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C
Below Standard

Living Center West

1050 4TH AVENUE SE · CEDAR RAPIDS, IA 52403

3193668714 · Non profit - Corporation

94 beds67.1 residents150 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Living Center West receives an overall staffing grade of C (Below Standard). With 3.0919 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4024 HPRD, below the recommended 0.75. It is 0.80 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.67% compared to weekdays. The facility relies heavily on temporary agency staff (19.59% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0919 HPRD — needs 0.39 more hours per resident per day.
⚠️RN staffing (0.4024 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️19.59% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.0919hrs/resident/day▼ 0.80
CMS benchmark: 3.48
RN HPRD
0.4024hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
24.67%
3.3237 weekday → 2.5037 weekend
⚠ Significant weekend reduction
Agency Staff
19.59%
17.56% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9816hrs/resident/day
Direct care aides
LPN HPRD
0.6978hrs/resident/day
Licensed practical nurses
Consistency
0.4208std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Linn County Average-0.79 HPRD
3.88
03.09 HPRD
vs. Iowa State Average-0.72 HPRD
3.82
03.09 HPRD
vs. National Average-0.80 HPRD
3.90
03.09 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Living Center West ★
CEDAR RAPIDS · This facility
—
C
3.09190.4024★★★☆☆
Harmony Cedar Rapids
Cedar Rapids
1.2 mi
C
3.7510.495★☆☆☆☆
Cottage Grove Place
Cedar Rapids
1.4 mi
B
4.48760.6269★★★☆☆
St Luke's Helen G Nassif Transitional Care Center
Cedar Rapids
2.8 mi
A
4.14691.1758★★★★★
Heritage Specialty Care
Cedar Rapids
3.5 mi
C
3.58610.4627★☆☆☆☆
Silver Oak Nursing and Rehabilitation Center LLC
Marion
5.3 mi
C
3.44810.5018★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
33
Total Deficiencies
$72,070
Fines Assessed
Aug 28, 2025Health
2 deficiencies cited
▼
Jan 9, 2025Health
2 deficiencies cited
▼
Sep 19, 2024Health
5 deficiencies cited
▼
Jul 29, 2024Health
6 deficiencies cited· Includes actual harm
▼
Jun 6, 2024Health
5 deficiencies cited
▼
May 8, 2024Health
3 deficiencies cited· Includes actual harm
▼
Jan 18, 2024Health
8 deficiencies cited· Includes actual harm
▼
Oct 12, 2023Health
2 deficiencies cited· Includes actual harm
▼

Penalty History

May 8, 2024Fine
$54,081
May 8, 2024Payment Denial
Jan 18, 2024Fine
$17,989
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.