Nursing homes › Iowa › Bishop Drumm Retirement Center
5837 Winwood Drive, Johnston, IA 50131 · (515) 270-1100 · 150 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 385 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Commonspirit Health, a group operating 18 facilities in 9 states. Group record: average rating 2.7/5, 2 abuse citation icons, 2 facilities on the Special Focus list, $1,218,755 in federal fines. This facility rates below its group average (2.7/5).
Total nurse staffing: 3.64 (Iowa median: 3.68). RN hours: 0.81. Weekend total: 3.18. Nursing staff turnover: 35%.
In the downloaded CMS dataset: 83 deficiency citations, including 3 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-11 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-11 | Provide and implement an infection prevention and control program. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-02-18 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2026-04-20 |
| 2026-02-18 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | complaint | corrected 2026-04-20 |
| 2026-02-18 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | complaint | corrected 2026-04-20 |
| 2026-02-18 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-04-20 |
| 2026-02-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-04-20 |
| 2026-02-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-04-20 |
| 2026-02-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-20 |
| 2026-02-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-04-20 |
| 2026-02-18 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-04-20 |
| 2026-02-18 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-04-20 |
| 2025-09-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-10-16 |
| 2025-09-17 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | complaint | corrected 2025-10-16 |
| 2025-09-17 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-10-16 |
| 2025-09-17 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-10-16 |
| 2025-09-17 | 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 | complaint | corrected 2025-10-16 |
| 2025-09-17 | 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 | complaint | corrected 2025-10-16 |
| 2025-09-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2025-10-16 |
| 2025-09-17 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-10-16 |
| 2025-07-21 | 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. | G | Health | corrected 2025-07-30 |
| 2025-07-21 | 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 | Health | corrected 2025-07-30 |
| 2025-07-21 | 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 | complaint | corrected 2025-07-30 |
| 2025-07-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-07-30 |
| 2025-07-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-07-30 |
| 2025-07-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-07-30 |
| 2025-07-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-07-30 |
| 2025-07-21 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2025-07-30 |
| 2025-07-21 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-07-30 |
| 2025-05-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-06-11 |
| 2025-05-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-06-11 |
| 2025-04-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-06-11 |
| 2025-04-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-06-11 |
| 2025-04-03 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-04-22 |
| 2025-04-03 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | complaint | corrected 2025-04-22 |
| 2024-09-19 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2024-10-09 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-21 | Fine | $127,088 |
| 2025-07-21 | Payment Denial | 68 days payment denial |
| 2025-04-03 | Payment Denial | 43 days payment denial |
| 2024-09-19 | Fine | $22,588 |
| 2024-06-27 | Fine | $55,424 |
| 2024-06-27 | Payment Denial | 42 days payment denial |
| 2024-02-27 | Fine | $53,077 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SYLVANIA FRANCISCAN HEALTH | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2016 |
| COMMONSPIRIT HEALTH | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 07/01/2016 |
| LIPSEY, PRENTICE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/17/2021 |
| MBANU, TERIKA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/05/2024 |
| MELFI, MITCH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2016 |
| CECIL, CAITLIN | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| FINN, CHRISTINA | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| GRUBBS, STACEY | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| HAZARD, TED | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| MUNROE, KYLE | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| MURRIEL, SHELLY | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| NAGEL, JENNIFER | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| SNODGRASS, BARBARA | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| WINE, MATTHEW | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2016 |
| IFFLAND, ALISA | Corporate Officer | Individual | NOT APPLICABLE | since 09/13/2016 |
| LIPSEY, PRENTICE | Corporate Officer | Individual | NOT APPLICABLE | since 09/17/2021 |
| REHMER, HEATHER | Corporate Officer | Individual | NOT APPLICABLE | since 06/25/2024 |
| COMMONSPIRIT HEALTH | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2016 |
| CONCEPT REHAB, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2016 |
| FORVIS MAZARS LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/16/2019 |
| OHIO NEWSPAPERS, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2011 |
| RELIANT CARE PHARMACY SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2024 |
| THE NORTHERN TRUST COMPANY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2016 |
| ULRICHPINCIOTTI DESIGN GROUP, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2011 |
| BALLARD, BRENDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2016 |
How to cite this page: CareRecords, “Bishop Drumm Retirement Center — compliance, penalty and ownership record” (CCN 165448), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/bishop-drumm-retirement-center-johnston-ia/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165448. Corrections: data@carerecords.org.