Timely Mission Nursing Home
109 Mission Drive, Buffalo Center, IA 50424 · Winnebago County · 42 certified beds · avg 36 residents/day · certified since Apr 14, 2008
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 |
|---|---|---|
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 17, 2023 | 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. |
| Aug 17, 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. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Aug 17, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 2 | 0 | D |
| 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) | 3.97 | 4.37 | 3.95 | bottom 35% in Iowa; top 41% in the U.S. |
| Registered Nurse hours | 0.62 | 0.85 | 0.69 | bottom 25% in Iowa; top 45% in the U.S. |
| Weekend total nurse staffing | 3.33 | 3.86 | 3.50 | bottom 25% in Iowa; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.51 | 0.48 | top 45% in Iowa; top 35% in the U.S. |
| Total nursing staff turnover (%) | 36.0 | 44.0 | 45.8 | top 32% in Iowa; top 26% in the U.S. |
| 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 3.09, RN 0.48, weekend 2.59. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Armstrong, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/15/2005 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Bierle, Lorie | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| 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 |
| Coppage LTC Pharmacy Consulting PLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/16/2019 |
| Deboer, Douglas | Individual | Corporate Director | NOT APPLICABLE | 10/04/2024 |
| DK Arndt PC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2010 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Johnson, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Johnson, Aaron | Individual | ADP of the SNF | NOT APPLICABLE | 03/17/2026 |
| McGrady, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2023 |
| Meinders, Dennis | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Millennium Rehab & Consulting INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2018 |
| Next Generation Technologies | Organization | ADP of the SNF | NOT APPLICABLE | 07/31/2011 |
| Paul, Deena | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/29/2011 |
| Sabin, Tanya | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/22/2018 |
| Silber, Erin | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/27/2022 |
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 are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Titonka Care Center | 11.5 mi | Titonka, IA | ★★★★★ | 4/5 | |
| Accura Healthcare of Bancroft | 14.5 mi | Bancroft, IA | ★★★★★ | 4/5 | |
| Lake Mills Care Center | 16.9 mi | Lake Mills, IA | ★★★★☆ | 3/5 | |
| Good Samaritan - Forest City | 18.0 mi | Forest City, IA | ★★★★☆ | 4/5 | |
| St Lukes Lutheran Care Center | 18.1 mi | Blue Earth, MN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165586.