Spurgeon Manor in Dallas Center, IA has an overall rating of 5 out of 5 stars, with strong staffing and quality ratings and no fines in the last 24 months. Its reported nurse staffing is above the federal benchmark (5.11 vs. 4.1 hours per resident per day), though the latest health inspection rating was 4 out of 5 stars and cited food safety, infection control, and care planning issues.
Last inspection: September 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.114.
Staffing detail
Registered nurses
0.93
Licensed practical nurses
0.84
Nurse aides
3.34
Weekend nursing
4.70
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 33%
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
13.3%3.6%Improving
Residents with a fall causing major injury
4.3%2.2%Improving
Residents with pressure ulcers (bedsores)
2%3.6%Worsening
Residents with a urinary tract infection
4.4%0%Improving
Residents who lost too much weight
15%5.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.9%32.4%Worsening
Residents whose ability to walk got worse
24.8%19.7%Improving
Long-stay residents on antianxiety or sleep medication
17.1%10.8%Improving
Short-stay residents newly given an antipsychotic
—1.6%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
31.9%28.5%Improving
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
—95.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—10.3%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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 September 2025 — 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 develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The nursing home failed to make survey results easy for residents to see and to help them contact advocate agencies. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 577 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
48 residents on an average day (87% of 55 beds)
Resident voice
Resident council
Medicare history
Certified for 17 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.