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A+
Excellent

On With Life Long Term Care

1002 W Washington Ave. · Polk City, IA 50225

5154219200 · Non profit - Corporation

40 beds38.2 residents116 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

On With Life Long Term Care receives an overall staffing grade of A+ (Excellent). With 8.2695 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 4.36 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.49% compared to weekdays. The facility relies heavily on temporary agency staff (37% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️37% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.
📊Staffing levels are highly variable day to day (consistency score: 0.8677). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
8.2695hrs/resident/day▲ 4.36
CMS benchmark: 3.48
RN HPRD
1.9743hrs/resident/day▲ 1.29
Recommended: 0.75
Weekend Drop-off
15.49%
8.6524 weekday → 7.3121 weekend
Agency Staff
37%
15.38% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
5.1583hrs/resident/day
Direct care aides
LPN HPRD
1.1368hrs/resident/day
Licensed practical nurses
Consistency
0.8677std 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. Polk County Average+3.78 HPRD
4.49
08.27 HPRD
vs. Iowa State Average+4.45 HPRD
3.82
08.27 HPRD
vs. National Average+4.36 HPRD
3.91
08.27 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q2 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
On With Life Long Term Care ★
Polk City · This facility
—
A+
8.26951.9743★★★★☆
Granger Nursing & Rehabilitation Center
Granger
5.5 mi
B
3.53390.5584★☆☆☆☆
On With Life
ANKENY
7.7 mi
—
00★★★★★
Mill-Pond
Ankeny
8 mi
A
4.3330.8892★★★★★
Madrid Home for the Aged
Madrid
9.1 mi
B
4.12520.6967★★★★☆
Azria Health Park Place
Des Moines
12.2 mi
C
3.46820.6645★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
8
Total Deficiencies
$0
Fines Assessed
Aug 5, 2025Health
1 deficiency cited
▼
Dec 12, 2024Health
2 deficiencies cited
▼
Sep 28, 2023Health
4 deficiencies cited
▼
Jun 30, 2022Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q2 · 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.