Occupancy rate
79%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Timely Mission Nursing Home
Timely Mission Nursing Home is located in Buffalo Center, Iowa. It provides rehabilitation services and skilled care in a comfortable and friendly environment. The facility offers a variety of services including skilled care, short-term respite care, and long-term care.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
42
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.6%
Residents per day (avg)
33
Occupancy rate
78.6%
Residents per day (avg)
33
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
58% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
19% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Voluntary non-profit community
Home revenue
$2.9M
Operating deficit
-$36.6K
Voluntary non-profit community
Home revenue
$2,941,976.00
Operating deficit
$-36,569.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.9M
42-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
33 / 42
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
August 28, 1964
County:
Winnebago
Additional licensing details
License number:
950348
CMS Certification Number:
165586
Certification type:
FALSE
Ownership & operating entity
Timely Mission Nursing Home is administrated by Alida Sandberg.
Safety & Compliance
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Ashley Mission
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
6415622812
Amenities & Lifestyle
Programs & Activities
Activities
Residents enjoy holiday events, picnics, gardening, Bible studies, Sunday afternoon church, and Happy Hour in the dining room.
Specific Programs
Skilled care, short-term respite care, long-term care, individual and group activity programs, holiday events, picnics, gardening, Bible studies, Sunday church services, Happy Hour.
Religious Services
Yes
Operating Hours
24 hours
Dining & Nutrition
Food Description
Dietary Services: 3 balanced meals, open dining, and snacks.
Meals Included
Yes
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.
15 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:December 15, 2025
15 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Timely Mission Nursing Home
The most recent inspection on December 15, 2025, found the facility certified in compliance based on acceptance of a credible allegation of compliance and plan of correction. Prior inspections showed a pattern of deficiencies related mainly to documentation and provision of specialized rehabilitative services, resident assessments, and food safety practices. Complaint investigations in recent years included substantiated findings for failure to provide required therapy services and issues with resident property and notifications, while most other complaints were unsubstantiated. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility’s inspection history shows some recurring issues but also periods of substantial compliance and corrective actions accepted by inspectors.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Nov 2025
Total health citations
7
Iowa average 21.7
Citations per inspection
2.33
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 7 citations resulted from standard inspections; and 1 of 7 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 01, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 01, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 01, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 01, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 17, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 17, 2023
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Timely Mission Nursing Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Buffalo Center
42
66.4%
-12%
4.08
-5%
0
7
0
33
Bierle, Lorie
$2,9M
$1,6M
55.9%
165586
Akron Care Center, INC
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.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
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.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
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.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Timely Mission Nursing Home
Buffalo Center, IA 504241206
Buffalo Center, IA 504241206
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
50
Employees
30
Contractors
20
Staff to resident ratio
1.47:1
26% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
17
Average shift
7.6 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
11,682
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.5%
994 contractor hours this quarter
Certified Nursing Assistant: 7
Respiratory Therapy Technician: 2
Registered Nurse: 2
Speech Language Pathologist: 2
Licensed Practical Nurse: 1
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Qualified Social Worker: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 18 | 7 | 25 | 6,089 | 91 | 100% | 8.6 |
| Licensed Practical Nurse | 4 | 1 | 5 | 2,091 | 91 | 100% | 9.7 |
| Registered Nurse | 2 | 2 | 4 | 836 | 85 | 93% | 7.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 499 | 61 | 67% | 8.2 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 61 | 67% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 453 | 59 | 65% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 432 | 57 | 63% | 7.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 83 | 52 | 57% | 1.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 78 | 43 | 47% | 1.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 64 | 33 | 36% | 1.9 |
| Medication Aide/Technician | 1 | 0 | 1 | 29 | 9 | 10% | 3.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 27 | 21 | 23% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Medical Director | 0 | 1 | 1 | 9 | 2 | 2% | 4.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 9 | 4 | 4% | 2.3 |
| Qualified Social Worker | 0 | 1 | 1 | 6 | 5 | 5% | 1.2 |
25 Certified Nursing Assistant
% of Days
100%
5 Licensed Practical Nurse
% of Days
100%
4 Registered Nurse
% of Days
93%
1 Other Dietary Services Staff
% of Days
67%
1 Administrator
% of Days
67%
1 Nurse Practitioner
% of Days
67%
1 Mental Health Service Worker
% of Days
65%
1 Clinical Nurse Specialist
% of Days
63%
1 Physical Therapy Aide
% of Days
57%
2 Speech Language Pathologist
% of Days
47%
2 Respiratory Therapy Technician
% of Days
36%
1 Medication Aide/Technician
% of Days
10%
1 Physical Therapy Assistant
% of Days
23%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
2%
1 Occupational Therapy Aide
% of Days
4%
1 Qualified Social Worker
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
34 residents
Residents by payment source
Medicaid
14 residents (41.2%)
Private pay or other
20 residents (58.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.3
48% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.0
35% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
6.7%
Percent of long-stay residents whose need for help with daily activities has increased
6.7%
65% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.1%
Percent of long-stay residents whose ability to move independently worsened
14.1%
28% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
19% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
In line with Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.5%
Percent of long-stay high risk residents with pressure ulcers
2.5%
43% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.0%
Percent of long-stay residents who have depressive symptoms
8.0%
105% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.1%
Percent of long-stay residents who received an antipsychotic medication
23.1%
21% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
70.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
70.0%
27% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.9%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
7.4%
Percent of short-stay residents who newly received an antipsychotic medication
7.4%
302% worse than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Timely Mission Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
66.4%
↑ 5.2pp vs 2023
Net Income
-$36,569
↓ ~$219K vs 2023
Total Payroll
$2,031,126
↑ ~$342K vs 2023
Profit Margin
-1.3%
↓ 8.1pp vs 2023
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