CMS data shows Living Center West earning a D grade with a score of 40/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Living Center West, with 3.09 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 33 deficiencies at Living Center West, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.09 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.69 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.99 | 2.4 | Below Average |
| Weekend Total Nursing | 2.50 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Aug 27, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Aug 27, 2025 · Infection Control Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Jan 8, 2025 · Resident Rights Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0865 Severity EHave a plan that describes the process for conducting QAPI and QAA activities.Sep 18, 2024 · Administration 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 | 5.7% | 4.5% | Worse |
| Falls with major injury | 2.0% | 3.0% | Better |
| On antipsychotic medication | 12.5% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 18.8% | 14.0% | Worse |
| Excessive weight loss | 6.8% | 7.5% | Average |
| New/worsened incontinence | 27.2% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $72,070
How This Grade Was Calculated
This facility's grade of D is based on a score of 40 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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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