ElderGrade
B

77.5/100

Above average

Timely Mission Nursing Home

109 Mission Drive, Buffalo Center, IA 50424

CMS 5/5 stars #2 of 3 in Winnebago County (641) 562-2494
Certified beds
42
Occupancy
86%
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 16.5/30 Stability 12/15 Outcomes 9/15 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

16.5/30

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

  • 3.97 total nurse hours per resident per day (national median 3.77)
  • 0.48 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

12/15

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

  • 36% of nursing staff left in the last year

Resident outcomes

9/15

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

  • 3 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 3.09 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.48 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.59 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 36.00%
National average 45.80% Better than average

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

Recent inspection findings

Last standard health inspection: June 25, 2025 (1 year ago).

D Nov 17, 2025 F0825 From a complaint

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

No actual harm, potential for more than minimal harm

D Aug 1, 2024 F0637

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

No actual harm, potential for more than minimal harm

D Aug 1, 2024 F0686

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

D Aug 17, 2023 F0623

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

No actual harm, potential for more than minimal harm

D Aug 17, 2023 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Aug 17, 2023 F0801

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

No actual harm, potential for more than minimal harm

D Aug 17, 2023 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
DEBOER, DOUGLAS Individual CORPORATE DIRECTOR
MEINDERS, DENNIS Individual CORPORATE DIRECTOR
BIERLE, LORIE Individual CORPORATE OFFICER
ARMSTRONG, PAUL Individual OPERATIONAL/MANAGERIAL CONTROL
JOHNSON, AARON Individual OPERATIONAL/MANAGERIAL CONTROL
MCGRADY, JENNIFER Individual OPERATIONAL/MANAGERIAL CONTROL
PAUL, DEENA Individual OPERATIONAL/MANAGERIAL CONTROL
SABIN, TANYA Individual OPERATIONAL/MANAGERIAL CONTROL
SILBER, ERIN Individual OPERATIONAL/MANAGERIAL CONTROL
SMITH, ASHLEY Individual OPERATIONAL/MANAGERIAL CONTROL
BCG HOLDINGS INC Organization ADP OF THE SNF
BRIGHTON CONSULTING GROUP LLC Organization ADP OF THE SNF

What families say

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Common questions about Timely Mission Nursing Home

What is the ElderGrade for Timely Mission Nursing Home? +

Timely Mission Nursing Home holds an ElderGrade of B (77.5 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 Timely Mission Nursing Home? +

Residents receive an average of 3.09 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Timely Mission Nursing Home been cited for harming residents? +

No. None of the 7 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Timely Mission Nursing Home accept Medicaid? +

Yes, Timely Mission Nursing Home 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.