ElderGrade
B

74.5/100

Above average

On With Life

715 Sw Ankeny Road, Ankeny, IA 50023

CMS 5/5 stars #11 of 30 in Polk County (515) 965-1339
Certified beds
28
Occupancy
88%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

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

Inspection 30/30 Staffing 15/30 Stability 7.5/15 Outcomes 12/15 Enforcement 10/10

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.

Inspection safety

30/30

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

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are.

  • No staffing hours reported — scored neutral

Staff stability

7.5/15

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

  • No turnover figure reported — scored neutral

Resident outcomes

12/15

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

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

Enforcement history

10/10

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

  • No federal fines on record

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 Not reported
Registered nurse (RN) hours Not reported

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

Weekend nurse hours Not reported

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

Nursing staff turnover Not reported

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

Recent inspection findings

Last standard health inspection: September 4, 2025 (11 months ago). That inspection produced no citations — the findings below are older.

E Oct 10, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
FOREMAN, JIM Individual W-2 MANAGING EMPLOYEE
SHELTON, JEANETTE Individual W-2 MANAGING EMPLOYEE
STILWILL, PATRICK M Individual W-2 MANAGING EMPLOYEE
SHELTON, JEANETTE Individual CORPORATE DIRECTOR
FOREMAN, JIM Individual CORPORATE OFFICER
ON WITH LIFE INC Organization OPERATIONAL/MANAGERIAL CONTROL
FOREMAN, JIM Individual OPERATIONAL/MANAGERIAL CONTROL
SHELTON, JEANETTE Individual OPERATIONAL/MANAGERIAL CONTROL
STILWILL, PATRICK M Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about On With Life

What is the ElderGrade for On With Life? +

On With Life holds an ElderGrade of B (74.5 out of 100), which we describe as "above average". 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 On With Life? +

This facility has not reported staffing hours to CMS in the current data release.

Has On With Life been cited for harming residents? +

No. None of the 1 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does On With Life accept Medicaid? +

Yes, On With 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.