On With Life Long Term Care

1002 W Washington Ave.
Polk City, IA, 50225
5154219200
CCN: 165281
5
Overall
5
Health
—
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
SHELTON, JEANETTECORPORATE OFFICERNOT APPLICABLE
ON WITH LIFE EXTENDED SERVICES LTDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ON WITH LIFE INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LEWIS, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SHELTON, JEANETTEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOREMAN, JIMW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (7)
2025-08-05 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-12-12 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
2023-09-28 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
No data
3.68
RN Hrs/Resident/Day
No data
0.54
LPN Hrs/Resident/Day
No data
0.81
CNA Hrs/Resident/Day
No data
2.33
PT Hrs/Resident/Day
No data
0.12
Data as of 2026-03-01