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Deerfield Health Care Center

13731 Hickman Road, Urbandale, IA 50323 · Polk County · (515) 331-6900

30 certified beds, about 25 residents a day · Non profit - Church related · Medicare since 2005

CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165557 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 7, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 4 health citations since April 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.31 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.59 of those hours.

25.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).

CMS links it to Immanuel, an affiliated group of 3 nursing homes.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
July 2, 2026Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 1, 2026
    Inspectors wroteBased on clinical record review, hospital record review, internal incident investigation documentation, family and staff interviews, the facility failed to adapt safety interventions in response to cognitive changes for 1 of 3 residents reviewed for falls (Res #1). The facility reported a census of 23 residents.
May 7, 2026Standard inspection · 0 citations
March 27, 2025Standard inspection · 2 citations
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on observation, clinical record review, staff interview and facility policy review, the facility failed to follow the recommended infection control precautions during catheter care for one of two (Resident #13) residents reviewed. The facility reported a census of 22 residents.
  2. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 21, 2025
    Inspectors wroteBased on clinical record review, staff interview, guidance from the Centers for Disease Control (CDC) and facility policy review, the facility failed to offer the recommended pneumococcal vaccine to eligible residents for 2 of 5 residents reviewed for vaccines (Resident #11 and Resident #13). The facility reported a census of 22 residents.
April 25, 2024Standard inspection · 1 citation
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, staff interview, and policy review the facility failed to properly secure medications to minimize loss or access for 1 of 1 medication carts. The facility reported a census of 25 residents.

Fire safety inspections

11 fire safety citations on file: 3 on May 7, 2026, 2 on March 27, 2025, 6 on April 25, 2024.

Every fire safety citation11 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 7, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 7, 2026 · Corrected (the home has a date of correction)
  3. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 7, 2026 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 27, 2025 · Corrected (the home has a date of correction)
  5. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 27, 2025 · Corrected (the home has a date of correction)
  6. F
    Provide a written emergency evacuation plan.
    K 711 · April 25, 2024 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 25, 2024 · Corrected (the home has a date of correction)
  8. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 25, 2024 · Corrected (the home has a date of correction)
  9. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 25, 2024 · Corrected (the home has a date of correction)
  10. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 25, 2024 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · April 25, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)5.313.823.86
Registered nurses1.590.740.69
All nursing staff on weekends5.193.373.42
Nurse aides3.02
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)25.8%44.0%45.8%
Registered nurse turnover12.5%42.1%42.9%
Administrators who left0

CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 5.36 on weekdays and 5.19 on weekends, 3% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.86 in April to June 2025 to 5.31 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.311.595.365.19 0.1%0 of 9025
Oct to Dec 20255.641.665.785.26 0.0%0 of 9224
Jul to Sep 20255.821.566.035.29 0.0%0 of 9223
Apr to Jun 20256.861.997.036.42 0.0%0 of 9118
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%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

Staff pay at this home

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.

Official wage estimates for Iowa

JobMedianMiddle halfEmployed
Iowa, all employers
CNAs (nursing assistants)$18.92$17.96 to $21.9522,670
LPNs and LVNs$30.11$27.12 to $34.065,510
Registered nurses$37.80$32.83 to $41.3234,420
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Deerfield Health Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.417.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.61.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.62.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.63.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.11.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.14.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.119.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.420.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.113.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Deerfield Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (59.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

59.2% this home

Better than 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. 112 eligible stays.

Potentially preventable readmissions

10.1% 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. 114 eligible stays.

Infections that led to a hospital stay

5.6% 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. 58 eligible stays.

Self-care and mobility at discharge

67.2% 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. 61 residents counted.

Falls with major injury

1.2% 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. 85 residents counted.

New or worsened pressure ulcers

1.2% 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. 85 residents counted.

Medication list given at discharge

100.0% this home

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. 43 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.

Owners and operators

Legal business name: IMMANUEL LONG TERM CARE. CMS links this home to Immanuel, a group of 3 nursing homes averaging 4.7 stars overall.

NameRoleTypeShareSince
Bear, ScottContracted managing employeeIndividual11/13/2017
Gurley, EricContracted managing employeeIndividual04/05/2013
Hanson, ScottContracted managing employeeIndividual01/01/2024
Mason, KimberlyContracted managing employeeIndividual08/01/2021
Paladino-Kaminski, JulieContracted managing employeeIndividual07/01/2017
Sealer, TamaraContracted managing employeeIndividual04/05/2013
Hudnutt, KariW-2 managing employeeIndividual02/16/2023
Alloway, CindyCorporate directorIndividual01/01/2018
Balluff, MaryCorporate directorIndividual07/01/2024
Benson, EllsworthCorporate directorIndividual05/14/2020
Bergman-Evans, BrendaCorporate directorIndividual07/01/2022
Bothof, JohnCorporate directorIndividual07/01/2023
Bullock, SteveCorporate directorIndividual07/01/2019
Burns, RandalCorporate directorIndividual05/14/2020
Friedlund, DannyCorporate directorIndividual07/01/2021
Gurley, EricCorporate directorIndividual04/05/2013
Hawlik, TeresaCorporate directorIndividual07/01/2024
Howerter, ScottCorporate directorIndividual05/14/2020
Johnson, ScottCorporate directorIndividual10/01/2022
Nichols, ClarenceCorporate directorIndividual01/01/2018
Parker, MaryCorporate directorIndividual07/01/2024
Powers, JillCorporate directorIndividual01/01/2018
Scanlan, StevenCorporate directorIndividual07/01/2022
Skolkin, AndreaCorporate directorIndividual07/01/2019
Thompson, RogerCorporate directorIndividual07/01/2024
Bear, ScottCorporate officerIndividual11/13/2017
Bothof, JohnCorporate officerIndividual07/01/2024
Gurley, EricCorporate officerIndividual04/05/2013
Nichols, ClarenceCorporate officerIndividual01/01/2020
Paladino-Kaminski, JulieCorporate officerIndividual07/01/2017
Powers, JillCorporate officerIndividual07/01/2024
Sealer, TamaraCorporate officerIndividual01/01/2014
Bear, ScottOperational/managerial controlIndividual11/13/2017
Gurley, EricOperational/managerial controlIndividual04/05/2013
Hudnutt, KariOperational/managerial controlIndividual02/16/2023
Mason, KimberlyOperational/managerial controlIndividual08/01/2021
Paladino-Kaminski, JulieOperational/managerial controlIndividual07/01/2017
Sealer, TamaraOperational/managerial controlIndividual04/05/2013

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 27, 2025: "Provide and implement an infection prevention and control program."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on July 2, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 25, 2024: "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."

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Common questions

What is Deerfield Health Care Center's Medicare star rating?
CMS rates Deerfield Health Care Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Deerfield Health Care Center get at its last inspection?
0 health deficiencies at the standard inspection on May 7, 2026. The Iowa average is 6.5.
Has Deerfield Health Care Center been fined?
CMS lists no fines in the last three years.
Does Deerfield Health Care Center accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Deerfield Health Care Center?
CMS lists 38 owners and managers, and links the home to Immanuel. Legal business name: IMMANUEL LONG TERM CARE.

Sources

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