Bishop Drumm Retirement Center

5837 Winwood Drive
Johnston, IA, 50131
5152701100
CCN: 165448
2
Overall
1
Health
4
Staffing
5
Quality
ChainCOMMONSPIRIT HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
SYLVANIA FRANCISCAN HEALTH5% OR GREATER DIRECT OWNERSHIP INTEREST100%
COMMONSPIRIT HEALTH5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
CECIL, CAITLINCORPORATE DIRECTORNOT APPLICABLE
FINN, CHRISTINACORPORATE DIRECTORNOT APPLICABLE
GRUBBS, STACEYCORPORATE DIRECTORNOT APPLICABLE
HAZARD, TEDCORPORATE DIRECTORNOT APPLICABLE
MUNROE, KYLECORPORATE DIRECTORNOT APPLICABLE
MURRIEL, SHELLYCORPORATE DIRECTORNOT APPLICABLE
NAGEL, JENNIFERCORPORATE DIRECTORNOT APPLICABLE
SNODGRASS, BARBARACORPORATE DIRECTORNOT APPLICABLE
WINE, MATTHEWCORPORATE DIRECTORNOT APPLICABLE
IFFLAND, ALISACORPORATE OFFICERNOT APPLICABLE
LIPSEY, PRENTICECORPORATE OFFICERNOT APPLICABLE
REHMER, HEATHERCORPORATE OFFICERNOT APPLICABLE
GRUBBS, STACEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HANSON, SCOTTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAZARD, TEDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HERRERA, ANGELAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOWARD, CASEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
IFFLAND, ALISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KELLER, MICHAELAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LANG, TRESTINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LONGHIN-HOWARD, JOANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MILLER, LORIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MUNROE, KYLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MURRIEL, SHELLYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NAGEL, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
REBIK, MARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
REHMER, HEATHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SOUKUP-MCFARLAND, DIANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TROSEN, RYANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WINE, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NASET-PAYNE, JANETOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COMMONSPIRIT HEALTHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CONCEPT REHAB, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FORVIS MAZARS LLPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OHIO NEWSPAPERS, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RELIANT CARE PHARMACY SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
THE NORTHERN TRUST COMPANYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ULRICHPINCIOTTI DESIGN GROUP, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BALLARD, BRENDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BOYSEN, CAREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRADEN, ADAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CECIL, CAITLINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FAZIO, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FINN, CHRISTINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (9)
DateTypeAmount
2025-07-21Fine$196K
2025-07-21Payment Denial68 days
2025-04-03Payment Denial43 days
2024-09-19Fine$23K
2024-06-27Fine$55K
2024-06-27Payment Denial42 days
2024-02-27Fine$53K
2023-06-29Payment Denial48 days
2023-06-29Fine$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/Day
3.65
3.68
RN Hrs/Resident/Day
0.82
0.54
LPN Hrs/Resident/Day
0.34
0.81
CNA Hrs/Resident/Day
2.49
2.33
PT Hrs/Resident/Day
0.04
0.12
Data as of 2026-03-01