Timely Mission Nursing Home
109 Mission Drive, Buffalo Center, IA 50424 · Winnebago County · (641) 562-2494
42 certified beds, about 36 residents a day · Non profit - Corporation · Medicare and Medicaid since 2008
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165586 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 25, 2025, inspectors cited 0 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 7 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 3.09 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
36.0% 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.
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.
November 17, 2025Complaint inspection · 1 citation
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on observation, clinical record review, staff and resident interview, the facility failed to ensure the provision of occupation and physical services for 1 of 3 resident reviewed for therapy services upon admit. (Resident #1). The facility identified a census of 33 residents.
June 25, 2025Standard inspection · 0 citations
August 1, 2024Standard inspection · 2 citations
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review, staff interview, and Resident Assessment Instrument (RAI) Manual the facility failed to ensure 2 of 2 residents (Resident #20 and #19) Significant Change Minimum Data Set (MDS) assessments were completed within 14 days of identifying a significant change occurred. The facility reported a census of 30 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review, staff interviews, resident interview and policy review the facility failed to assure that a resident with a pressure ulcer received treatment and services, consistent with professional standards of practice, to promote healing of two stage two pressure ulcers for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 30 residents.
August 17, 2023Standard inspection · 4 citations
- D 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 record review and staff interview, the facility failed to notify the Long Term Care (LTC) Ombudsman of a resident transfer to the hospital for 1 of 2 residents reviewed for hospitalizations (Resident #3). The facility reported a census of 28 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interviews, and the 2019 Resident Assessment Instrument (RAI) manual the facility failed to accurately document and submit accurate resident Minimum Data Set (MDS) Assessment for 2 of 5 residents reviewed (Resident #21 and #23). The facility reported a census of 28 residents.
- D Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on personnel file review and staff interview, the facility failed to employ a qualified director of food and nutrition services. The facility reported a census of 28 residents.
- D 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 interviews and policy review, the facility failed to ensure open items were dated, covered and labeled. The facility further failed to ensure staff used proper food handling procedures to prevent possible contamination of food. The facility reported a census of 28 residents.
Fire safety inspections
15 fire safety citations on file: 4 on June 25, 2025, 3 on August 1, 2024, 8 on August 17, 2023.
Every fire safety citation15 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Establish roles under a Waiver declared by secretary.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Develop Emergency Preparedness policies and procedures.
- F Conduct testing and exercise requirements.
- F Have properly located and lighted "Exit" signs.
- F Properly provide smoke detection systems in areas open to corridors.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper medical gas storage and administration areas.
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) | 3.09 | 3.82 | 3.86 |
| Registered nurses | 0.48 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.59 | 3.37 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 36.0% | 44.0% | 45.8% |
| Registered nurse turnover | not reported | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 2.98 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 3.29 on weekdays and 2.59 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.09 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 | 3.09 | 0.48 | 3.29 | 2.59 | 5.3% | 0 of 90 | 36 |
| Oct to Dec 2025 | 3.47 | 0.60 | 3.69 | 2.93 | 6.1% | 0 of 92 | 32 |
| Jul to Sep 2025 | 3.39 | 0.65 | 3.61 | 2.85 | 7.5% | 0 of 92 | 33 |
| Apr to Jun 2025 | 3.29 | 0.58 | 3.54 | 2.68 | 7.0% | 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 | 13.8 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 5.0 | 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 | 1.6 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.5 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: TIMELY MISSION NURSING HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bertram, Lori | Corporate director | Individual | 05/19/2026 | |
| Matson, Diane | Corporate director | Individual | 05/19/2026 | |
| Holland, Dean | Corporate officer | Individual | 04/16/2026 | |
| Meinders, Dennis | Corporate officer | Individual | 04/16/2026 | |
| Ruby, Kimberly | Corporate officer | Individual | 11/19/2025 | |
| Armstrong, Paul | Operational/managerial control | Individual | 11/15/2005 | |
| Johnson, Aaron | Operational/managerial control | Individual | 06/01/2025 | |
| McGrady, Jennifer | Operational/managerial control | Individual | 05/18/2023 | |
| Peterson, Staci | Operational/managerial control | Individual | 06/20/2026 | |
| Sabin, Sydney | Operational/managerial control | Individual | 06/01/2026 | |
| Sabin, Tanya | Operational/managerial control | Individual | 08/22/2018 | |
| Sandberg, Alida | Operational/managerial control | Individual | 12/29/2025 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| 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 | |
| Coppage LTC Pharmacy Consulting Plc | Adp of the SNF | Organization | 09/16/2019 | |
| Dk Arndt PC | Adp of the SNF | Organization | 12/31/2010 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| Millennium Rehab & Consulting Inc | Adp of the SNF | Organization | 01/01/2018 | |
| Next Generation Technologies | Adp of the SNF | Organization | 07/31/2011 | |
| Johnson, Aaron | Adp of the SNF | Individual | 03/17/2026 | |
| Sandberg, Alida | Adp of the SNF | Individual | 07/17/2026 |
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 2 problems in this area, most recently on November 17, 2025: "Provide or get specialized rehabilitative services as required for a resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 1, 2024: "Assess the resident when there is a significant change in condition"
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 17, 2023: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- 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 August 17, 2023: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.59 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Titonka Care Center Titonka, 11.5 mi · 5 of 5 stars · 9 citations
- Accura Healthcare of Bancroft Bancroft, 14.5 mi · 5 of 5 stars · 5 citations
- Lake Mills Care Center Lake Mills, 17 mi · 4 of 5 stars · 6 citations
- Good Samaritan - Forest City Forest City, 18 mi · 4 of 5 stars · 9 citations
- St. Lukes Lutheran Care Center Blue Earth, 18.1 mi · 5 of 5 stars · 6 citations
- Westview Care Center Britt, 21.6 mi · 5 of 5 stars · 0 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 Timely Mission Nursing Home's Medicare star rating?
- CMS rates Timely Mission Nursing Home 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Timely Mission Nursing Home get at its last inspection?
- 0 health deficiencies at the standard inspection on June 25, 2025. The Iowa average is 6.5.
- Has Timely Mission Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Timely Mission Nursing 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 Timely Mission Nursing Home?
- CMS lists 24 owners and managers. Legal business name: TIMELY MISSION NURSING HOME.
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.