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Nursing HomeMedicaid Investigative

Bishop Drumm Retirement Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

5837 Winwood Drive, Johnston, IA 50131150 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 48 Google reviews

5
4
3
2
1
Bishop Drumm Retirement Center Nursing Home in Johnston, IA — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (23 vs median 5)
  • High RN turnover (55%)

Below average in IA · Meets national RN staffing standard · Below chain average · $339,258 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

This facility appears to be a strong choice for short-term rehab, with many patients praising the therapy team. However, families of long-term residents should be extremely cautious; multiple reports of medical neglect and poor administrative communication suggest a lack of oversight. We recommend conducting unannounced visits and verifying the facility's current state survey reports before admission.

Google Reviews

Google Reviews

48 reviews on Google
Bishop Drumm Retirement Center receives highly polarized feedback, with many reviewers praising the therapy department and individual staff members for their compassion during rehab stays. However, a significant number of families report serious concerns regarding medical neglect, poor communication, and inconsistent staffing levels, particularly for residents requiring long-term care.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean4.0Activities7.0Meds2.0MemoryN/AComms2.0Value3.0

Strengths

  • Effective physical and occupational therapy
  • Compassionate individual nursing staff
  • Welcoming and well-maintained environment
  • Helpful social work and transition support

Concerns

  • Poor communication and unresponsive management (mentioned by 4 reviewers)
  • Neglect of medical needs and wound care (mentioned by 3 reviewers)
  • Slow or non-existent response to call lights (mentioned by 3 reviewers)
  • Inconsistent medication administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(1)'21(11)'23(6)'25(4)'26(6)

Distribution · 47 analyzed

5
26
4
2
3
3
2
2
1
14

How They Respond to Reviews

50%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent focus on improving communication, what is the standard process for families to receive timely updates regarding their loved one's daily status and care plan changes?
  • 2I noticed the facility has a strong reputation for physical and occupational therapy; how are these sessions integrated into a resident's daily schedule to ensure they remain active and engaged?
  • 3Could you walk me through the protocol for responding to call lights, and how does the team ensure that medical needs are addressed promptly, especially during overnight shifts?
  • 4With the current staffing levels, how does the nursing team coordinate with pharmacy services to ensure consistency and accuracy in medication administration?
  • 5I see that you actively engage with online feedback; how does the management team use that input to implement specific improvements in resident care and facility operations?
  • 6What specific oversight measures are in place to ensure that wound care and other specialized medical treatments are monitored consistently and documented correctly?

Personalized based on this facility's data


Key Review Excerpts

From the moment that I arrived until I left, everyone from the front desk to the incredible aids to the physical therapists, occupational therapists, and nurses were top notch.

Rehab patient · 2024★★★★★

Over the last year, as care advocate for a family member, i have witnessed: improper med administration (missed oxy for 24 hours), really rough baths and transfers, generally unresponsive management.

Long-term resident's family · 2023☆☆☆☆

My mother had a wound on her foot and it was left to get necrotic requiring her pinky toe and metatarsal too be amputated. ... We're moving her ASAP because the care has just gone downhill.

Long-term resident's family · 2023☆☆☆☆
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
3.53hrs
86%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.3%
Worse than Avg
Here
33.3%
US
19.4%
IA
25.9%
Polk
19.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
14.4%
IA
17.6%
Polk
13.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
15.4%
IA
19.4%
Polk
11.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.2%
Worse than Avg
Here
89.2%
US
95.5%
IA
95.2%
Polk
96.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.5%
Better than Avg
Here
10.5%
US
15.3%
IA
17.5%
Polk
16.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.3%
Mixed vs Avgs
Here
5.3%
US
12.1%
IA
4.1%
Polk
3.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.1%
Better than Avg
Here
84.1%
US
79.7%
IA
73.3%
Polk
83.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.1%
Mixed vs Avgs
Here
84.1%
US
81.8%
IA
84.0%
Polk
90.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
1.6%
IA
2.0%
Polk
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

29deficiencies
9penalties
Well above state avg (6.2)
67 complaint-triggered
$339,258 in fines

Bishop Drumm Retirement Center shows a concerning pattern with families filing 53 complaints that triggered inspections, leading to 84 total deficiencies. The facility has persistent issues with nursing staffing levels, pressure ulcer care, and safety/accident prevention that recur across multiple surveys. While the facility reports correcting all cited deficiencies, the repeated nature of core care problems suggests ongoing challenges with maintaining consistent quality standards.

Feb 18, 2026Complaint
10
0725Potential for harm · WidespreadCorrected

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.

0727Potential for harm · WidespreadCorrected

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.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Sep 17, 2025Complaint
8
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0725Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 21, 2025Routine
13
0688Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0362Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

Jul 21, 2025Complaint
4
0584Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0725Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 29, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Apr 3, 2025Complaint
8
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Potential for harm · PatternCorrected

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.

0725Potential for harm · PatternCorrected

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.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Federal Penalties

Fine

Jul 21, 2025

$127,088

Payment Denial

Jul 21, 2025

68-day denial

Payment Denial

Apr 3, 2025

43-day denial

Fine

Sep 19, 2024

$22,588

Fine

Jun 27, 2024

$55,424

Payment Denial

Jun 27, 2024

42-day denial

Fine

Feb 27, 2024

$53,077

Payment Denial

Jun 29, 2023

48-day denial

Fine

Jun 29, 2023

$12,649

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
31deficiencies
Apr 20, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Apr 8, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Feb 18, 2026Complaint
Clean

Fed violations: 10, State violations: 0

Nov 13, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Nov 13, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 29, 2025Other
Clean

Fed violations: 0, State violations: 0

Sep 17, 2025Inspection
Clean

Fed violations: 8, State violations: 1

Jul 21, 2025Inspection
Clean

Fed violations: 9, State violations: 1

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bishop Drumm Retirement Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Commonspirit Health

Chain Size

19 facilities nationwide

Chain avg rating: 3.0/5 · Rank 14 of 19

Ownership & Management

Owners

Sylvania Franciscan Health

Owner · Organization

100%

Commonspirit Health

Owner (parent company) · Organization

100%

Key personnel

Snodgrass, BarbaraAdp of the SnfSoukup-Mcfarland, DianneAdp of the SnfStevenson, CassieAdp of the SnfWine, MatthewAdp of the SnfLipsey, PrenticeManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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