ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
B

74.5/100

Above average

On With Life

715 Sw Ankeny Road, Ankeny, IA 50023

CMS 4/5 stars #18 of 30 in Polk County (515) 965-1339
Certified beds
28
Occupancy
88%
Ownership
Non-profit
Accepts
Medicare + Medicaid

Our read on On With Life

On With Life runs 28 certified beds in Ankeny under nonprofit ownership, and its inspection record is about as light as it gets: one deficiency total, none at the level of actual harm or jeopardy, and nothing abuse-related. The state visited in September 2025, so what you're seeing is current, not a stale five-star rating coasting on an old survey. Quality measures come in at 4 out of 5, meaning outcomes are good but not flawless next to the national pool. The honest caveat is size, with 28 beds, a single bad quarter can move the numbers more than it would at a 120-bed building, so read trends rather than one report.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

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

Inspection30/30Staffing15/30Stability7.5/15Outcomes12/15Enforcement10/10

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.

  • →No citations recorded in the last 3 years

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 dayNot reported
Registered nurse (RN) hoursNot reported

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

Weekend nurse hoursNot reported

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

Nursing staff turnoverNot reported

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

Recent inspection findings

Last standard health inspection: September 4, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

Write a review

No family reviews yet for On With Life. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

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 0 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.