PlainNursing
CMS Nursing Home Compare · March 2026

Buchanan County Health Center

Buchanan County Health Center is a government - county facility in Independence, IA with 39 certified beds and a 4-star overall CMS rating. The inspection file holds 11 deficiency records. Total penalties: $4K.

1600 First Street East, Independence, IA 50644

Phone: 3193346071

Overall CMS Rating

4/5

vs 3.0 national avg

The verdict

Buchanan County Health Center holds a 4-star CMS overall rating — well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall rating (nat'l avg 3.0)
4.49
Nursing hrs/resident-day (nat'l 3.89)
11
Inspection findings on file · 1 serious
$4K
Federal penalties (1)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

3/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
16E050
Ownership
Government - County
Provider Type
Medicaid
Beds
39
Residents
31
In Hospital
Yes
County
Buchanan
Last Inspection
Mar 20, 2025

Staffing Data

RN Hours
1.17 (nat'l avg: 0.68)
LPN Hours
0.48
CNA Hours
2.84
Total Nursing Hours
4.49 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
22.2%
RN Turnover
11.1%

What the CMS Record Reveals About Buchanan County Health Center

Buchanan County Health Center operates 39 certified beds in Independence, IA with approximately 31 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $4K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.49 total nursing hours per resident day (national average 3.89), with RN coverage at 1.17 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicaid" provider embedded within a hospital campus, Buchanan County Health Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 22.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

F — Widespread - Minimal harm Mar 20, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 31, 2025

D — Isolated - Minimal harm Mar 20, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 31, 2025

B — Pattern - No harm Mar 20, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 31, 2025

B — Pattern - No harm Mar 20, 2025 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 31, 2025

D — Isolated - Minimal harm Nov 26, 2024 Tag: 0741

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2024

J — Isolated - Jeopardy Nov 26, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 31, 2024

F — Widespread - Minimal harm Jun 6, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 5, 2024

F — Widespread - Minimal harm Jun 6, 2024 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 73.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 5.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.5% Yes

Penalty History 1 penalties totaling $4K

Date Type Amount
Nov 26, 2024 Fine $4K

Frequently Asked Questions

What is the overall CMS rating for Buchanan County Health Center?
Buchanan County Health Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at Buchanan County Health Center?
Buchanan County Health Center reports 4.49 total nursing hours per resident day (national average: 3.89). RN hours are 1.17 per resident day (national average: 0.68). Nursing staff turnover is 22.2%.
How many beds does Buchanan County Health Center have?
Buchanan County Health Center has 39 certified beds with approximately 31 residents. The facility is located at 1600 First Street East, Independence, IA 50644.
Does Buchanan County Health Center have any deficiencies on record?
Yes, Buchanan County Health Center has 11 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Buchanan County Health Center received any fines or penalties?
Yes, Buchanan County Health Center has received 1 penalties totaling $4K.
Who owns Buchanan County Health Center?
Buchanan County Health Center is classified as "Government - County" ownership. The facility type is "Medicaid" and is located within a hospital.
When was Buchanan County Health Center last inspected?
The most recent health inspection for Buchanan County Health Center was on Mar 20, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Buchanan County Health Center?
Buchanan County Health Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.