Aspire of Perry

2625 Iowa Street · Perry, IA · 50220 · 5154655349

46 certified beds For profit - Limited Liability company Chain: Beacon Health Management

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $109,029 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$109,029 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 22
Serious harm & abuse 20% 58
Staffing 20% 76
Federal penalties 15% 0
Trend 10% 83
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.753.48 min · 4.1 strong
RN hours / resident-day0.870.55–0.75
Weekend hours / resident-day3.26≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)3 · $117,219

Inspection citations (89 in the current record)

  • Potential for harm · D March 24, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 21, 2026 · Resident Rights

  • Potential for harm · D March 24, 2026 · found via complaint

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected April 21, 2026 · Resident Rights

  • Potential for harm · D March 24, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 21, 2026 · Quality of Life and Care

  • Potential for harm · D March 24, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 21, 2026 · Quality of Life and Care

  • Potential for harm · E March 24, 2026 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected April 21, 2026 · Nursing and Physician Services

  • Potential for harm · E March 24, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 21, 2026 · Pharmacy Service

  • Potential for harm · D March 24, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 21, 2026 · Pharmacy Service

  • Potential for harm · E March 24, 2026 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected April 21, 2026 · Nutrition and Dietary

  • Potential for harm · D January 14, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected February 12, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Ensure that residents are free from significant medication errors.

    Corrected February 12, 2026 · Pharmacy Service

  • Potential for harm · E January 14, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 12, 2026 · Nutrition and Dietary

  • Potential for harm · E January 14, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 12, 2026 · Infection Control

  • Potential for harm · D October 15, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 15, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 10, 2025 · Quality of Life and Care

  • Immediate jeopardy · J June 3, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 8, 2025 · Quality of Life and Care

  • Potential for harm · E June 3, 2025 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected July 8, 2025 · Nutrition and Dietary

  • Potential for harm · E June 3, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 8, 2025 · Nutrition and Dietary

  • Potential for harm · E February 4, 2025 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected February 27, 2025 · Resident Rights

  • Potential for harm · E December 17, 2024

    Honor the resident's right to manage his or her financial affairs.

    Corrected January 16, 2025 · Resident Rights

  • Potential for harm · D December 17, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected January 16, 2025 · Resident Rights

  • Potential for harm · E December 17, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected January 16, 2025 · Resident Rights

  • Potential for harm · E December 17, 2024

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Corrected January 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 17, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected January 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 17, 2024

    Assess the resident when there is a significant change in condition

    Corrected January 16, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 3, 2025Fine$52,227
June 3, 2025Payment Denial12 days
October 10, 2024Fine$56,802
September 4, 2024Payment Denial1 days
March 27, 2024Fine$8,190
March 27, 2024Payment Denial47 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165426 · certified since March 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.