Eastern Star Masonic Home
715 West Mamie Eisenhower, Boone, IA 50036 · Boone County · 76 certified beds · avg 70 residents/day · certified since Sep 1, 2002
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint |
| Apr 24, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 9, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Apr 9, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | E |
| 2025 | 5 | 0 | E |
| 2026 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.82 | 4.37 | 3.95 | top 24% in Iowa; top 16% in the U.S. |
| Registered Nurse hours | 0.72 | 0.85 | 0.69 | bottom 38% in Iowa; top 35% in the U.S. |
| Weekend total nurse staffing | 4.21 | 3.86 | 3.50 | top 30% in Iowa; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.51 | 0.48 | bottom 5% in Iowa; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 39.5 | 44.0 | 45.8 | top 42% in Iowa; top 35% in the U.S. |
| RN turnover (%) | 46.2 | 42.1 | 42.9 | bottom 41% in Iowa; bottom 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.13, RN 0.62, weekend 3.61. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ecsi INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2021 |
| Anderson, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/30/2021 |
| Anderson, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 10/22/2025 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2021 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Elsberry, April | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/24/2022 |
| Guardian Pharmacy of Iowa LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2021 |
| Henson, Cody | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/17/2024 |
| Hull, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/10/2024 |
| Innovative Communications LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/18/2024 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| J Evans Nutrition Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/31/2022 |
| Koss, Robert | Individual | Corporate Director | NOT APPLICABLE | 11/01/2021 |
| Metzger, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2017 |
| Ramlhun, Timothy | Individual | Corporate Director | NOT APPLICABLE | 11/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What training do all staff get on dementia care and on spotting and reporting abuse?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Westhaven Community | 0.4 mi | Boone, IA | ★★★☆☆ | 3/5 | |
| Accura Healthcare of Ogden, LLC | 6.3 mi | Ogden, IA | ★★★★☆ | 3/5 | |
| Northridge Village | 12.5 mi | Ames, IA | ★★★★★ | 4/5 | |
| Madrid Home for the Aged | 13.1 mi | Madrid, IA | ★★★☆☆ | 3/5 | |
| Green Hills Health Care Center | 13.8 mi | Ames, IA | ★★★★★ | 4/5 | |
| Accura Healthcare of Ames, LLC | 14.4 mi | Ames, IA | ★★★☆☆ | 3/5 | |
| Stratford Specialty Care | 14.6 mi | Stratford, IA | ★★☆☆☆ | 2/5 | |
| Grandview Healthcare Center | 16.6 mi | Dayton, IA | ★★☆☆☆ | 3/5 | |
| Perry Lutheran Homes Eden Acres Campus | 17.7 mi | Perry, IA | ★★☆☆☆ | 2/5 | abuse |
| Bethany Life | 17.9 mi | Story City, IA | ★★☆☆☆ | 1/5 | |
| Perry Lutheran Home | 18.1 mi | Perry, IA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165468.