Story Medical Senior Care
710 S 19th St., Nevada, IA 50201 · Story County · (515) 382-2111
60 certified beds, about 58 residents a day · Government - County · Medicaid since 1974
CMS Care Compare ratings, data as of September 1, 2026 · CCN 16E277 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 30, 2026, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 5 health citations since May 2024 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 4.79 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.12 of those hours.
29.3% 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.
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 5 health citations on file.
April 30, 2026Standard inspection · 0 citations
November 19, 2025Complaint inspection · 2 citations
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review, staff interviews, family interview and policy review, the facility failed to complete a thorough investigation and take steps to ensure resident safety after alleged abuse for 1 of 3 residents reviewed for abuse (Resident #1). The facility reported a census of 57 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, staff interviews, family interview and policy review, the facility failed to report an allegation of alleged abuse to the State survey and certification agency for 1 of 3 residents reviewed for abuse (Resident #1). The facility reported a census of 57 residents.
April 3, 2025Standard inspection · 1 citation
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review, staff interview and policy review, the facility failed to submit a Level II Preadmission Screening and Resident Review (PASSR) evaluation for 1 of 1 residents reviewed with a new mental health diagnosis and initiation of a psychotropic medication (Resident #17). The facility reported a census of 54 residents.
May 9, 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 wroteBased on observation, facility staff interview, and facility policy the facility failed to meet professional standards of food service sanitation during meal service. The facility reported a census of 48.
- E Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on personnel file review, facility policy, and staff interview, the facility failed to assure 3 of 5 staff met the requirements for Mandatory Adult Abuse Training (Staff D, Staff E, and Staff F). The facility reported a census for 48 residents.
Fire safety inspections
15 fire safety citations on file: 4 on April 30, 2026, 3 on April 3, 2025, 8 on May 9, 2024.
Every fire safety citation15 citations
- F Install a two-hour-resistant firewall separation.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Address subsistence needs for staff and patients.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install a two-hour-resistant firewall separation.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
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) | 4.79 | 3.82 | 3.86 |
| Registered nurses | 1.12 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.91 | 3.37 | 3.42 |
| Nurse aides | 3.34 | ||
| Licensed practical nurses | 0.34 | ||
| Nursing staff turnover (share who left in a year) | 29.3% | 44.0% | 45.8% |
| Registered nurse turnover | 26.3% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.33 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 5.14 on weekdays and 3.91 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.82 in April to June 2025 to 4.79 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 | 4.79 | 1.12 | 5.14 | 3.91 | 8.1% | 0 of 90 | 58 |
| Oct to Dec 2025 | 4.98 | 1.36 | 5.28 | 4.23 | 9.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 5.17 | 1.37 | 5.57 | 4.15 | 10.5% | 0 of 92 | 57 |
| Apr to Jun 2025 | 4.82 | 1.21 | 5.23 | 3.79 | 7.0% | 0 of 91 | 56 |
| 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 | 14.5 | 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 | 0.4 | 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 long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.0 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.0 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on November 19, 2025: "Respond appropriately to all alleged violations."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 3, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- 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 May 9, 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
- Rolling Green Village Care Center Nevada, 1.2 mi · 3 of 5 stars · 16 citations
- Accura Healthcare of Ames, LLC Ames, 10.2 mi · 3 of 5 stars · 19 citations
- Green Hills Health Care Center Ames, 10.7 mi · 5 of 5 stars · 7 citations
- Northridge Village Ames, 12 mi · 5 of 5 stars · 6 citations
- Zearing Health Care, LLC Zearing, 13.2 mi · 2 of 5 stars · 14 citations
- State Center Specialty Care State Center, 13.5 mi · 5 of 5 stars · 20 citations
- Bethany Life Story City, 14.7 mi · 2 of 5 stars · 33 citations
- Mill-Pond Ankeny, 20.7 mi · 5 of 5 stars · 10 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 Story Medical Senior Care's Medicare star rating?
- CMS rates Story Medical Senior Care 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Story Medical Senior Care get at its last inspection?
- 0 health deficiencies at the standard inspection on April 30, 2026. The Iowa average is 6.5.
- Has Story Medical Senior Care been fined?
- CMS lists no fines in the last three years.
- Does Story Medical Senior Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Story Medical Senior Care?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.