Fieldstone of Dewitt
1301 Maynard Way, De Witt, IA 52742 · Clinton County · (563) 221-7110
70 certified beds, about 66 residents a day · Non profit - Other · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165619 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2026, inspectors cited 4 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 6 health citations since August 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 4.06 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.
34.9% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Wesleylife, an affiliated group of 10 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.
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 6 health citations on file.
May 21, 2026Standard inspection, Complaint inspection · 4 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on clinical record reviews, facility policy reviews, facility record reviews, resident and staff interviews, the facility failed to ensure call lights answered in a timely manner for 4 of 4 residents (Resident #14, Resident #15, Resident #23, Resident #30) reviewed for call lights. Facility reported a census of 63.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and staff interview the facility failed to maintain the cleanliness of kitchen equipment and the areas used for resident food prep in an effort to prevent food borne illness. The facility identified a census of 63 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, clinical record review, facility policy review, resident and staff interviews, the facility failed to assess and intervene with a high blood sugar result for 1 of 1 resident (Resident #76) reviewed. The facility reported a census of 63 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, clinical record review, manufacturer instructions, facility record review, facility policy review and staff interviews, the facility failed to prime an insulin pen as directed by the manufacturer for 1 of 1 resident (Resident #77) reviewed for insulin administration; and failed to ensure a resident only received medications prescribed to them for 2 of 2 residents (Resident #73 and Resident #35) reviewed for medication errors. The facility reported a census of 63 residents.
July 17, 2025Standard inspection · 0 citations
August 22, 2024Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review and staff interview the facility failed to utilize proper food handling to prevent potential cross contamination of food, ensure food maintained appropriate temperature to prevent food borne illness and proper hand hygiene/hand washing for 1 out of 1 meal observed. The facility reported of census 65 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to handle soiled linens with the appropriate Personal Protective Equipment (PPE). The facility reported a census of 65 residents.
Fire safety inspections
7 fire safety citations on file: 3 on May 21, 2026, 2 on July 17, 2025, 2 on August 22, 2024.
Every fire safety citation7 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Have simulated fire drills held at unexpected times.
- F Have restrictions on the use of highly flammable decorations.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Ensure proper usage of power strips and extension cords.
- F Properly provide smoke detection systems in areas open to corridors.
- E Have restrictions on the use of highly flammable decorations.
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.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.06 | 3.82 | 3.86 |
| Registered nurses | 1.04 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.78 | 3.37 | 3.42 |
| Nurse aides | 2.55 | ||
| Licensed practical nurses | 0.47 | ||
| Nursing staff turnover (share who left in a year) | 34.9% | 44.0% | 45.8% |
| Registered nurse turnover | 50.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.70 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 4.17 on weekdays and 3.78 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.89 in April to June 2025 to 4.06 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 | 4.06 | 1.04 | 4.17 | 3.78 | 7.8% | 0 of 90 | 66 |
| Oct to Dec 2025 | 3.97 | 1.13 | 4.05 | 3.74 | 2.6% | 0 of 92 | 66 |
| Jul to Sep 2025 | 3.95 | 1.10 | 4.06 | 3.68 | 3.9% | 0 of 92 | 66 |
| Apr to Jun 2025 | 3.89 | 1.06 | 4.01 | 3.58 | 4.9% | 0 of 91 | 65 |
| 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.
Quality measures
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 | 24.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.8 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.8 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.8 |
Owners and operators
Legal business name: WELLSPIRE LLC. CMS links this home to Wesleylife, a group of 10 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis Health System | 5% or greater direct ownership interest | Organization | 40% | 02/21/2019 |
| Wesleylife | 5% or greater direct ownership interest | Organization | 60% | 02/21/2019 |
| Hoeksema, Nicole | W-2 managing employee | Individual | 03/01/2021 | |
| Cropper, Douglas | Corporate director | Individual | 01/01/2021 | |
| Hoeksema, Nicole | Corporate director | Individual | 03/02/2021 | |
| Kretzinger, Robert | Corporate director | Individual | 02/21/2019 | |
| Malas, Joseph | Corporate director | Individual | 11/16/2021 | |
| Vanderwiel, Kristy | Corporate director | Individual | 02/21/2019 | |
| Flanagan, Craig | Corporate officer | Individual | 08/01/2020 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 21, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on May 21, 2026: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- 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 May 21, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 21, 2026: "Ensure that residents are free from significant medication errors."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Wheatland Manor Wheatland, 14.6 mi · 4 of 5 stars · 7 citations
- Kahl Home for the Aged & Infirmed Davenport, 16.5 mi · 3 of 5 stars · 15 citations
- Davenport Lutheran Home Davenport, 17.6 mi · 2 of 5 stars · 21 citations
- Jackson Ridge Healthcare Center Maquoketa, 17.7 mi · 2 of 5 stars · 20 citations
- The Summit of Bettendorf Bettendorf, 17.9 mi · 3 of 5 stars · 9 citations
- Harmony Utica Ridge Davenport, 18 mi · 2 of 5 stars · 34 citations
- Maquoketa Care Center Maquoketa, 18 mi · 2 of 5 stars · 12 citations
- Bettendorf Health Care Center Bettendorf, 18.2 mi · 1 of 5 stars · 62 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Fieldstone of Dewitt's Medicare star rating?
- CMS rates Fieldstone of Dewitt 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fieldstone of Dewitt get at its last inspection?
- 4 health deficiencies at the standard inspection on May 21, 2026. The Iowa average is 6.5.
- Has Fieldstone of Dewitt been fined?
- CMS lists no fines in the last three years.
- Does Fieldstone of Dewitt accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fieldstone of Dewitt?
- CMS lists 9 owners and managers, and links the home to Wesleylife. Legal business name: WELLSPIRE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.