D

Community Memorial Health Center

231 North Eighth Avenue West, Hartley, IA 51346
Score: 46 / 100

CMS data shows Community Memorial Health Center earning a D grade with a score of 46/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Community Memorial Health Center is near the national average, with 4.16 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 19 deficiencies at Community Memorial Health Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.16 3.8 Average
Registered Nurses (RN) 1.04 0.7 Above Average
Licensed Practical Nurses (LPN) 0.46 0.7 Below Average
Certified Nursing Assistants (CNA) 2.66 2.4 Above Average
Weekend Total Nursing 3.56 3.8 Average
Weekend RN Hours 0.75 0.7 Average

🔍 Inspection & Deficiency History

19
Total Deficiencies
Jan 21, 2026
Most Recent Inspection
🟠 18 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0561 Severity D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    Jan 21, 2026 · Resident Rights Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Jan 21, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Jan 21, 2026 · Quality of Life and Care Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Jan 21, 2026 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jan 21, 2026 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.0% 4.5% Worse
Falls with major injury 7.6% 3.0% Worse
On antipsychotic medication 28.9% 14.5% Worse
Urinary tract infections 4.8% 2.5% Worse
ADL decline (daily activities) 31.6% 14.0% Worse
Excessive weight loss 1.9% 7.5% Better
New/worsened incontinence 17.3% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $44,528

How This Grade Was Calculated

This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
62
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 21, 2026
Deficiencies (Cycle 1)
8

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