Nursing homes › Iowa › On With Life Long Term Care
1002 W Washington Ave., Polk City, IA 50225 · 5154219200 · 40 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
All-time on record: 7 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-08-27 |
| 2024-12-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-31 |
| 2024-12-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-12-31 |
| 2023-09-28 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-10-20 |
| 2023-09-28 | 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 2023-10-28 |
| 2023-09-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-09-29 |
| 2023-09-28 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-10-20 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FORS, RUDY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 01/01/2024 |
| HOOGESTRAAT, DIANA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 01/01/2024 |
| BENSON LARSON, KATE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| FORS, RUDY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| HOOGESTRAAT, DIANA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| SNYDER, JOHN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| SHELTON, JEANETTE | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2017 |
| ON WITH LIFE EXTENDED SERVICES LTD | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2011 |
| ON WITH LIFE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2001 |
| LEWIS, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2019 |
| SHELTON, JEANETTE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165281. Corrections: data@carerecords.org.