On With Life
715 Sw Ankeny Road, Ankeny, IA 50023 · Polk County · (515) 965-1339
28 certified beds, about 25 residents a day · Non profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165163 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 2 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
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 2 health citations on file.
June 11, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical health record review, facility document review, staff interviews, and policy review, the facility failed to provide adequate supervision resulting in residents attempting to or exiting the building without staff knowledge for 2 of 3 residents reviewed for inadequate nursing supervision (Residents #1 and #2). The facility reported a census of 21.
September 4, 2025Standard inspection · 0 citations
October 10, 2024Standard inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, clinical record review, and policy review, the facility failed to follow enhanced barrier protection practices for residents with indwelling medical devices for 5 of 5 residents reviewed for infection control (Resident #3, #13, #16, #27, and #25). The facility reported a census of 25.
October 12, 2023Standard inspection · 0 citations
Fire safety inspections
2 fire safety citations on file: 1 on October 10, 2024, 1 on October 12, 2023.
Every fire safety citation2 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 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) | not reported | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
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 | 4.0 | 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 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 13.7 | 4.2 | 4.6 |
Owners and operators
Legal business name: ON WITH LIFE INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Foreman, Jim | W-2 managing employee | Individual | 03/31/2014 | |
| Shelton, Jeanette | W-2 managing employee | Individual | 11/01/2017 | |
| Stilwill, Patrick M | W-2 managing employee | Individual | 07/21/2006 | |
| Shelton, Jeanette | Corporate director | Individual | 11/01/2017 | |
| Foreman, Jim | Corporate officer | Individual | 03/31/2014 | |
| On With Life Inc | Operational/managerial control | Organization | 05/22/1987 | |
| Foreman, Jim | Operational/managerial control | Individual | 03/31/2014 | |
| Shelton, Jeanette | Operational/managerial control | Individual | 11/01/2017 | |
| Stilwill, Patrick M | Operational/managerial control | Individual | 07/21/2006 |
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.
- 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 June 11, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on October 10, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Sunny View Care Center Ankeny, 1.6 mi · 2 of 5 stars · 42 citations
- The Bridges at Ankeny Ankeny, 1.6 mi · 3 of 5 stars · 41 citations
- Mill-Pond Ankeny, 2.3 mi · 5 of 5 stars · 10 citations
- Bishop Drumm Retirement Center Johnston, 5.1 mi · 1 of 5 stars · 79 citations
- Childserve Habilitation Center Johnston, 5.3 mi · 5 of 5 stars · 13 citations
- Trinity Center at Luther Park Des Moines, 5.4 mi · 1 of 5 stars · 13 citations
- Azria Health Park Place Des Moines, 5.7 mi · 1 of 5 stars · 66 citations
- Valley View Village Des Moines, 6.2 mi · 3 of 5 stars · 22 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 On With Life's Medicare star rating?
- CMS rates On With Life 4 out of 5 stars overall, with 4 for health inspections, no for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did On With Life get at its last inspection?
- 0 health deficiencies at the standard inspection on September 4, 2025. The Iowa average is 6.5.
- Has On With Life been fined?
- CMS lists no fines in the last three years.
- Does On With Life 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 On With Life?
- CMS lists 9 owners and managers. Legal business name: ON WITH LIFE INC.
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.
- 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.