Cedar Manor Nursing Home
1200 Mulberry Street
Tipton, IA, 52772
5638862133
CCN: 165599
4
Overall3
Health4
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| FORD, CATHY | CORPORATE DIRECTOR | NOT APPLICABLE |
| JEDLICKA, DALE | CORPORATE DIRECTOR | NOT APPLICABLE |
| SLOMA-WEBER, HEATHER | CORPORATE DIRECTOR | NOT APPLICABLE |
| JORGENSEN, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| PELZER, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| SALRIN, THOMAS | CORPORATE OFFICER | NOT APPLICABLE |
| SUCHOMEL, SUE | CORPORATE OFFICER | NOT APPLICABLE |
| CLARENCE NURSING HOME INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VALET, CALLIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GAMA, JULIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KNIPE, TERESA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MILLER, BART | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PAUL, RHONDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHUETT, CLAYTON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TJADEN, JASON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (3)
| Date | Type | Amount |
|---|---|---|
| 2024-05-01 | Fine | $24K |
| 2023-12-07 | Fine | $8K |
| 2023-06-29 | Fine | $12K |
Health Deficiencies (15)
2025-11-20 · Health
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
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.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-10-03 · Health
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
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2024-05-01 · Health
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.
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
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-12-07 · Health
G
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2023-06-29 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F800 · Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.93
RN Hrs/Resident/Day0.54
0.82
LPN Hrs/Resident/Day0.81
0.30
CNA Hrs/Resident/Day2.33
2.81
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01