Nursing HomeMedicaid Investigative

Windmill Manor

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2332 Liberty Drive, Coralville, IA 52241|120 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.8/5

based on 40 Google reviews

(319) 545-7390 Directions Website

Street View

Watch Windmill Manor

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

3/ 10

moderate Risk

Quality Concerns Identified

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

Low overall rating (1/5 stars)
Low staffing rating (2/5 stars)

Bottom 25% in IA · Critically understaffed (RN) · Above average staffing · Worst in RESIDENTIAL ALTERNATIVES OF ILLINOIS chain · $11,213 in fines

Source: Medicare data

What this means for your family

Windmill Manor's rehabilitation and memory care units are frequently praised for their dedicated and compassionate staff. However, families should be aware of significant concerns regarding administrative responsiveness and understaffing; we strongly recommend asking for a tour of the specific unit your loved one will occupy and verifying the current staff-to-patient ratios.

Google Reviews

40 reviews on Google

“Windmill Manor receives highly polarized feedback, with many families praising the dedicated therapy team and compassionate nursing staff, while others report severe concerns regarding administrative negligence and poor communication. While some residents thrive in the memory care unit, multiple reports of understaffing, lack of activities, and difficulty reaching management suggest significant inconsistencies in daily care quality.”

Quality Themes

Tap a score for details

Strengths

Highly effective physical therapy team
Compassionate and dedicated nursing staff
Clean and welcoming facility environment
Strong support for memory care residents

Concerns

Chronic understaffing leading to neglect (mentioned by 4 reviewers)
Poor administrative communication and responsiveness (mentioned by 4 reviewers)
Lack of activities and resident boredom (mentioned by 2 reviewers)
Missing personal belongings and laundry issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 41 analyzed

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

1I noticed the physical therapy team is highly regarded here; how do you integrate their support into the daily routine for residents who need extra mobility assistance?
2With the facility housing 120 residents, what specific steps are you taking to ensure that administrative communication remains consistent and responsive for family members?
3Some families have expressed concerns regarding staffing levels; could you walk me through how you manage shift coverage to ensure residents receive timely attention throughout the day and night?
4I see that activities and engagement are areas you are looking to improve; what kind of social programming or daily enrichment can my loved one expect to participate in?
5To help us feel more at ease, could you explain your current protocols for tracking personal belongings and managing laundry to ensure items don't go missing?
6Given the recent focus on health and safety standards, how do you handle medical emergencies or urgent changes in a resident's health status during evening or weekend hours?

Personalized based on this facility's data

Key Review Excerpts

“My Mother fell and laid on the floor for hours, clawed her way to her roomates bed to have her put the light on. They were not helping her eat and she couldn't do it herself.”

Daughter of resident · 2024★☆☆☆☆

“The residents here are very bored, they have no activities. Also, their personal things are stolen frequently (phones, hats, t-shirts and so on). Not sure why this happens, but this is not right.”

Visitor · 2023★☆☆☆☆

“The staff there is hardworking and patient with the patients and residents, even during times when I probably would have probably lost my self control. (Folks: That is one tough job....)”

Memory care family member · 2024★★★★★

Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.34hrs

45%

Registered nurses for medical care

Total Nursing

3.85hrs

94%

All nurses + aides combined

Staff Turnover

31%

Lower is better (< 30% = good)

RN Turnover

20%

Lower is better (< 30% = good)

Both 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

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

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility35.8%

Worse than Avg

Here

35.8%

14.4%

17.6%

Johnson

15.9%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility12.4%

Better than Avg

Here

12.4%

19.5%

20.7%

Johnson

25.7%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility27.2%

Worse than Avg

Here

27.2%

15.3%

17.5%

Johnson

16.7%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility84.0%

Worse than Avg

Here

84.0%

95.5%

95.3%

Johnson

94.2%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility22.5%

Worse than Avg

Here

22.5%

15.5%

19.4%

Johnson

14.2%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility99.4%

Better than Avg

Here

99.4%

93.4%

93.9%

Johnson

92.3%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility56.6%

Worse than Avg

Here

56.6%

79.8%

73.3%

Johnson

78.6%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility93.0%

Better than Avg

Here

93.0%

81.8%

84.1%

Johnson

81.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.2%

Worse than Avg

Here

2.2%

1.6%

2.0%

Johnson

2.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies

1penalties

Above state avg (6.2)

17 complaint-triggered

$11,213 in fines

Windmill Manor has concerning patterns with 12 complaint-triggered deficiencies where families reported issues, indicating ongoing problems with care quality, resident safety, and medication management. Key recurring issues include accident prevention and safety hazards (cited three times), fire safety and emergency preparedness, and food safety problems. While all violations show correction dates, the facility continues receiving complaints and citations, suggesting systemic challenges with maintaining consistent standards of care.

Apr 9, 2026Routine5 findings

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0291Potential for harm · PatternCorrected

Egress Deficiencies

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

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Apr 9, 2026Complaint5 findings

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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.

0803Potential for harm · IsolatedCorrected

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.

Dec 30, 2025Complaint1 finding

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 17, 2025Complaint1 finding

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.

Apr 17, 2025Routine4 findings

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Mar 18, 2025Complaint2 findings

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Federal Penalties

Fine

May 16, 2024

$11,213

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

11deficiencies

May 4, 2026InspectionNo deficiencies

Clean