Elder Care Record

Iowa › Polk County › Polk City

On With Life Long Term Care

1002 W Washington Ave., Polk City, IA 50225

CCN 165281 · Non-profit, corporation · 40 certified beds

Overall★★★★★
Health inspection★★★★★
Staffingnot rated
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.

On With Life Long Term Care, in Polk City, Iowa, is certified for 40 beds under non-profit, corporation ownership.

CMS gives it 5 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 5, staffing — and quality measures 2.

Inspectors recorded 7 health deficiencies across the three most recent survey cycles (1, 2, 4 by cycle, most recent first), none at the actual-harm level. That is 17.5 per 100 beds, fewer than the state median of 27.5.

CMS lists no fines or payment denials against the facility in the period covered.

7health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
—nurse hours per resident per daystate median 3.7
98%occupancy (residents ÷ beds)39 residents a day

Compared with county, state and nation

MeasureThis facilityPolk Co. medianIowa medianUS average
Overall star rating5333.0
Health citations, 3 cycles7221628.7
Citations per 100 beds17.531.427.526.8
Total nurse hours per resident day—3.93.73.9
RN hours per resident day—0.70.70.7
Nursing staff turnover—47.1%41.9%45.8%
Fines listed$0$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

Cycle 1 (latest)1
Cycle 22
Cycle 34

Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Dec 2025, 12 Dec 2024.

Severity mix: D ×6 E ×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 dateTagWhat the tag requiresSeverityTypeCorrected
5 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Aug 2025
12 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey31 Dec 2024
12 Dec 2024F0880Provide and implement an infection prevention and control program.DStandard survey31 Dec 2024
28 Sep 2023F0641Ensure each resident receives an accurate assessment.DStandard survey20 Oct 2023
28 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Oct 2023
28 Sep 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey29 Sep 2023
28 Sep 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey20 Oct 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing—
Nurse aides—
LPN—
RN—
Weekend total—

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIowa medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.0%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.1%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.8%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%3.4%2.8%
Percentage of long-stay residents with pressure ulcersLong Stay7.2%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.4%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, corporation. Legal business name: On With Life Extended Services Ltd.

OrganisationRole in the CMS recordInterestSince
On With Life Extended Services LtdOperational/managerial controlNOT APPLICABLE07/01/2011
On With Life IncOperational/managerial controlNOT APPLICABLE07/01/2001

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Childserve Habilitation CenterJohnston745351114.9—6 Apr 2026
Deerfield Health Care CenterUrbandale30555413.3—2 Jul 2026
Karen Acres Care CenterUrbandale355441131.4—22 Jun 2026
Mill-PondAnkeny605451016.7—19 Mar 2026
Prairie Vista VillageAltoona4654548.7—22 May 2025
Scottish Rite Park IncDes Moines51535917.6$56K6 May 2026
Wesley On GrandDes Moines8055445.0—12 Jun 2025
Calvin CommunityDes Moines594351220.3—18 Dec 2025

All 30 facilities in Polk County

Questions and answers

How many deficiencies has On With Life Long Term Care been cited for?

7 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.

Has On With Life Long Term Care been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at On With Life Long Term Care compare?

CMS does not report staffing hours for this facility.

Who operates On With Life Long Term Care?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include On With Life Extended Services Ltd and On With Life Inc. Individual owners and managers are not listed on this site.

When was On With Life Long Term Care last inspected?

The most recent survey or investigation in the CMS record is dated 5 Aug 2025; the most recent standard health survey was 31 Dec 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.