Bishop Drumm Retirement Center
5837 Winwood Drive
Johnston, IA, 50131
5152701100
CCN: 165448
2
Overall1
Health4
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| SYLVANIA FRANCISCAN HEALTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| COMMONSPIRIT HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| CECIL, CAITLIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| FINN, CHRISTINA | CORPORATE DIRECTOR | NOT APPLICABLE |
| GRUBBS, STACEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAZARD, TED | CORPORATE DIRECTOR | NOT APPLICABLE |
| MUNROE, KYLE | CORPORATE DIRECTOR | NOT APPLICABLE |
| MURRIEL, SHELLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| NAGEL, JENNIFER | CORPORATE DIRECTOR | NOT APPLICABLE |
| SNODGRASS, BARBARA | CORPORATE DIRECTOR | NOT APPLICABLE |
| WINE, MATTHEW | CORPORATE DIRECTOR | NOT APPLICABLE |
| IFFLAND, ALISA | CORPORATE OFFICER | NOT APPLICABLE |
| LIPSEY, PRENTICE | CORPORATE OFFICER | NOT APPLICABLE |
| REHMER, HEATHER | CORPORATE OFFICER | NOT APPLICABLE |
| GRUBBS, STACEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HANSON, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HAZARD, TED | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HERRERA, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOWARD, CASEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| IFFLAND, ALISA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KELLER, MICHAELA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LANG, TRESTIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LONGHIN-HOWARD, JOAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MILLER, LORI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MUNROE, KYLE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MURRIEL, SHELLY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NAGEL, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| REBIK, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| REHMER, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOUKUP-MCFARLAND, DIANNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TROSEN, RYAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WINE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NASET-PAYNE, JANET | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COMMONSPIRIT HEALTH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONCEPT REHAB, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OHIO NEWSPAPERS, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RELIANT CARE PHARMACY SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| THE NORTHERN TRUST COMPANY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ULRICHPINCIOTTI DESIGN GROUP, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BALLARD, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BOYSEN, CAREY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRADEN, ADAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CECIL, CAITLIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FAZIO, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FINN, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (9)
| Date | Type | Amount |
|---|---|---|
| 2025-07-21 | Fine | $196K |
| 2025-07-21 | Payment Denial | 68 days |
| 2025-04-03 | Payment Denial | 43 days |
| 2024-09-19 | Fine | $23K |
| 2024-06-27 | Fine | $55K |
| 2024-06-27 | Payment Denial | 42 days |
| 2024-02-27 | Fine | $53K |
| 2023-06-29 | Payment Denial | 48 days |
| 2023-06-29 | Fine | $13K |
Health Deficiencies (67)
2025-09-17 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F865 · Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
D
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-07-21 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
G
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
F578 · 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.
2025-05-29 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-04-03 · Health
D
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-09-19 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F842 · 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.
G
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
E
F557 · Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
2024-08-18 · Health
J
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-06-27 · Health
E
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-05-03 · Health
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-02-27 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · 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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-01-10 · Health
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-10-09 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-08-08 · Health
J
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2023-06-29 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
C
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
F578 · 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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.65
RN Hrs/Resident/Day0.54
0.82
LPN Hrs/Resident/Day0.81
0.34
CNA Hrs/Resident/Day2.33
2.49
PT Hrs/Resident/Day0.12
0.04
Data as of 2026-03-01