ElderGrade
F

31/100

Poor

Living Center West

1050 4Th Avenue Se, Cedar Rapids, IA 52403

CMS 2/5 stars #17 of 18 in Linn County (319) 366-8714
Certified beds
94
Occupancy
77%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

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.

  • 7 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.

  • $72,070 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 61%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 4 actual-harm citation(s) in the last 3 years
  • -5.6 for 33 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.22 total nurse hours per resident per day (national median 3.77)
  • 0.37 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 61% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $72,070 in federal fines across 2 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.82 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.37 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.46 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 61.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 33 citations

Last standard health inspection: August 28, 2025 (11 months ago).

D Aug 28, 2025 F0628

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

D Aug 28, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jan 9, 2025 F0583 From a complaint

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

D Jan 9, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

E Sep 19, 2024 F0865

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

No actual harm, potential for more than minimal harm

D Sep 19, 2024 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Sep 19, 2024 F0660

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

No actual harm, potential for more than minimal harm

D Sep 19, 2024 F0689

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
GREENE, CASEY Individual CORPORATE DIRECTOR
HICKS, LUCAS Individual CORPORATE DIRECTOR
GREENE, CASEY Individual CORPORATE OFFICER
HICKS, LUCAS Individual CORPORATE OFFICER
BAUM, SAMANTHA Individual OPERATIONAL/MANAGERIAL CONTROL
DIETZE, SARAH Individual OPERATIONAL/MANAGERIAL CONTROL
YOUNGER, CLETE Individual OPERATIONAL/MANAGERIAL CONTROL
ST LUKE'S HEALTHCARE Organization ADP OF THE SNF
BAUM, SAMANTHA Individual ADP OF THE SNF
DIETZE, SARAH Individual ADP OF THE SNF
YOUNGER, CLETE Individual ADP OF THE SNF
ST LUKE'S HEALTHCARE Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Living Center West

What is the ElderGrade for Living Center West? +

Living Center West holds an ElderGrade of F (31 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Living Center West? +

Residents receive an average of 2.82 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Living Center West been cited for harming residents? +

Yes. 7 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.

Does Living Center West accept Medicaid? +

Yes, Living Center West 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.