Bishop Drumm Retirement Center
5837 Winwood Drive · Johnston, IA · 50131 · 5152701100
150 certified beds Non profit - Church related Chain: Commonspirit Health Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $149,676 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- 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.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$149,676 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 5 · $270,826 |
Inspection citations (77 in the current record)
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Potential for harm · D February 18, 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 20, 2026 · Resident Rights
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Potential for harm · D February 18, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D February 18, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D February 18, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · F February 18, 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 20, 2026 · Nursing and Physician Services
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Potential for harm · F February 18, 2026 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · D February 18, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · D February 18, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · F February 18, 2026 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 20, 2026 · Administration
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Potential for harm · E February 18, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 20, 2026 · Infection Control
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Actual harm · G September 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 16, 2025 · Resident Rights
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Potential for harm · D September 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · 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 October 16, 2025 · Nursing and Physician Services
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Potential for harm · F September 17, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected October 16, 2025 · Administration
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Potential for harm · D September 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 16, 2025 · Infection Control
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Actual harm · G July 21, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected July 30, 2025 · Quality of Life and Care
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Potential for harm · D July 21, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 30, 2025 · Resident Rights
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Potential for harm · D July 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 30, 2025 · Resident Rights
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Potential for harm · D July 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025 · found via complaint
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 July 30, 2025 · Resident Rights
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Potential for harm · D July 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 30, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 21, 2025 | Fine | $127,088 |
| July 21, 2025 | Payment Denial | 68 days |
| April 3, 2025 | Payment Denial | 43 days |
| September 19, 2024 | Fine | $22,588 |
| June 27, 2024 | Fine | $55,424 |
| June 27, 2024 | Payment Denial | 42 days |
| February 27, 2024 | Fine | $53,077 |
| June 29, 2023 | Fine | $12,649 |
| June 29, 2023 | Payment Denial | 48 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165448 · certified since June 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.