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Nursing home report

Bishop Drumm Retirement Center

Johnston, IA · Medicare-certified · 150 beds

Needs attention
Special Focus candidateNon-profitChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.5259 hrs/resident/day

Quality measures

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $127,088 was recorded.

  6. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal payment denial was recorded.

  8. PENALTY

    A federal fine of $22,588 was recorded.

  9. PENALTY

    A federal payment denial was recorded.

  10. 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.