Simpson Memorial Home
1000 North Miller Street, West Liberty, IA 52776 · Muscatine County · (319) 627-4775
55 certified beds, about 33 residents a day · Non profit - Corporation · Medicare and Medicaid since 2000
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165418 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 9 health citations since August 2023 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 4.18 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
40.0% 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.
308/23
410/24
212/25
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
0B
1C
December 4, 2025Standard inspection · 2 citations
- 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, facility policy review and staff interviews, the facility failed to notify the physician or their designee of significant weight loss for 1 of 1 residents reviewed for nutrition (Resident #17). The facility reported a census of 32.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, the Resident Assessment Interview Manual, and staff interviews, the facility failed to accurately complete a Minimum Data Set assessment for 3 of 12resident's reviewed in the sample (Residents #6, #9 and #20). The facility reported a census of 32 residents.
October 17, 2024Standard inspection · 4 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, staff interview and policy review, the facility failed to ensure proper infection control practices to reduce the risk of contamination and food-borne illness during meal service. The facility reported a census of 32 residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on a clinical record review, interviews, and the facility policy, the facility failed to complete a significant change in status on Minimum Data Set (MDS) assessment after a resident discharged from hospice services for 1 of 2 residents reviewed (Resident #22). The facility reported a census of 32 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, interviews, and the facility policy, the facility failed to accurately code the Minimum Data Set (MDS) assessments for a resident receiving hospice services and a resident that did not take an anticoagulant for 2 of 14 residents reviewed for MDS assessments (Resident #15 and Resident #24). The facility reported a census of 32 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, observation, staff and resident interview, and policy review, the facility failed to revise the care plan to include the use of warfarin for 1 of 14 residents (Resident #19), and personalized interventions to prevent falls for 1 of 14 residents (Resident #21 reviewed. The facility reported a census of 32 residents.
August 17, 2023Standard inspection · 3 citations
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, staff interview, and facility policy review the facility failed to ensure adequate series of pneumococcal vaccinations were offered and administered or declined for four of five residents reviewed for immunizations (Resident #1, Resident #9, Resident #10, Resident #12). The facility reported a census of 30 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interviews, and record review the facility failed to follow physician's order for hold parameters set on the cardiac medication Digoxin, as pulse rates had not been monitored or recorded for 1 of 6 residents (Resident #11) medication administrations observed. The facility reported a census of 30 residents.
- C Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on facility record review, and staff interviews the facility failed to submit accurate payroll data 5 of 90 days during the second quarter of 2023.
Fire safety inspections
8 fire safety citations on file: 4 on December 4, 2025, 3 on October 17, 2024, 1 on August 17, 2023.
Every fire safety citation8 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Have simulated fire drills held at unexpected times.
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) | 4.18 | 3.82 | 3.86 |
| Registered nurses | 0.72 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.65 | 3.37 | 3.42 |
| Nurse aides | 3.08 | ||
| Licensed practical nurses | 0.39 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 44.0% | 45.8% |
| Registered nurse turnover | 42.9% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.22 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 4.40 on weekdays and 3.65 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 4.18 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 | 4.18 | 0.72 | 4.40 | 3.65 | 3.3% | 0 of 90 | 33 |
| Oct to Dec 2025 | 4.11 | 0.82 | 4.34 | 3.55 | 4.5% | 0 of 92 | 32 |
| Jul to Sep 2025 | 4.17 | 0.85 | 4.38 | 3.62 | 5.5% | 0 of 92 | 32 |
| Apr to Jun 2025 | 3.99 | 0.75 | 4.20 | 3.46 | 7.3% | 0 of 91 | 33 |
| 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 | 34.8 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 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 | 33.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.1 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 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: SIMPSON MEMORIAL HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hills Bank and Trust Company | 5% or greater mortgage interest | Organization | 08/29/2013 | |
| Anderson, Ethan | Corporate director | Individual | 07/01/2025 | |
| Geertz, Emily | Corporate director | Individual | 07/01/2024 | |
| Leggins, Lori | Corporate director | Individual | 05/01/2019 | |
| Marolf, Ted | Corporate director | Individual | 07/01/2022 | |
| Moeller, Gary | Corporate director | Individual | 03/01/2021 | |
| Owen, Robert | Corporate director | Individual | 08/01/2023 | |
| Thomas, Chad | Corporate director | Individual | 06/01/2022 | |
| Grunder, Fredrick | Corporate officer | Individual | 07/01/2025 | |
| Miller, Robert | Corporate officer | Individual | 07/01/2025 | |
| Smith, Dawn | Corporate officer | Individual | 07/01/2025 | |
| Barnhart, Miranda | Operational/managerial control | Individual | 03/31/2025 | |
| Hazelwood, Melissa | Operational/managerial control | Individual | 02/17/2022 | |
| Hutchings, Mark | Operational/managerial control | Individual | 12/26/2024 | |
| McCaslin, Timothy | Operational/managerial control | Individual | 07/24/2023 | |
| Orvis, Samuel | Operational/managerial control | Individual | 01/01/2025 | |
| Thomas, Chad | Operational/managerial control | Individual | 06/01/2022 | |
| Wheeler, Michelle | Operational/managerial control | Individual | 04/27/2015 | |
| White, Laura | Operational/managerial control | Individual | 05/25/2012 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Blue Stone Therapy Inc | Adp of the SNF | Organization | 01/01/2024 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Forge Financial & Management Consulting, Inc | Adp of the SNF | Organization | 10/31/2015 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Office Machine Consultants | Adp of the SNF | Organization | 02/09/2012 | |
| William Burke Ltd | Adp of the SNF | Organization | 01/31/2012 | |
| Orvis, Samuel | Adp of the SNF | Individual | 12/17/2025 | |
| Wilson, Julie | Adp of the SNF | Individual | 01/31/2012 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Ensure each resident receives an accurate assessment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 October 17, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 August 17, 2023: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Crestview Specialty Care West Branch, 8.2 mi · 1 of 5 stars · 28 citations
- Lone Tree Health Care Center Inc Lone Tree, 10.7 mi · 5 of 5 stars · 8 citations
- Accura Healthcare of Muscatine Muscatine, 12.8 mi · 3 of 5 stars · 18 citations
- Wilton Retirement Community Wilton, 12.9 mi · 5 of 5 stars · 7 citations
- Iowa City Rehab & Health Care Iowa City, 13.1 mi · 1 of 5 stars · 40 citations
- Lutheran Living Senior Campus Muscatine, 13.9 mi · 1 of 5 stars · 45 citations
- Cedar Manor Nursing Home Tipton, 15.4 mi · 3 of 5 stars · 15 citations
- Briarwood Healthcare Center Iowa City, 15.8 mi · 5 of 5 stars · 9 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 Simpson Memorial Home's Medicare star rating?
- CMS rates Simpson Memorial Home 3 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Simpson Memorial Home get at its last inspection?
- 2 health deficiencies at the standard inspection on December 4, 2025. The Iowa average is 6.5.
- Has Simpson Memorial Home been fined?
- CMS lists no fines in the last three years.
- Does Simpson Memorial Home 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 Simpson Memorial Home?
- CMS lists 31 owners and managers. Legal business name: SIMPSON MEMORIAL 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.