3661 Rochester Avenue, Iowa City, IA 52245 · Johnson County · (319) 351-7460
89 certified beds, about 44 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165198 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 7, 2026, inspectors cited 15 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 40 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
50.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Campbell Street Services, an affiliated group of 24 nursing homes.
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 40 health citations on file.
Inspectors wroteBased on clinical record reviews, staff interview, and facility policy review, the facility failed to ensure that 4 out of 5 residents reviewed for unnecessary medications were provided with education regarding the risks and benefits of psychotropic medications (Resident #4, Resident #6, Resident #7, Resident #43). Additionally, the facility failed to offer alternative treatment options prior to the administration of the medications. The facility reported a census of 47 residents.
Inspectors wroteBased on observation, resident interview, and staff interview the facility failed to maintain a sanitary, orderly, and comfortable interior in facility dining room [ROOM NUMBER] of 2 dining observations, ensure furniture (chairs) in good condition in 1 of 2 entrance areas, and failed to ensure a clean environment in a resident's room (Resident #43). The facility reported a census of 47 residents.
Inspectors wroteBased on review of Quality Assurance and Performance Improvement(QAPI) meeting documentation, policy review, and staff interview, the facility failed to carry out Quality Assessment Assurance (QAA) activities to obtain feedback, use data, and take action to conduct structured, systematic investigations and analysis of underlying causes or contributing factors of problems affecting facility-wide processes that impacted quality of care, quality of life, and resident safety. The facility reported a census of 47 residents.
Inspectors wroteBased on review of Quality Assurance and Performance Improvement (QAPI) meeting documentation, policy review, and staff interview, the facility failed to carry out Quality Assessment Assurance (QA), the facility failed to carry out quarterly QA meetings to identify issues with respect to QAA activities.
Inspectors wroteBased on observations, clinical record review, facility policy review, resident and staff interviews, the facility failed to interviews, observations clinical record review and policy review, the facility failed to be honor resident request, that those that entered the room wear a mask to prevent further respiratory complications for 1 of 1 resident reviewed for choices (Resident #5). The facility reported a census of 47 residents.
Inspectors wroteBased on personnel file review, policy review, and staff interview, the facility failed to conduct a criminal background check prior to hire for 1 of 2 newly hired employees. The facility reported a census of 47 residents.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to provide bed hold information for 2 of 2 residents admitted to the hospital(Residents #8 and #49) and failed to notify the ombudsman of hospitalizations for 1 of 2 residents admitted to the hospital(Resident #8). The facility reported a census of 47 residents.
Inspectors wroteBased on clinical record review, staff interview, guidance from the 2024 Resident Assessment Instrument (RAI) Manual, and facility policy review, the facility failed to complete and transmit a Comprehensive Minimum Data Set (MDS) Assessment following a significant change within federal guidelines for 1 of 1 resident (Resident #6) reviewed for Hospice Admission. The facility reported a census of 47 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, the facility failed to ensure 2 of 4 residents reviewed for activities of daily living received adequate bathing assistance (Resident #11 and Resident #27). The facility reported a census of 47 residents.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to provide a restorative program in order to maintain mobility for 1 of 3 residents reviewed for restorative services (Resident #11). The facility reported a census of 47 residents.
Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to assess a dialysis (a treatment which filters waste and fluid from the blood when the kidneys failed) access site (a surgically created location allowing blood removal and return for cleansing) on non-dialysis days for 1 of 1 residents reviewed for dialysis care (Resident #8). The facility reported a census of 47 residents.
Inspectors wroteBased on personnel file review, policy review, and staff interview, the facility failed to verify Certified Medication Assistant (CMA) certification validity prior to hire for 1 of 1 newly hired CMAs. The facility reported a census of 47 residents.
Inspectors wroteBased on clinical record review, facility policy review, resident and staff interviews, the facility failed to ensure prescribed stock medications were available for 2 of 4 residents (Resident #6 and Resident #2) reviewed for medication administration. The facility reported a census of 47 residents.
Inspectors wroteBased on observation, clinical record review, policy review, and resident and staff interviews, the facility failed to ensure call lights functioned or were within reach for 2 of 24 residents reviewed for call light accommodations (Residents #1 and #11). The facility reported a census of 47 residents.
Inspectors wroteBased on personnel file review, policy review, and staff interview, the facility failed to ensure 1 of 5 staff members reviewed for Dependent Adult Abuse(DAA) Mandatory Reporter's Training had current training. The facility reported a census of 47 residents.
Inspectors wroteBased on observations, clinical record review and staff interviews, the facility failed to maintain the head of the bed elevated during a continuous tube feeding and failed to apply an abdominal binder per physician order for 1 of 1 resident (Resident #1) reviewed for g tube feedings. The facility reported a census of 45 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews, the facility failed to ensure routine medications were re-ordered prior to the exhaustion of the supplying causing 1 of 4 residents (Resident #2) to miss three full days of medications. The facility reported a census of 45 residents.
Inspectors wroteBased on observations, facility policy review, and staff interviews, the facility failed to provide a safe, clean, and homelike environment for the residents. The facility reported a census of 43 residents.
Inspectors wroteBased on clinical record review, facility policy review, resident and staff interviews, the facility failed to administer medication as the physician prescribed for 2 of 3 residents reviewed (Resident #2, #3). The facility reported a census of 43 residents.
Inspectors wroteBased on observation, clinical record review, facility policy reviews, resident and staff interviews, the facility failed to provide a restorative program for 3 of 3 residents (Resident # 1, #3, #4) at risk of physical decline related to diagnosis and risk of falls. The facility reported a census of 43 residents.
Inspectors wroteBased on observation, resident and staff interviews and record review, the facility failed to have sufficient staff to meet the needs of the residents. The facility reported a census of 43.
Inspectors wroteBased on observation, clinical record review, facility policy review, facility staff interviews and physician/provider interviews, the facility failed to follow physician orders for 2 of 7 resident records reviewed (Resident's #1 and #5), failed to complete appropriate wound condition assessments (Resident's #1 and #5), and documented that physician ordered dressing/wound care treatments were completed as prescribed over a 4 day period, when the prescribed wound care treatments were not completed or attempted, for 1 of 3 residents reviewed with wounds (Resident #5). The facility reported a census of 44 residents.
Inspectors wroteBased on observation, policy review, and staff interviews, the facility failed to provide a homelike environment for residents when staff used a nicotine vape pen in the common areas of the facility. The facility reported a census of 46 residents.
Inspectors wroteBased on observation, clinical record review, and staff interview, the facility failed to assess and care plan for a resident to self-administer medications (Resident #42) for 1 of 6 residents reviewed for medications. The facility reported a census of 46 residents.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to provide a notice of Medicare Non-Coverage upon discharge from skilled nursing services to 1 of 3 residents reviewed (Resident #45). The facility reported a census of 46 residents.
Inspectors wroteBased on clinical record review, facility policy review, resident and staff interviews, the facility failed to assess the resident and notify the physician after 1 of 3 residents' (Resident #9) self-reported seizure activity. The facility reported a census of 46 residents.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to ensure a resident positioned in a safe manner when eating for 1 of 2 residents reviewed for positioning (Resident #25). The facility reported a census of 46 residents.
Inspectors wroteBased on observations, clinical record review, facility policy review, resident and staff interviews, the facility failed to develop and implement interventions to attempt to restore or improve bladder function for 1 of 1 residents reviewed for urinary incontinence (Resident #42); and the facility failed to ensure a urinary catheter collection bag and tubing secured in a manner that prevented contact with the floor in a an attempt to prevent the potential for a urinary tract infection for 1 of 2 residents (Resident #8) reviewed with catheters. The facility reported a census of 46 residents.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to ensure residents were free from significant medication errors by not priming an insulin pen prior to the administration of the medication for 1 of 1 resident (Resident #22) reviewed for insulin. The facility reported a census of 46 residents.
Inspectors wroteBased on clinical record review, staff and resident interviews and observations the facility failed to employ an Infection Prevention Specialist. The facility reported a census of 45.
Inspectors wroteBased on observations, clinical record review, facility policy review and staff interviews, the facility failed to follow standard and transmission-based precautions to prevent spread of infections for 4 of 4 residents reviewed. (Resident #2,#3,#4,#5). The facility reported a census of 45 residents.
Inspectors wroteBased on observations, resident council minutes, call light logs, staff and resident interviews the facility failed to answer resident's call lights within 15 minutes for 4 of 4 activated call lights reviewed. The facility reported a census of 44.
Inspectors wroteBased on observation, staff interview and policy review, the facility failed to ensure proper personal hygiene practices to prevent contamination of food when staff failed to wear beard guards while in the kitchen area. The facility reported a census of 46 residents.
Inspectors wroteBased on observation, interview, policy review, and staff interview the facility failed to uphold resident rights and dignity for 1 of 1 residents reviewed on hospice care. The facility identified a census of 46 residents.
Inspectors wroteBased on observation, record review, staff and resident interviews, and policy review, the facility failed to provide services that met professional standard regarding medication administration and following physician orders for 2 of 9 residents reviewed (Resident #31 and #32). Staff failed to monitor and stay with residents who did not have an order for self-medications to ensure the medications were taken as ordered. The facility reported a census of 46 residents.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview the facility failed to protect a resident from hazards in the environment for 1 of 1 resident sampled when Resident #4 acquired first degree burns from spilt coffee and failed to ensure a resident was properly assessed to be independent to smoke, followed the facility smoking policy and discarded cigarette butts into a proper receptacle (Resident #28). The facility identified a census of 46 residents.
Inspectors wroteBased on observation, clinical record review, and staff interview the facility failed to provide appropriate catheter care to prevent potential cross contamination that could lead to a urinary tract infection (UTI) for 2 of 2 residents sampled (Resident #17 and #41). The facility identified a census of 46 residents.
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to document if the resident's emergency contact picked up the resident personal possessions after his death for 1 of 5 residents reviewed for personal possessions (Resident #7). The facility reported a census of 39 residents.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to perform complete incontinent cares following urinary incontinence for 1 of 3 residents reviewed for incontinent cares (Resident #15). The facility reported a census of 39 residents.
Inspectors wroteBased on record review, interviews, and the facility policy, the facility failed to ensure all of the residents were accounted for after they responded to and turned off a door alarm, which resulted in an elopement of a resident for 1 of 4 residents reviewed for adequate supervision of residents (Resident #5). The facility reported a census of 39 residents.
16 fire safety citations on file: 5 on May 7, 2026, 6 on May 8, 2025, 5 on July 18, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | not reported | 3.82 | 3.86 |
| Registered nurses | not reported | 0.74 | 0.69 |
| All nursing staff on weekends | not reported | 3.37 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 44.0% | 45.8% |
| Registered nurse turnover | 42.9% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
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 3.55 on weekdays and 2.99 on weekends, 16% 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 2.49 in April to June 2025 to 3.39 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 | 3.39 | 0.94 | 3.55 | 2.99 | 0.0% | 0 of 90 | 44 |
| Oct to Dec 2025 | 3.64 | 0.88 | 3.83 | 3.17 | 0.0% | 0 of 92 | 44 |
| Jul to Sep 2025 | 3.01 | 0.67 | 3.11 | 2.76 | 1.0% | 0 of 92 | 46 |
| Apr to Jun 2025 | 2.49 | 0.50 | 2.59 | 2.24 | 2.7% | 0 of 91 | 45 |
| 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.
| 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 | 22.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.3 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 9.8 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.9 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Iowa City Rehab & Health Care's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 12 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 24 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 19 eligible stays.
76.2% 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. 21 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. 28 residents counted.
0.0% 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. 28 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. 3 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: OPCO IOWA CITY IA LLC. CMS links this home to Campbell Street Services, a group of 24 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Birchwood Foundation LLC | Direct ownership interest | Organization | 02/01/2025 | |
| Virtus Equity LLC | Direct ownership interest | Organization | 02/01/2025 | |
| Dole, Isaac | Indirect ownership interest | Individual | 02/01/2025 | |
| Dole, Isaac | Managing control - governing body | Individual | 02/01/2025 | |
| Birchwood Healthcare Partners LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Campbell Street Ia 10 LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Campbell Street Services LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Holdco, Ia, 10, LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Calvin, Amber | Operational/managerial control | Individual | 02/01/2025 | |
| Dole, Isaac | Operational/managerial control | Individual | 02/01/2025 | |
| Kenneavy, Casey | Operational/managerial control | Individual | 02/01/2025 | |
| Mathew, Stanley | Operational/managerial control | Individual | 02/01/2025 | |
| Satterfield, Brenda | Operational/managerial control | Individual | 02/01/2025 | |
| 5v+ Seniors Healthcare Fund Gp, LLC | Adp of the SNF | Organization | 12/09/2025 | |
| 5v+ Seniors Healthcare Fund, LP | Adp of the SNF | Organization | 12/09/2025 | |
| Acd Consolidated LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Bear Creek Sraf Gp Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Bear Creek Strategic Real Assets Fund LP | Adp of the SNF | Organization | 09/01/2025 | |
| Campbell Street Ia 10 LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Campbell Street Services LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Davis Square Holdings LLC | Adp of the SNF | Organization | 12/09/2025 | |
| Defranco Investment Co Ltd | Adp of the SNF | Organization | 09/01/2024 | |
| Iaga SNF Holdings LLC | Adp of the SNF | Organization | 12/09/2025 | |
| Iaga SNF Iowa City LLC | Adp of the SNF | Organization | 09/01/2025 | |
| Iaga SNF Portfolio LLC | Adp of the SNF | Organization | 12/09/2025 | |
| Nap Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Calvin, Amber | Adp of the SNF | Individual | 02/01/2025 | |
| Kenneavy, Casey | Adp of the SNF | Individual | 02/01/2025 | |
| Mathew, Stanley | Adp of the SNF | Individual | 02/01/2025 | |
| Satterfield, Brenda | Adp of the SNF | Individual | 02/01/2025 |
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.