PlainNursing
CMS Nursing Home Compare · March 2026

On With Life Long Term Care

On With Life Long Term Care is a non profit - corporation facility in Polk City, IA with 40 certified beds and a 5-star overall CMS rating. The inspection file holds 8 deficiency records.

1002 W Washington Ave., Polk City, IA 50225

Phone: 5154219200

Overall CMS Rating

5/5

vs 3.0 national avg

The verdict

On With Life Long Term Care holds a 5-star CMS overall rating — well above the 3.0-star national average. No recent finding reached the actual-harm level.

5 / 5
CMS overall rating (nat'l avg 3.0)
N/A
Nursing hrs/resident-day (nat'l 3.89)
8
Inspection findings on file
$0
Federal penalties (0)

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

5/5

Staffing

N/A

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
165281
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
40
Residents
38
In Hospital
No
County
Polk
Last Inspection
Dec 31, 2025

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A

What the CMS Record Reveals About On With Life Long Term Care

On With Life Long Term Care operates 40 certified beds in Polk City, IA with approximately 38 residents currently in care, and carries a CMS overall rating of 5 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 (5★), staffing levels (N/A★), and quality measures (3★). 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 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, On With Life Long Term Care 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. 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 (8 most recent)

D — Isolated - Minimal harm Aug 5, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 27, 2025

D — Isolated - Minimal harm Dec 12, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 31, 2024

E — Pattern - Minimal harm Dec 12, 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: Dec 31, 2024

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Oct 20, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 29, 2023

D — Isolated - Minimal harm Sep 28, 2023 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: Oct 28, 2023

D — Isolated - Minimal harm Sep 28, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 20, 2023

D — Isolated - Minimal harm Jun 30, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 9, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.9% 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 6.7% No
Percentage of long-stay residents who were physically restrained Long Stay 12.2% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A 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 N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 37.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.0% 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 8.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 12.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for On With Life Long Term Care?
On With Life Long Term Care has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (null★), and quality measures (3★).
What are the staffing levels at On With Life Long Term Care?
On With Life Long Term Care reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68).
How many beds does On With Life Long Term Care have?
On With Life Long Term Care has 40 certified beds with approximately 38 residents. The facility is located at 1002 W Washington Ave., Polk City, IA 50225.
Does On With Life Long Term Care have any deficiencies on record?
Yes, On With Life Long Term Care has 8 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has On With Life Long Term Care received any fines or penalties?
No, On With Life Long Term Care has no fines or penalties on record.
Who owns On With Life Long Term Care?
On With Life Long Term Care is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was On With Life Long Term Care last inspected?
The most recent health inspection for On With Life Long Term Care was on Dec 31, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for On With Life Long Term Care?
On With Life Long Term Care 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.