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A+
Excellent

Story Medical Senior Care

710 S 19th ST · Nevada, IA 50201

5153822111 · Government - County

60 beds56.5 residents155 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

Story Medical Senior Care receives an overall staffing grade of A+ (Excellent). With 5.1673 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.27 HPRD above the national average.

Weekend staffing drops significantly — dropping 25.55% compared to weekdays. The facility uses a moderate level of agency staff (10.45% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️Weekend staffing drops 25.55% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ 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
5.1673hrs/resident/day▲ 1.27
CMS benchmark: 3.48
RN HPRD
1.375hrs/resident/day▲ 0.69
Recommended: 0.75
Weekend Drop-off
25.55%
5.5695 weekday → 4.1464 weekend
⚠ Significant weekend reduction
Agency Staff
10.45%
18.84% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.5247hrs/resident/day
Direct care aides
LPN HPRD
0.2676hrs/resident/day
Licensed practical nurses
Consistency
0.7578std 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. Story County Average+0.93 HPRD
4.24
05.17 HPRD
vs. Iowa State Average+1.35 HPRD
3.82
05.17 HPRD
vs. National Average+1.27 HPRD
3.90
05.17 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
Story Medical Senior Care ★
Nevada · This facility
—
A+
5.16731.375★★★★★
Rolling Green Village Care Center
Nevada
1.2 mi
B
4.0450.735★★★☆☆
Zearing Health Care, LLC
Zearing
13.2 mi
B
3.90421.0048★★★★★
State Center Specialty Care
State Center
13.5 mi
C
3.25940.8081★★★★☆
Mill-Pond
Ankeny
20.7 mi
A
4.3330.8892★★★★★
On With Life Long Term Care
Polk City
21.7 mi
A+
8.26951.9743★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
9
Total Deficiencies
$0
Fines Assessed
Nov 19, 2025Health
2 deficiencies cited
▼
Apr 3, 2025Health
1 deficiency cited
▼
May 9, 2024Health
2 deficiencies cited
▼
Feb 2, 2023Health
4 deficiencies 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 — 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.