Buchanan County Health Center

1600 First Street East · Independence, IA · 50644 · 3193346071

39 certified beds Government - County Hospital-based

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 76
Serious harm & abuse 20% 94
Staffing 20% 88
Federal penalties 15% 80
Trend 10% 89
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day4.453.48 min · 4.1 strong
RN hours / resident-day1.170.55–0.75
Weekend hours / resident-day3.60≈ weekday level
Nursing turnover / year29%median 45%
Fines (3-yr window)1 · $4,011

Inspection citations (12 in the current record)

  • Potential for harm · E March 19, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 20, 2026 · Infection Control

  • Potential for harm · D March 20, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 31, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F March 20, 2025

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

    Corrected March 31, 2025 · Nutrition and Dietary

  • No harm found · B March 20, 2025

    Assess the resident when there is a significant change in condition

    Corrected March 31, 2025 · Resident Assessment and Care Planning

  • No harm found · B March 20, 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 March 31, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J November 26, 2024 · found via complaint

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

    Corrected October 31, 2024 · Quality of Life and Care

  • Potential for harm · D November 26, 2024 · found via complaint

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Corrected December 27, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024

    Assess the resident when there is a significant change in condition

    Corrected July 5, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 5, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2024

    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 5, 2024 · Quality of Life and Care

  • Potential for harm · F June 6, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected July 5, 2024 · Nutrition and Dietary

  • Potential for harm · F June 6, 2024

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

    Corrected July 5, 2024 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
November 26, 2024Fine$4,011

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 16E050 · certified since October 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.