On With Life Long Term Care
1002 W Washington Ave., Polk City, IA 50225 · Polk County · (515) 421-9200
40 certified beds, about 39 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165281 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 31, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 7 health citations since September 2023 was rated as actual harm or immediate jeopardy.
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 7 health citations on file.
December 31, 2025Standard inspection · 0 citations
August 5, 2025Complaint inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, record review, staff interviews, and facility policy review the facility failed to ensure accurate control, accountability, and disposition of scheduled controlled narcotic medication with narcotic medication not disposed of when the resident discharged from the facility for 1(Resident #1) of 1 resident reviewed and narcotic counts not being completed accurately. The facility reported a census of 38 residents.
December 12, 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 wroteKitchen Based on observations, staff interview, and policy review the facility failed to serve food under sanitary conditions to prevent foodborne illness during one of two meals observed. Facility staff also failed to conceal hair completely in a hairnet to prevent foodborne illness. The facility reported a census of 40 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, staff interview, and policy review, the facility failed to maintain infection control standards due to a catheter bag not maintained in a bag cover and lying on the floor under the resident's wheelchair for 1 (Resident #26) of 1 resident reviewed for catheter care. The facility reported a census of 40 residents.
September 28, 2023Standard inspection · 4 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interview, guidance from the Resident Assessment Instrument (RAI) and the Centers for Disease Control (CDC) guidelines, and facility policy review the facility failed to accurately reflect the pneumococcal vaccination status on the Minimum Data Set (MDS) Assessment for 1 of 5 residents reviewed (Res #8). The facility reported a census of 31 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, observation, staff interviews and family interviews, the facility failed to follow interventions on a comprehensive care plan for 1 of 12 residents reviewed (Resident #11). The facility reported a census of 31 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, clinical record review, and staff interviews the facility failed to provide respiratory care and services in accordance with professional standards of practice for 2 of 2 residents reviewed (Resident #10 and #15) requiring humidified air through tracheostomy. The facility reported a census of 31 residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, staff interview, and the Centers for Disease Control (CDC) guidelines, the facility failed to provide the pneumococcal vaccination as appropriate for 1 of 5 residents reviewed (Res #8). The facility reported a census of 31 residents.
Fire safety inspections
5 fire safety citations on file: 2 on December 31, 2025, 1 on December 12, 2024, 2 on September 28, 2023.
Every fire safety citation5 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Have simulated fire drills held at unexpected times.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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.
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 October to December 2025, nursing staff hours per resident were 8.32 on weekdays and 6.96 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 8.26 in April to June 2025 to 7.94 in October to December 2025.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Oct to Dec 2025 | 7.94 | 1.80 | 8.32 | 6.96 | 27.5% | 0 of 92 | 40 |
| Apr to Jun 2025 | 8.26 | 1.97 | 8.64 | 7.31 | 37.0% | 0 of 91 | 39 |
| United States, Oct to Dec 2025 | 3.76 | 0.62 | 3.93 | 3.34 | 5.3% | 0.5% of days | |
| Iowa, Oct to Dec 2025 | 3.80 | 0.71 | 3.97 | 3.37 | 4.6% | 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 | 13.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.1 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.9 | 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 long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.4 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: ON WITH LIFE EXTENDED SERVICES LTD.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fors, Rudy | Indirect ownership interest | Individual | 01/01/2024 | |
| Hoogestraat, Diana | Indirect ownership interest | Individual | 01/01/2024 | |
| Benson Larson, Kate | Managing control - governing body | Individual | 01/01/2024 | |
| Fors, Rudy | Managing control - governing body | Individual | 01/01/2024 | |
| Hoogestraat, Diana | Managing control - governing body | Individual | 01/01/2024 | |
| Snyder, John | Managing control - governing body | Individual | 01/01/2024 | |
| Foreman, Jim | W-2 managing employee | Individual | 01/01/2015 | |
| Shelton, Jeanette | Corporate officer | Individual | 11/01/2017 | |
| On With Life Extended Services Ltd | Operational/managerial control | Organization | 07/01/2011 | |
| On With Life Inc | Operational/managerial control | Organization | 07/01/2001 | |
| Lewis, Jennifer | Operational/managerial control | Individual | 06/01/2019 | |
| Shelton, Jeanette | Operational/managerial control | Individual | 11/01/2017 |
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.
- 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 December 12, 2024: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 28, 2023: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 5, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 12, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Granger Nursing & Rehabilitation Center Granger, 5.5 mi · 3 of 5 stars · 24 citations
- Brio of Johnston, LLC Johnston, 6.1 mi · 3 of 5 stars · 12 citations
- Sunny View Care Center Ankeny, 6.2 mi · 2 of 5 stars · 42 citations
- The Bridges at Ankeny Ankeny, 6.2 mi · 3 of 5 stars · 41 citations
- Bishop Drumm Retirement Center Johnston, 7.2 mi · 1 of 5 stars · 79 citations
- Kennybrook Village Grimes, 7.2 mi · 3 of 5 stars · 12 citations
- Childserve Habilitation Center Johnston, 7.7 mi · 5 of 5 stars · 13 citations
- On With Life Ankeny, 7.7 mi · 4 of 5 stars · 2 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 Long Term Care's Medicare star rating?
- CMS rates On With Life Long Term Care 5 out of 5 stars overall, with 5 for health inspections, no for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did On With Life Long Term Care get at its last inspection?
- 0 health deficiencies at the standard inspection on December 31, 2025. The Iowa average is 6.5.
- Has On With Life Long Term Care been fined?
- CMS lists no fines in the last three years.
- Does On With Life Long Term Care 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 Long Term Care?
- CMS lists 12 owners and managers. Legal business name: ON WITH LIFE EXTENDED SERVICES LTD.
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.