212 Lafayette Street, Story City, IA 50248 · Story County · (515) 733-4325
126 certified beds, about 107 residents a day · Non profit - Other · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165424 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 5, 2026, inspectors cited 6 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 33 health citations since November 2023, 5 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $52,329 in the last three years; the largest was $41,701, and the latest is dated February 13, 2026.
Nurses and nurse aides worked 4.11 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.
38.5% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 33 health citations on file.
Inspectors wroteBased on clinical record reviews, staff interviews, resident interview and policy review, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 2 of 4 residents reviewed (Resident #12 and #50). 1. A - On 11/21/25 Resident #12 received a second degree burn from a hot pack which took almost 2 months to heal. 1. B - Resident #12 had an intercepted fall on 1/3/26 which resulted in a left foot injury. 2. On 2/11/26 Resident #50 had a fall due to a staff member letting go of the gait belt. The facility reported a census of 102 residents.
Inspectors wroteBased on clinical record review and staff interviews, the facility failed to notify the Long-Term Care Ombudsman of discharge and/or transfer of residents as required for 3 of 3 residents reviewed (Residents #108, #10 and #106). The facility reported a census of 102 residents.
Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to provide care and services according to accepted standards of clinical practice for 1 of 1 resident reviewed (Residents #102) for a medication error. Resident #102 received medications that were not prescribed to him. The medications were prescribed to Resident #63 who lived across the hallway. The facility reported a census of 102 residents.
Inspectors wroteBased on observation, interviews and policy review, the facility failed to change tubing hooked to a nebulizer (medical device that converts liquid medication into a fine mist to treat respiratory conditions) for 1 of 1 residents reviewed (Resident #12). The facility reported a census of 102 residents.
Inspectors wroteBased on clinical record review, and staff interviews, the facility failed to notify the Primary Care Physician of a fall in a timely manner, failed to follow up and obtain MRI (magnetic resonance imaging) results and communicate with the Physician who ordered the MRI for further orders/direction for 1 of 21 residents (Resident #12) reviewed. The facility reported a census of 102 residents.
Inspectors wroteBased on review of the facility's Quality Assurance Performance Improvement (QAPI) plan, the facility's surveys within the last year, and staff interview, the facility failed to correct their own deficiencies for 1 of 1 area of concern. The facility reported a census of 102 residents.
Inspectors wroteBased on the Resident's Rights policy/procedure, facility incident report, resident, and staff interview the facility failed to treat a resident with respect and dignity in a manner that promoted maintenance or enhancement of his or her quality of life for 1 out of 3 residents reviewed (Resident #1). On 1/18/26 at 2:00 AM, Resident #1 requested not to be checked and changed when Staff A, Certified Nursing Assistant (CNA), came into their room. Staff A, did not grant this request and proceeded to check Resident #1 against their wishes. Staff A put their hand in between Resident #1's thighs to check to see if they soiled their brief. Following the situation, Resident #1 became fearful of Staff A, and caused Resident #1 to have trouble sleeping during the night. The facility corrected the concern on 1/30/26 prior to the start of the survey by completing the following:1/29/26: [...]
Inspectors wroteBased on observations, clinical record review, nursing competency, resident and staff interviews, the facility failed to ensure documentation reflected a resident left the facility unattended and returned with staff for 1 of 3 residents reviewed (Resident #1). The facility identified a census of 112 residents.
Inspectors wroteBased on clinical record review, facility policy, and staff interview, the facility failed to follow physicians order for medication administration for which caused a resident not to receive their diuretic medication (medication to remove salt and water from your body) for 1 out of 4 residents. (Resident #1). The facility identified a census of 115 residents.
Inspectors wroteBased on resident's right policy/procedure, facility investigation and staff interview the facility failed to treat a resident with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life for 1 out of 4 residents reviewed (Resident #1). The facility identified a census of 120 residents.
Inspectors wroteBased on staff interviews, facility investigation, and review of policy and procedures, the facility failed to ensure all alleged violations involving mistreatment, neglect, or abuse of a resident and/or residents (Resident #1) were reported to the Department of Inspection and Appeals and Licensing (DIAL) within 2 hours. The facility reported a census of 120 residents. Resident #1's Minimum Data Set (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 6 which indicated severe impaired cognitive decisions, usually understands and is understood by others and no behavior issues. The resident required staff dependence on toileting hygiene and frequently incontinent of bowel. [...]
Inspectors wroteBased on facility investigation, policy/procedures, and staff interviews the facility failed to provide a supportive and safe environment for Resident #1. On 10/8/25, the facility staff learned of a Certified Nurse Aide (CNA) being accused of slamming and making Resident #1 not feeling safe in the facility. After learning of this allegation of abuse, the facility staff told the CNA not to help Resident #1 but allowed them to work with other residents. The facility identified a census of 120 residents.
Inspectors wroteBased on clinic record review, staff interviews, Nurse Practitioner interview, and policy review, the facility failed to administer medications per physician orders for 1 of 4 residents reviewed (Resident #1) for significant medication errors. The facility reported a census of 116 residents.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, family interviews, facility policy/procedure reviews, the facility failed to adequately supervise 1 of 2 residents (Resident #1) This lack of supervision resulted in Resident #2 going to Resident #1 room, and Resident #1 was in a compromising position in bed. Resident #1 has a history of sexual advances towards other residents including Resident #2. The facility reported a census of 121 residents.
Inspectors wroteBased on alarm response report, resident, and staff interviews, the facility staff failed to answer resident call lights in a timely manner (no longer than 15 minutes) for 1 of 4 residents reviewed. (Resident #2). The facility identified a census of 117 residents.
Inspectors wroteBased on observation, clinical record review, facility policy review, resident, and staff interviews, the facility failed to ensure one (1) of six (6) residents (Resident #6) received adequate supervision to protect against hazards in the environment. On 4/22/24, staff witnessed Resident #6 fall. As Resident #6 fell, the staff assisted her without the use of a gait belt to ambulate (walk) and transfer to the bathroom. Resident #6's fall required a transfer to the local emergency department (ED). The (ED) record revealed Resident #6 received fractures of the 1st, 2nd, 3rd, and 5th proximal phalanges (toes). The facility reported a census of 125 residents.
Inspectors wroteBased on video observation, interviews, policy, and record review, the facility failed to supervise a resident who needed cues to slow down while eating and provide adequate staff for supervision for 1 out of 5 residents reviewed (Resident #1). Due to the lack of supervision provided to Resident #1 at meals, he was able to eat his dessert very fast. As he started to choke on the dessert, the Certified Nurse Aide (CNA), passed out the meal to the other residents and didn't hear him choking. When the nurse arrived, she alerted the CNA to the situation and took action, due to the consistency of the dessert, the staff couldn't clear the resident's airway. This resulted in his death. This failure resulted in an Immediate Jeopardy situation to the health, safety, and security of the resident. [...]
Inspectors wroteBased on interviews, record review, and policy review, the facility failed to ensure call lights responded to in a timely manner for 4 out of 4 residents reviewed (Residents #8, #9, #10 and #11). The facility reported a census of 128 residents.
Inspectors wroteBased on record review, policy review, and staff interviews the facility failed to provide accurate resident records for 1 of 4 residents (Residents #1). Following Resident #1's death, the facility failed to document the situation in his clincial record until after the start of the survey, two weeks later. The facility reported a census of 128 residents.
Inspectors wroteBased on observation, clinical record review, staff interviews and policy review, the facility failed to ensure each resident receives adequate supervision to prevent accidents for 1 of 2 residents reviewed for falls (Resident #103). The facility reported a census of 117 residents.
Inspectors wroteBased on facility record review, resident and staff interviews, the facility failed to maintain an adequate number of staff for the facility's census to provide needed care and supervision of all residents. The facility reported a census of 117 residents.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to thoroughly investigate all allegations of abuse for 5 of 5 abuse investigations reviewed (Resident #17, #91 #103, #112, #219 and #220). The facility lacked witness statements from other alert and oriented residents and from all staff involved. The facility reported a census of 117 residents.
Inspectors wroteBased on observation, staff interviews, facility policy review, and the Center for Disease Control (CDC) guidelines the facility staff failed to ensure liquid Lorazepam (a sedative /controlled substance) stored in a locked compartment in the refrigerator for 2 of 4 medication rooms reviewed. The facility also failed to maintain safe operating equipment and ensure medication refrigerators were kept clean and maintained to prevent ice build-up in the freezer in order to ensure safety and efficacy of medications and vaccines for 2 of 4 medication refrigerators reviewed. The facility reported a census of 117 residents.
Inspectors wroteBased on observation, resident and staff interview, and facility policy review the facility failed to prepare and serve all foods at a safe and palatable temperature in order to prevent food-borne illness for 1 of 6 households observed (Sansgaard Household). The facility reported a census of 117 residents.
Inspectors wroteBased on observation, clinical record review, staff interviews, and policy review, the facility failed to treat residents with dignity and respect for 1 or 26 residents sampled (Resident #91). The facility reported a census of 117 residents.
Inspectors wroteBased on observation, record review, staff and resident interviews, and policy review, the facility failed to appropriately implement interventions to protect the facility residents from possible abuse by not separating a staff member, allegedly heard verbally abusing a resident, from resident care in a timely manner and until a thorough investigation could be completed for 1 of 1 resident's (Resident #91). The facility reported a census of 117 residents.
Inspectors wroteBased on observation, clinical record review, staff interview, and policy review, the facility failed to develop a comprehensive person centered Care Plan for 1 of 6 residents reviewed for Pressure Ulcers (Resident #63). The facility reported a census of 117 residents.
Inspectors wroteBased on clinical record review, staff interview, and policy review, the facility failed to complete weekly skin assessments in accordance with the resident's comprehensive, person-centered Care Plan for 1 of 3 residents reviewed for skin conditions (Resident #62). The facility reported a census of 117 residents.
Inspectors wroteBased on observation, staff interviews, and facility policy review, the facility's Dietary Staff failed to perform the proper functions of food and nutrition services for the pureed food process for 7 of 7 residents requiring a pureed diet. The facility reported a census of 117 residents.
Inspectors wroteBased on direct observation and staff interviews, the facility failed to provide appropriate catheter cares as it relates to 1 of 26 residents sampled (Resident #91). The facility reported a census of 117.
Inspectors wroteBased on record review and staff interview, the facility failed to complete a discharge summary including a recapitulation of stay for 1 of 3 discharged residents reviewed (Resident #117). The facility reported a census of 117 residents. The Census line portion of Resident #117's chart revealed the resident was admitted on [DATE] and discharged on 12/5/23. The Progress Note dated 12/5/23 at 2:51 pm documented a note that the resident discharged from the facility on that date. Her advocate came and picked her up in a personal vehicle. All personal items, her medications, and treatments as well as a list of appointments were sent with her. The resident's electronic health record failed to reveal a discharge summary or a post discharge plan of care. [...]
Inspectors wroteBased on interviews, and record review, the facility failed to follow a doctor's order to start a treatment on a pressure ulcer for 1 of 3 residents reviewed (Resident #3). The provider ordered a treatment for Resident #3's ulcer with a start date of 11/22/23. The facility did not acknowledge nor did they initiate the order until 11/25/23.
Inspectors wroteBased on interviews and record review of medication records and policy review, the facility failed to have a physician review and/or discontinue an as needed (PRN) psychotropic medication, Ativan (an anti-anxiety medication), within 14 days of the ordered date for 1 of 3 residents reviewed (Resident #1).
25 fire safety citations on file: 4 on March 5, 2026, 8 on February 13, 2025, 13 on March 4, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| February 13, 2026 | Fine | $10,628 |
| March 4, 2024 | Fine | $41,701 |
| March 4, 2024 | Payment Denial | 47 days from March 28, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.11 | 3.82 | 3.86 |
| Registered nurses | 0.81 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.87 | 3.37 | 3.42 |
| Nurse aides | 2.99 | ||
| Licensed practical nurses | 0.31 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.20 on weekdays and 3.87 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 4.11 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.11 | 0.81 | 4.20 | 3.87 | 0.0% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.83 | 0.75 | 3.94 | 3.54 | 0.0% | 0 of 92 | 116 |
| Jul to Sep 2025 | 3.88 | 0.62 | 4.02 | 3.54 | 0.0% | 0 of 92 | 118 |
| Apr to Jun 2025 | 3.76 | 0.70 | 3.88 | 3.47 | 0.0% | 0 of 91 | 118 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.1 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.6 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.6 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Bethany Life's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.2% this home
No different from the national rate
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 146 eligible stays.
8.7% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 167 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 96 eligible stays.
71.4% this home
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 56 residents counted.
0.0% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 64 residents counted.
8.3% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 64 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BETHANY MANOR INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bappe, Daniel | Managing control - governing body | Individual | 07/01/2023 | |
| Carlson, Nancy | Managing control - governing body | Individual | 07/01/2022 | |
| Clough, John | Managing control - governing body | Individual | 07/01/2022 | |
| Martin, Peter | Managing control - governing body | Individual | 07/01/2020 | |
| Sheahan, John | Managing control - governing body | Individual | 07/01/2020 | |
| Allman, Jeremy | Corporate officer | Individual | 01/01/2018 | |
| Lankford, Amanda | Corporate officer | Individual | 07/31/2021 | |
| Schilling, Kim | Corporate officer | Individual | 04/11/2022 | |
| Heiar, Aaron | Operational/managerial control | Individual | 11/01/2021 | |
| Lankford, Amanda | Operational/managerial control | Individual | 07/31/2021 | |
| Schilling, Kim | Operational/managerial control | Individual | 12/12/2024 | |
| Voga, Morgan | Operational/managerial control | Individual | 12/31/2024 | |
| Heiar, Aaron | Adp of the SNF | Individual | 02/04/2025 | |
| Lankford, Amanda | Adp of the SNF | Individual | 04/09/2025 | |
| Voga, Morgan | Adp of the SNF | Individual | 12/31/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.