On with Life Long Term Care
1002 W Washington Ave., Polk City, IA 50225 · Polk County · 40 certified beds · avg 39 residents/day · certified since Jul 3, 1996
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (7)
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 |
|---|---|---|
| Aug 5, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Dec 12, 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. |
| Dec 12, 2024 | 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. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 2 | 0 | E |
| 2025 | 1 | 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) | 0.00 | 4.37 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.85 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.86 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.51 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 44.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | — |
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 0.00, RN 0.00, weekend 0.00. Staffing rating: —/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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fors, Rudy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| Hoogestraat, Diana | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| Benson Larson, Kate | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Foreman, Jim | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2015 |
| Fors, Rudy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Hoogestraat, Diana | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Lewis, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| On with Life Extended Services LTD | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2011 |
| On with Life INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2001 |
| Shelton, Jeanette | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2017 |
| Shelton, Jeanette | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2017 |
| Snyder, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Granger Nursing & Rehabilitation Center | 5.5 mi | Granger, IA | ★★★☆☆ | 3/5 | |
| Brio of Johnston, LLC | 6.0 mi | Johnston, IA | ★★★☆☆ | 3/5 | |
| Sunny View Care Center | 6.3 mi | Ankeny, IA | ★★☆☆☆ | 2/5 | |
| The Bridges at Ankeny | 6.3 mi | Ankeny, IA | ★★★☆☆ | 2/5 | |
| Bishop Drumm Retirement Center | 7.2 mi | Johnston, IA | ★☆☆☆☆ | 1/5 | SFF |
| Kennybrook Village | 7.2 mi | Grimes, IA | ★★★☆☆ | 3/5 | |
| On with Life | 7.7 mi | Ankeny, IA | ★★★★☆ | 4/5 | |
| Childserve Habilitation Center | 7.7 mi | Johnston, IA | ★★★★★ | 3/5 | |
| Mill-Pond | 8.0 mi | Ankeny, IA | ★★★★★ | 4/5 | |
| Royal Oaks Nursing and Rehabilitation Center | 8.8 mi | Urbandale, IA | ★☆☆☆☆ | 1/5 | SFF |
| Madrid Home for the Aged | 9.1 mi | Madrid, IA | ★★★☆☆ | 3/5 | |
| Karen Acres Care Center | 10.0 mi | Urbandale, IA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165281.