Bishop Drumm Retirement Center in Johnston, IA has a 1-out-of-5 overall rating, with a 1-star health inspection rating, special focus candidate/flag status, and $205,100 in fines in the last 24 months. Staffing is 3.53 hours per resident per day, below the federal benchmark of 4.1, even though staffing and quality measures are both rated 4 stars.
Last inspection: February 18, 2026Penalties, last 24 months: $205,100special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5259.
Staffing detail
Registered nurses
0.78
Licensed practical nurses
0.35
Nurse aides
2.40
Weekend nursing
3.07
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 42%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.4%Worsening
Residents with a fall causing major injury
3.8%Improving
Residents with pressure ulcers (bedsores)
2.7%Worsening
Residents with a urinary tract infection
1.2%Worsening
Residents who lost too much weight
10.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.8%Worsening
Residents whose ability to walk got worse
10.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
18.1%Worsening
Short-stay residents newly given an antipsychotic
1.6%Steady
Residents with a long-term catheter
1.2%Steady
Residents with new or worsening incontinence
33.3%Improving
Residents with depressive symptoms
5.3%Worsening
Long-stay residents given the seasonal flu vaccine
89.2%Steady
Long-stay residents given the pneumonia vaccine
95.7%Worsening
Short-stay residents given the seasonal flu vaccine
84.1%Steady
Short-stay residents given the pneumonia vaccine
84.1%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited July 2025 — isolated incident, actual harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $127,088 was recorded.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $22,588 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $55,424 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $270,826 in total fines · 4 payment denials.
Medicare/Medicaid payment denial
Jul 21, 2025
68 days
Federal fine
Jul 21, 2025
$127,088
Medicare/Medicaid payment denial
Apr 3, 2025
43 days
Federal fine
Sep 19, 2024
$22,588
Medicare/Medicaid payment denial
Jun 27, 2024
42 days
Federal fine
Jun 27, 2024
$55,424
Federal fine
Feb 27, 2024
$53,077
Medicare/Medicaid payment denial
Jun 29, 2023
48 days
Operator & ownership
Ownership
Non profit - Church related
Chain
Part of COMMONSPIRIT HEALTH · 19 homes · 2.8 stars avg
Occupancy
119.7 residents on an average day (80% of 150 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.