GoodStanding

Nursing home report

On With Life Long Term Care

Polk City, IA · Medicare-certified · 40 beds

In good standing
Non-profit
5 of 5 overall

5 out of 5 stars overall. On With Life Long Term Care has a 5-star health inspection rating, 4-star staffing, and 3-star quality measures, with no fines in the last 24 months and nurse staffing above the federal benchmark (7.94 vs 4.1 hours per resident per day).

Facility ratings

Health inspections

Staffing

7.9375 hrs/resident/day

Quality measures

Last inspection: December 31, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 7.9375.

Staffing detail

Registered nurses
1.80
Licensed practical nurses
1.20
Nurse aides
4.93
Weekend nursing
6.96

Hours per resident per day.

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

24.2%23.5%Improving

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

6.4%7.9%Worsening

Residents with a urinary tract infection

5%5.1%No change

Residents who lost too much weight

7.5%0%Improving

Residents who were physically restrained

12.5%15.4%Worsening

Residents needing more help with daily activities

13.6%

Long-stay residents on antianxiety or sleep medication

30%38.5%Worsening

Residents with a long-term catheter

1.7%3.4%Worsening

Residents with new or worsening incontinence

16.8%6.6%Improving

Residents with depressive symptoms

8.6%0%Improving

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

95%

Long-stay residents given the pneumonia vaccine

100%97.4%Worsening

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — limited pattern, potential for harm.

View the original federal record

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

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: D

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 December 2024 — isolated incident, potential for harm.

View the original federal record

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

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: D

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — 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 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
39.5 residents on an average day (99% of 40 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 29 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.