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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $4,011 was recorded.
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.