Nursing HomeMedicaid Top Rated

On With Life Long Term Care

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

1002 W Washington Ave., Polk City, IA 50225|40 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

5.0/5

based on 2 Google reviews

(515) 421-9200 Directions Website

Street View

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What this means for your family

Choosing On With Life Long Term Care means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

1.80hrs

Registered nurses for medical care

Total Nursing

7.94hrs

All nurses + aides combined

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

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

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility38.5%

Worse than Avg

Here

38.5%

19.5%

20.7%

Polk

20.6%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility10.2%

Better than Avg

Here

10.2%

19.4%

25.9%

Polk

20.1%

🔒

Residents who were physically restrained

↓ Lower is better

This Facility13.5%

Worse than Avg

Here

13.5%

0.1%

0.2%

Polk

0.5%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility22.2%

Worse than Avg

Here

22.2%

15.4%

19.4%

Polk

11.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility4.5%

Mixed vs Avgs

Here

4.5%

12.1%

4.1%

Polk

3.4%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility98.7%

Better than Avg

Here

98.7%

93.4%

93.9%

Polk

96.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies

Well below state avg (6.2)

1 complaint-triggered

This facility has 12 deficiencies across multiple surveys, with one family complaint regarding pharmacy services. The most frequent issues involve fire safety and smoke barriers, infection control, and care planning. All deficiencies show correction dates from the provider, suggesting active remediation efforts. Families should visit to assess current conditions, particularly around medication management where the complaint was filed.

Dec 31, 2025Routine2 findings

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

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

Aug 5, 2025Complaint1 finding

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Dec 12, 2024Routine3 findings

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 28, 2023Routine6 findings

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

8deficiencies

Dec 31, 2025ComplaintNo deficiencies

Clean