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Nursing home report

Buchanan County Health Center

Independence, IA · Medicare-certified · 39 beds

Needs attention
Government-run
Data as of July 1, 2026
5 of 5 overall

Buchanan County Health Center in Independence, IA has an overall 5-star rating, with 4 stars for health inspections and quality measures and 5 stars for staffing. It reports 4.19 nursing hours per resident day, slightly above the federal benchmark of 4.1, and had $4,011 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

4.1891 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $4,011recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1891.

Staffing detail

Registered nurses
1.22
Licensed practical nurses
0.35
Nurse aides
2.62
Weekend nursing
3.38

Hours per resident per day.

Total staff turnover: 26%
Registered nurse turnover: 13%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

9.1%17.2%Worsening

Residents with a fall causing major injury

6.5%12.5%Worsening

Residents with pressure ulcers (bedsores)

2.8%2.2%Improving

Residents with a urinary tract infection

3.2%18.8%Worsening

Residents who lost too much weight

7.7%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.4%21.4%Worsening

Residents whose ability to walk got worse

23.5%

Long-stay residents on antianxiety or sleep medication

19.2%20.7%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

14.6%20.9%Worsening

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the pneumonia vaccine

73%

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

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

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have enough qualified staff to properly provide food and nutrition services. Cited June 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 801 — 42 CFR §483.60 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The nursing home failed to provide services that met professional standards of quality. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $4,011 was recorded.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $4,011 in total fines.

  • Federal fine

    Nov 26, 2024

    $4,011

Operator & ownership

Ownership
Government - County
Occupancy
34.5 residents on an average day (88% of 39 beds)
Resident voice
Resident council
Medicare history
Certified for 51 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.