Iowa › Polk County › Johnston
Bishop Drumm Retirement Center
5837 Winwood Drive, Johnston, IA 50131
Special Focus Facility candidateContinuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Bishop Drumm Retirement Center, in Johnston, Iowa, is certified for 150 beds under non-profit, church related ownership and belongs to the Commonspirit Health chain.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 83 health deficiencies across the three most recent survey cycles (33, 11, 39 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 55.3 per 100 beds, more than the state median of 27.5.
CMS lists 7 penalties in the period covered: fines totalling $258K and 3 payment denials.
Reported nurse staffing is 3.6 hours per resident per day (0.8 RN), close to the Iowa median of 3.7; nursing staff turnover is 34.9%.
CMS flags that the facility is a Special Focus Facility candidate.
83health deficiencies, 3 survey cycles9 at actual harm or worse
$258Kfines listed by CMS7 penalties in period
3.6nurse hours per resident per daystate median 3.7
80%occupancy (residents ÷ beds)120 residents a day
Compared with county, state and nation
| Measure | This facility | Polk Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 83 | 22 | 16 | 28.7 |
| Citations per 100 beds | 55.3 | 31.4 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 34.9% | 47.1% | 41.9% | 45.8% |
| Fines listed | $258,177 | $0 | $0 | — |
County and state figures are medians across facilities (30 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Jul 2025, 19 Sep 2024.
Severity mix: J ×3 G ×6 D ×51 E ×17 F ×5 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 11 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 11 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 11 Jun 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 11 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 11 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 18 Feb 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 20 Apr 2026 |
| 18 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Apr 2026 |
| 17 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 16 Oct 2025 |
| 17 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 16 Oct 2025 |
| 17 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Oct 2025 |
| 17 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Oct 2025 |
| 17 Sep 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 16 Oct 2025 |
| 17 Sep 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 16 Oct 2025 |
| 17 Sep 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 16 Oct 2025 |
| 17 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 Oct 2025 |
| 21 Jul 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | G | Standard survey | 30 Jul 2025 |
| 21 Jul 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 30 Jul 2025 |
| 21 Jul 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 30 Jul 2025 |
| 21 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 30 Jul 2025 |
| 21 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Jul 2025 |
| 21 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Jul 2025 |
| 21 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Jul 2025 |
| 21 Jul 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 30 Jul 2025 |
| 21 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Jul 2025 |
| 29 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Jun 2025 |
| 29 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Jun 2025 |
| 3 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 11 Jun 2025 |
| 3 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Jun 2025 |
| 3 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 Apr 2025 |
| 3 Apr 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 22 Apr 2025 |
| 19 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 9 Oct 2024 |
| 19 Sep 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Standard survey | 9 Oct 2024 |
| 19 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 9 Oct 2024 |
| 19 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Oct 2024 |
| 18 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 4 Sep 2024 |
| 27 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 4 Sep 2024 |
| 27 Jun 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 24 Jul 2024 |
| 27 Jun 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 24 Jul 2024 |
| 3 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 17 May 2024 |
| 3 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 17 May 2024 |
| 3 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 May 2024 |
| 27 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 20 Mar 2024 |
| 27 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Mar 2024 |
| 27 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Mar 2024 |
| 27 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Mar 2024 |
| 27 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Mar 2024 |
| 27 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Mar 2024 |
| 10 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 18 Jan 2024 |
| 9 Oct 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 25 Oct 2023 |
| 9 Oct 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 25 Oct 2023 |
| 9 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 Oct 2023 |
| 9 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Oct 2023 |
| 9 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 9 Oct 2023 |
| 8 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 23 Aug 2023 |
| 8 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 23 Aug 2023 |
| 8 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 25 Oct 2023 |
| 8 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Aug 2023 |
| 29 Jun 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 25 Oct 2023 |
| 29 Jun 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Aug 2023 |
| 29 Jun 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 25 Oct 2023 |
| 29 Jun 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Aug 2023 |
| 29 Jun 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 Jul 2023 |
| 29 Jun 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | C | Standard survey | 29 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Jul 2025 | Payment denial | — | 68 days |
| 21 Jul 2025 | Fine | $127,088 | |
| 3 Apr 2025 | Payment denial | — | 43 days |
| 19 Sep 2024 | Fine | $22,588 | |
| 27 Jun 2024 | Payment denial | — | 42 days |
| 27 Jun 2024 | Fine | $55,424 | |
| 27 Feb 2024 | Fine | $53,077 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 34.9%, RNs 32.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.4% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Chi Living Communities. Chain: Commonspirit Health (18 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sylvania Franciscan Health | 5% or greater direct ownership interest | 100% | 07/01/2016 |
| Commonspirit Health | 5% or greater indirect ownership interest | 100% | 07/01/2016 |
| Commonspirit Health | Operational/managerial control | NOT APPLICABLE | 07/01/2016 |
| Concept Rehab, Inc. | Operational/managerial control | NOT APPLICABLE | 07/01/2016 |
| Forvis Mazars LLP | Operational/managerial control | NOT APPLICABLE | 08/16/2019 |
| Ohio Newspapers, Inc. | Operational/managerial control | NOT APPLICABLE | 07/01/2011 |
| Reliant Care Pharmacy Services LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2024 |
| The Northern Trust Company | Operational/managerial control | NOT APPLICABLE | 07/01/2016 |
| Ulrichpinciotti Design Group, LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2011 |
| Commonspirit Health | Adp of the snf | NOT APPLICABLE | 07/01/2016 |
| Concept Rehab, Inc. | Adp of the snf | NOT APPLICABLE | 06/24/2025 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 06/24/2025 |
| Ohio Newspapers, Inc. | Adp of the snf | NOT APPLICABLE | 06/24/2025 |
| Reliant Care Pharmacy Services LLC | Adp of the snf | NOT APPLICABLE | 07/10/2025 |
| Sylvania Franciscan Health | Adp of the snf | NOT APPLICABLE | 07/01/2016 |
| The Northern Trust Company | Adp of the snf | NOT APPLICABLE | 06/24/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Polk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Childserve Habilitation Center | Johnston | 74 | 5 | 3 | 5 | 11 | 14.9 | — | 6 Apr 2026 |
| Deerfield Health Care Center | Urbandale | 30 | 5 | 5 | 5 | 4 | 13.3 | — | 2 Jul 2026 |
| Karen Acres Care Center | Urbandale | 35 | 5 | 4 | 4 | 11 | 31.4 | — | 22 Jun 2026 |
| Mill-Pond | Ankeny | 60 | 5 | 4 | 5 | 10 | 16.7 | — | 19 Mar 2026 |
| On With Life Long Term Care | Polk City | 40 | 5 | 5 | — | 7 | 17.5 | — | 5 Aug 2025 |
| Prairie Vista Village | Altoona | 46 | 5 | 4 | 5 | 4 | 8.7 | — | 22 May 2025 |
| Scottish Rite Park Inc | Des Moines | 51 | 5 | 3 | 5 | 9 | 17.6 | $56K | 6 May 2026 |
| Wesley On Grand | Des Moines | 80 | 5 | 5 | 4 | 4 | 5.0 | — | 12 Jun 2025 |
All 30 facilities in Polk County
Questions and answers
How many deficiencies has Bishop Drumm Retirement Center been cited for?
83 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Bishop Drumm Retirement Center been fined?
Yes. CMS lists fines totalling $258K in the period covered, plus 3 payment denials.
How does staffing at Bishop Drumm Retirement Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Bishop Drumm Retirement Center?
It is part of the Commonspirit Health chain. Ownership type is non-profit, church related. Organisations in the CMS ownership record include Sylvania Franciscan Health, Commonspirit Health and Commonspirit Health. Individual owners and managers are not listed on this site.
When was Bishop Drumm Retirement Center last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 21 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.