On With Life Long Term Care

1002 W Washington Ave. · Polk City, IA · 50225 · 5154219200

40 certified beds Non profit - Corporation

  • Cleaner inspection record than most facilities nationally.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 89
Serious harm & abuse 20% 100
Staffing 20% 98
Federal penalties 15% 100
Trend 10% 85
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: 5 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day7.943.48 min · 4.1 strong
RN hours / resident-day1.800.55–0.75
Weekend hours / resident-day6.96≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (7 in the current record)

  • Potential for harm · D August 5, 2025 · found via complaint

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

    Corrected August 27, 2025 · Pharmacy Service

  • Potential for harm · E December 12, 2024

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

    Corrected December 31, 2024 · Nutrition and Dietary

  • Potential for harm · D December 12, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 31, 2024 · Infection Control

  • Potential for harm · D September 28, 2023

    Ensure each resident receives an accurate assessment.

    Corrected October 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 28, 2023

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

    Corrected October 28, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 28, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 29, 2023 · Quality of Life and Care

  • Potential for harm · D September 28, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected October 20, 2023 · Infection Control

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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 165281 · certified since July 3, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.