Aspire of Muscatine
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 15 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Above-median deficiencies (19 vs median 5)
- High staff turnover (76%)
- High RN turnover (88%)
Bottom 25% in IA · Below recommended RN staffing · Very high staff turnover · Worst in BEACON HEALTH MANAGEMENT chain · $24,564 in fines · Abuse citation
What this means for your family
While some staff members are clearly dedicated, the facility has a history of inconsistent care and management turbulence. Families should conduct an in-person tour to observe current staffing levels and ask specifically about their protocol for communicating changes in resident health to family members.
Google Reviews
Google Reviews
15 reviews on Google“Aspire of Muscatine receives highly polarized feedback, with recent reviews highlighting significant concerns regarding staff conduct, resident neglect, and administrative instability. While some reviewers praise the dedication of specific staff members and recent facility improvements, others report severe issues including lack of responsiveness and unprofessional behavior from management.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated individual nursing staff
- Recent efforts to improve facility aesthetics
Concerns
- Lack of responsiveness and resident neglect (mentioned by 2 reviewers)
- Unprofessional management and administrative conflict (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed some recent updates to the facility's appearance; what other improvements are being made to ensure the environment is clean and comfortable for residents?
- 2How does the nursing team ensure that every resident's specific medical needs and daily care routines are communicated clearly between shifts?
- 3With the dedicated nursing staff mentioned by some families, how do you ensure that person-to-person communication remains a priority for both residents and their families?
- 4What is the protocol for handling medical emergencies or sudden changes in a resident's health during the overnight hours?
- 5How does the administration work to resolve any internal conflicts or operational challenges to ensure a stable environment for the residents?
- 6Can you tell me about the daily activities and social engagement opportunities available to help residents stay connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“My mother needed around the clock care and when she got there was left in room unseen for hours. Do not use this facility”
“So much tender love and hard work going into the facility, inside and out. The building has never looked better.”
“The new DON works her butt off to make sure things are done right! She treats her residents and staff like family! I am thankful for her!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
6
measures
5
measures
4
measures
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Aspire of Muscatine has concerning patterns with 35% of deficiencies stemming from family complaints about serious issues including abuse, neglect, and safety hazards. Recurring problems span nursing staffing shortages, medication errors, infection control, and fire safety violations. While all deficiencies show correction dates, the facility continues experiencing repeat issues across multiple surveys, including recent 2025 complaints about inadequate staffing and resident protection that warrant careful consideration.
Nov 5, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
May 21, 2025Routine21
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
May 21, 2025Complaint4
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Jan 28, 2025Complaint8
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 3, 2024Complaint4
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Jun 27, 2024Routine20
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Federal Penalties
Fine
Jun 27, 2024
$24,564
Payment Denial
Jun 27, 2024
13-day denial
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Mar 12, 2026ComplaintClean
Fed violations: 0, State violations: 0
Feb 4, 2026ComplaintClean
Fed violations: 0, State violations: 0
Jan 8, 2026OtherClean
Fed violations: 0, State violations: 0
Jan 7, 2026OtherClean
Fed violations: 0, State violations: 0
Nov 24, 2025ComplaintClean
Fed violations: 0, State violations: 0
Nov 5, 2025OtherClean
Fed violations: 2, State violations: 0
Oct 13, 2025ComplaintClean
Fed violations: 0, State violations: 0
Jun 16, 2025InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Aspire of Muscatine
for profit
Chain Affiliation
Beacon Health Management
14 facilities nationwide
Chain avg rating: 1.4/5 · Rank 12 of 17 (Worst)
Ownership & Management
Owners
Black Hawk Healthcare, LLC
Owner · Organization
Wertheim, Bruce
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
15 reviews from families & visitors
Official Website
Visit muscatineltc.com
Medicare data downloads
Original nursing home datasets
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