Rotary Senior Living
500 South Blaine Avenue, Eagle Grove, IA 50533 · Wright County · (515) 448-5124
46 certified beds, about 31 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165500 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 12, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 23 health citations since August 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $65,036 in the last three years; the largest was $65,036, and the latest is dated March 17, 2026.
Nurses and nurse aides worked 3.70 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
56.8% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
1008/23
104/24
507/24
302/25
006/25
303/26
107/26
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 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
17D
1E
0F
Potential for minimal harm
0A
3B
0C
July 23, 2026Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, written statement, staff interview and policy review, the facility failed to ensure a resident was treated with dignity for 1 of 3 residents reviewed (Resident #26). The facility reported a census of 27 residents.
March 17, 2026Complaint inspection · 3 citations
- J Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interviews, and document review, the facility's administrative staff failed to ensure the nursing staff adequately monitored the INR level (international normalized ratio, a test measured how quickly blood clots) for 1 of 1 resident on warfarin (Resident #2), including after Resident #2's physician prescribed medications which could increase Resident #2's INR. Resident #2's physician started Resident #2 on an antibiotic (which can increase the INR) on 1/21/26, and added another antibiotic on 1/22/26. The nursing staff discovered a large bruise on Resident #2's mons pubis (the fatty area surrounding the penis) on 1/24/26. The nursing staff did not begin increased monitoring of Resident #2's bruising or check Resident #2's INR upon discovery of the bruise. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility investigation, staff interview and review of policy and procedures, the facility failed to ensure all alleged violations involving mistreatment, neglect, including injuries of unknown source, were reported to the Department of Inspection and Appeals and Licensing (DIAL) within 2 hours for a resident who sustained a left hand middle finger fracture (Resident #3). The facility failed to conduct a thorough investigation to determine the cause of the fracture. During the interviews, the staff reported they didn't know how his injury occurred and even added they didn't think of abuse. The facility reported a census of 29 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, clinical record review, resident and staff interviews, and facility policy, the facility failed to do document weekly skin location and measurements for 1 of 3 resident reviewed with skin impairments. (Resident #4). The facility reported a census of 29 residents.
June 12, 2025Standard inspection · 0 citations
February 19, 2025Complaint inspection · 3 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, clinical record review, policy review, resident, family, and staff interviews, the facility failed to provide needed services in accordance with professional standards by not assessing, intervening and documenting for a resident with a wound for 1 of 3 resident reviewed (Resident #1). In addition, the facility failed to assess his lower legs when applying or removing his ankle, foot brace (AFO) as ordered by the physician. Resident #1 had a wound on their right shin, that went unidentified until dermatology observed while at his appointment for a different situation. The clinic took a sample of the wound while at the dermatology appointment and ordered an antibiotic along with a culture of the drainage of the wound. [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, staff interview, policy and procedure review, the facility failed to treat a resident with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life for 1 out of 3 resident reviewed (Resident #2). The facility identified a census of 31 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, the Resident [NAME] of Rights, facility investigation, staff interview, and review of policy and procedures, the facility failed to ensure all alleged violations involving mistreatment, neglect, or abuse of a resident and/or residents (Resident #2) were reported to the Department of Inspection and Appeals and Licensing (DIAL) within 2 hours. See F550 for additional information regarding Resident #2. The facility reported a census of 31 residents.
July 18, 2024Standard inspection, Complaint inspection · 5 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide proper interventions to ensure doctor's orders reflected the current need of residents for 1 out of 5 residents reviewed (Resident #11). During a meal observation, Resident #11 was served a mechanical soft textured diet. The doctor's order for Resident #11's diet was pureed textured diet. The pureed diet textured order was obtained without ensuring this was the correct diet for him after a nursing trial was completed. The facility reported a census of 32 residents.
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on nursing schedule review, staff interview and policy review, the facility failed to have 8 hours Registered Nurse (RN) coverage. The facility reported a census of 32 residents.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review, the facility failed to notify of changes in benefit coverage for 2 out of 3 residents reviewed (Residents #87 and #88). The facility reported a census of 32 residents.
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to notify the Long Term Care Ombudsman (LTCO) of a discharge/transfer to the hospital for 1 of 1 residents reviewed for hospitalization (Resident #13). The facility reported a census of 32 residents.
- B Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to notify the resident or resident representative of the facility's bed hold policy for 1 of 1 residents reviewed for hospitalization (Resident #13). The facility reported a census of 32 residents.
April 11, 2024Complaint inspection · 1 citation
- 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.
Inspectors wroteBased on observation, clinical record review, policy review and staff interview the facility staff failed to do the scheduled controlled medication shift counts as directed by facility policy. In addition, the facility failed to destroy a discontinued narcotic medication for 1 out of 3 residents reviewed (Resident #1). The facility census was 31 residents.
August 3, 2023Standard inspection · 10 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, policy review, and staff interview the facility failed to complete proper hand hygiene during cares for two of three residents reviewed (Resident #23 and Resident #33) and failed to cover residents' personal laundry and linen during delivery rooms and halls to maintain standard precaution for infection control. The facility reported a census of 37 residents. Findingd include: 1. The Minimum Data Set (MDS) assessment for Resident #28 dated 5/11/2023, included diagnoses of Non-Traumatic Brain Dysfunction, Non-Alzheimer's Dementia, Anxiety Disorder, and depression. The MDS documented the resident required extensive assistance of 2 staff for bed mobility, transfers, dressing, toilet use, personal hygiene and was always incontinent of bladder and bowel. [...]
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to ensure the code status was correct in the electronic health record and the Iowa Physician Orders for Scope of Treatment (IPOST) for 1 of 16 residents' charts reviewed (Resident #5). The facility reported a census of 37.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to notify the physician of a significant weight loss of 1 of 15 resident's reviewed (Resident #4). The facility reported a census of 37 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, and staff interview, failed to meet professional standards of quality by failing to report low blood glucose findings to the physician as ordered for 1 of 1 residents reviewed (Resident #3). The facility reported a census of 37 residents.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and staff interview, the facility failed to complete a discharge summary for 1 of 1 residents reviewed (Resident #36). The facility reported a census of 37 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, clinical record review, and staff interview the facility failed to ensure residents received positioning and toileting cares every 2 hours for 1 of 3 residents observed (Resident #28). The facility reported a census of 37 residents.
- D Post nurse staffing information every day.
Inspectors wroteBased on observation, document review, and staff interview, the facility failed to ensure the facility Staff Posting was posted daily in a prominent place for the resident ' s and public to view. The facility reported a census of 37 residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, clinical record review, policy review, and resident and staff interview the facility failed to accurately document changing a nebulizer pipe (instrument to provide breathing treatments) for 1 of 2 residents reviewed. (Resident #9) The facility reported a census of 37 residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, facility policy review and staff interview the facility failed to provide and document education regarding the risks, benefits and potential side effects of the pneumococcal and influenza vaccines, and signed declination (formal refusal) form for 1 of 5 (Resident # 21) residents reviewed for immunizations. The facility reported a census of 37 residents.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on clinical record review, facility policy review and staff interview the facility failed to provide and document education regarding the risks, benefits and potential side effects of the COVID-19 vaccine, and signed declination (formal refusal) form for 1 of 5 (Resident # 21) residents reviewed for immunizations. The facility reported a census of 37 residents.
Fire safety inspections
6 fire safety citations on file: 4 on July 18, 2024, 2 on August 3, 2023.
Every fire safety citation6 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
- F Conduct testing and exercise requirements.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 17, 2026 | Fine | $65,036 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.70 | 3.82 | 3.86 |
| Registered nurses | 0.55 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.39 | 3.37 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 56.8% | 44.0% | 45.8% |
| Registered nurse turnover | 90.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.13 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 3.82 on weekdays and 3.39 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.70 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 | 3.70 | 0.55 | 3.82 | 3.39 | 11.2% | 1 of 90 | 31 |
| Oct to Dec 2025 | 3.32 | 0.74 | 3.48 | 2.93 | 8.3% | 1 of 92 | 33 |
| Jul to Sep 2025 | 3.49 | 0.80 | 3.68 | 3.02 | 5.6% | 0 of 92 | 35 |
| Apr to Jun 2025 | 3.45 | 0.55 | 3.57 | 3.14 | 8.7% | 0 of 91 | 32 |
| 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
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.
Official wage estimates for Iowa
| 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.
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 | 26.4 | 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 | 0.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.3 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: ROTARY CLUB OF EAGLE GROVE HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Casperson, Diane | Corporate director | Individual | 01/03/2022 | |
| Christ, James | Corporate director | Individual | 03/17/2015 | |
| Larson, Lyle | Corporate director | Individual | 02/07/2018 | |
| Moffitt, Jordan | Corporate director | Individual | 10/06/2021 | |
| Mofitt, Michael | Corporate director | Individual | 09/28/2010 | |
| Tokheim, Paul | Corporate director | Individual | 03/17/2015 | |
| Casperson, Diane | Corporate officer | Individual | 01/03/2022 | |
| Larson, Lyle | Corporate officer | Individual | 02/07/2018 | |
| Moffitt, Jordan | Corporate officer | Individual | 10/06/2021 | |
| Mofitt, Michael | Corporate officer | Individual | 04/02/2024 | |
| Tokheim, Paul | Corporate officer | Individual | 06/01/2019 | |
| Casperson, Diane | Operational/managerial control | Individual | 01/03/2022 | |
| Smith, Dustin | Operational/managerial control | Individual | 07/30/2000 | |
| Casperson, Diane | Adp of the SNF | Individual | 02/14/2025 | |
| Smith, Dustin | Adp of the SNF | Individual | 07/30/2000 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on July 23, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 18, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 17, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on August 3, 2023: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Clarion Wellness and Rehabilitation Center Clarion, 9.1 mi · 1 of 5 stars · 37 citations
- Crestview Nursing and Rehabilitation Webster City, 14.6 mi · 2 of 5 stars · 19 citations
- Southfield Wellness Community Webster City, 14.8 mi · 1 of 5 stars · 63 citations
- Marian Home Fort Dodge, 17.2 mi · 5 of 5 stars · 3 citations
- Humboldt County Memorial Hospital Humboldt, 17.8 mi · 5 of 5 stars · 7 citations
- Fort Dodge Health and Rehabilitation Fort Dodge, 18.1 mi · 1 of 5 stars · 48 citations
- Rehabilitation Center of Belmond Belmond, 19.8 mi · 5 of 5 stars · 11 citations
- Kanawha Community Home, Inc. Kanawha, 19.9 mi · 5 of 5 stars · 3 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 Rotary Senior Living's Medicare star rating?
- CMS rates Rotary Senior Living 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rotary Senior Living get at its last inspection?
- 0 health deficiencies at the standard inspection on June 12, 2025. The Iowa average is 6.5.
- Has Rotary Senior Living been fined?
- Yes. CMS lists 1 fine totaling $65,036 in the last three years.
- Does Rotary Senior Living 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 Rotary Senior Living?
- CMS lists 15 owners and managers. Legal business name: ROTARY CLUB OF EAGLE GROVE HOME 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.
- 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.