50.4/100
Below average
212 Lafayette Street, Story City, IA 50248
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
5 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$52,329 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 5, 2026 (5 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Actual harm to a resident
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| BAPPE, DANIEL | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| CARLSON, NANCY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| CLOUGH, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| MARTIN, PETER | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SHEAHAN, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| ALLMAN, JEREMY | Individual | CORPORATE OFFICER | — |
| LANKFORD, AMANDA | Individual | CORPORATE OFFICER | — |
| SCHILLING, KIM | Individual | CORPORATE OFFICER | — |
| HEIAR, AARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LANKFORD, AMANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SCHILLING, KIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| VOGA, MORGAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Bethany Life holds an ElderGrade of D (50.4 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.11 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 5 of the 33 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Bethany Life is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.