancy is 51%.

What is the best email address for The Meadows?

The team at The Meadows can be reached at [email protected].

Who is the administrator of The Meadows?

Lindsey Ante is the administrator of The Meadows.

How many beds does The Meadows have?

The Meadows has 74 beds.

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