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Nursing HomeMedicaid Top Rated

On With Life

Strong Medicare quality ratings; families often praise highly skilled and dedicated rehabilitation therapists. Still worth an in-person visit.

715 Sw Ankeny Road, Ankeny, IA 5002328 bedsLicensed & Active
5/5
Medicare
Inspection
Google rating
4.8/5

based on 153 Google reviews

5
4
3
2
1
On With Life Nursing Home in Ankeny, IA — Street View
Street View

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What this means for your family

On With Life is widely recognized for its exceptional rehabilitation therapy and compassionate staff, making it a top-tier choice for brain injury and stroke recovery. While the clinical care is highly praised, families should be proactive in managing personal belongings and ensure they have a direct point of contact for administrative matters to avoid potential communication delays.

Google Reviews

Google Reviews

153 reviews on Google
On With Life is highly regarded for its specialized rehabilitation services, particularly for patients recovering from strokes and traumatic brain injuries. Reviewers consistently praise the facility's dedicated, professional staff and the effectiveness of their therapy programs, though a few individuals have noted frustrations regarding administrative communication and occasional security concerns regarding personal belongings.

Quality Themes

Tap a score for details
Food9.0Staff10.0Clean9.0Activities9.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Highly skilled and dedicated rehabilitation therapists
  • Compassionate and attentive nursing staff
  • State-of-the-art facilities and clean environment
  • Effective, personalized recovery programs

Concerns

  • Poor administrative communication and follow-through (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(24)'19(28)'21(13)'23(19)'25(7)'26(2)

Distribution · 155 analyzed

5
139
4
7
3
3
2
1
1
5

How They Respond to Reviews

5%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1With such a high rating for your rehabilitation therapists, how do you tailor recovery programs to meet each resident's specific physical goals?
  • 2We noticed how much people praise the cleanliness of your facilities; how do you maintain that standard in the resident living areas?
  • 3How does the nursing team communicate important updates or changes in care to family members to ensure we are always in the loop?
  • 4Could you tell us about the daily activities and social opportunities available to help residents stay engaged with one another?
  • 5In the event of a medical emergency during the night, what is the protocol for notifying the family and providing immediate care?
  • 6Since you have a smaller, intimate community of 28 residents, how does that size help in providing more personalized attention to each person's needs?

Personalized based on this facility's data


Key Review Excerpts

I refer to On With Life as Hogwarts, because it is a magical building full of magical people! Before I was blessed enough to come to O.W.L. Dr.s thought it probable that I never talk/walk again. Now I live independent Downtown and have a perfect (for me) part-time job!

Rehab patient · 2022★★★★★

The therapists are so creative with rehab activities, I've been able to fish indoors and outdoors. They will find just the right things to help you physically and mentally. Bonus...the food is way above average!!!

Inpatient and outpatient patient · 2021★★★★★

Would have given 5 stars. The Therapists are top notch. Keep an eye out on your belongings in your room. My brother had his watch stolen from his room

Long-term resident's family · 2024★★★★
Source: 153 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 13 measures

Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
🔒

Residents who were physically restrained

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
0.1%
IA
0.2%
Polk
0.3%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
4.9%
IA
4.3%
Polk
4.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
14.4%
IA
17.6%
Polk
13.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility14.8%
Worse than Avg
Here
14.8%
US
5.3%
IA
4.9%
Polk
5.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.8%
Better than Avg
Here
17.8%
US
19.4%
IA
25.9%
Polk
19.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
81.8%
IA
84.0%
Polk
90.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.2%
Better than Avg
Here
87.2%
US
79.7%
IA
73.3%
Polk
83.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Mixed vs Avgs
Here
1.7%
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

0deficiencies
Well below state avg (6.2)
Clean record — no deficiencies

On With Life shows a near-clean inspection record with only 3 minor deficiencies across 2 surveys, all corrected by the facility. The issues involved fire safety systems and smoke barriers, along with one infection control deficiency. No complaints were filed by families, and all problems were addressed with correction dates provided, suggesting responsive management when issues arise.

Oct 10, 2024Routine
2
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 12, 2023Routine
1
0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
1deficiencies
Sep 4, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Oct 25, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Oct 10, 2024Inspection
Clean

Fed violations: 1, State violations: 0

Oct 12, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Jun 22, 2022Inspection
Clean

Fed violations: 0, State violations: 0

Oct 8, 2021Other
Clean

Fed violations: 0, State violations: 0

Jul 12, 2021Inspection
Clean

Fed violations: 0, State violations: 0

Oct 8, 2020Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

On With Life

Organization Type

nonprofit

Ownership & Management

Key personnel

Foreman, JimW-2 Managing EmployeeShelton, JeanetteW-2 Managing EmployeeStilwill, Patrick MW-2 Managing EmployeeShelton, JeanetteOfficer / DirectorForeman, JimOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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