How to file a complaint about care →
No fines or payment denials in the published 3-year window.
109 Mission Drive, Buffalo Center, IA 50424 (opens Google Maps) · Winnebago County · (641) 562-2494· 42 certified beds · avg 36 residents/day · certified since Apr 14, 2008 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.
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 F-0825
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. F-0637
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. F-0686
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 17, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0825 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Aug 17, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 42.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.09 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Timely Mission Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 22 parties CMS has on file for this facility; 2 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 165586.
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