Bishop Drumm Retirement Center
5837 Winwood Drive, Johnston, IA 50131 · CCN 165448
SFF Candidate
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 150
- Avg residents/day
- 116.8
- Phone
- 5152701100
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-21 | 23 | 6.2 | 9.5 | +16.8 worse |
| 2 | 2024-09-19 | 11 | 7.0 | 9.8 | +4.0 worse |
| 3 | 2023-06-29 | 33 | 7.9 | 9.3 | +25.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 9 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 3 |
| Resident rights | 4 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.65 | 40.0% |
| RN staffing (reported) | 0.82 | 55.2% |
| Total nurse staffing (adjusted) | 3.82 | — |
Fines & penalties
- Total fines
- $339,258
- Number of fines
- 5
- Number of penalties
- 9
- Payment denials
- 4
Chain
- Chain
- COMMONSPIRIT HEALTH
- Facilities in chain
- 19
- Chain avg overall
- 2.90 / 5
Inspection citations (67)3 immediate jeopardy6 actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-17 · Health · corrected 2025-10-16
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-17 · Health · corrected 2025-10-16
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-17 · Health · corrected 2025-10-16
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-17 · Health · corrected 2025-10-16
Potential for more than minimal harm
- DF0693Ensure 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.2025-09-17 · Health · corrected 2025-10-16
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-09-17 · Health · corrected 2025-10-16
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-09-17 · Health · corrected 2025-10-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-09-17 · Health · corrected 2025-10-16
Potential for more than minimal harm
- DF0578Honor 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.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0584Honor 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.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- GF0688Provide 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.2025-07-21 · Health · corrected 2025-07-30
Actual harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-21 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-29 · Health · corrected 2025-06-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-29 · Health · corrected 2025-06-11
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-03 · Health · corrected 2025-06-11
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-06-11
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-03 · Health · corrected 2025-04-22
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-04-03 · Health · corrected 2025-04-22
Potential for more than minimal harm
- EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-09-19 · Health · corrected 2024-10-09
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-09-19 · Health · corrected 2024-10-09
Actual harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-19 · Health · corrected 2024-10-09
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-09-19 · Health · corrected 2024-10-09
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-18 · Health · corrected 2024-09-04
Immediate jeopardy
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-27 · Health · corrected 2024-09-04
Actual harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-06-27 · Health · corrected 2024-07-24
Potential for more than minimal harm
- EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-06-27 · Health · corrected 2024-07-24
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-03 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-03 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-03 · Health · corrected 2024-05-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-27 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-27 · Health · corrected 2024-03-20
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-27 · Health · corrected 2024-03-20
Immediate jeopardy
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-27 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-27 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-27 · Health · corrected 2024-03-20
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-10 · Health · corrected 2024-01-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-09 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-09 · Health · corrected 2023-10-09
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-09 · Health · corrected 2023-10-25
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-09 · Health · corrected 2023-10-25
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-09 · Health · corrected 2023-10-09
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-08 · Health · corrected 2023-08-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-08 · Health · corrected 2023-08-23
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-08 · Health · corrected 2023-10-25
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2023-08-08 · Health · corrected 2023-08-23
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- DF0578Honor 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.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- EF0584Honor 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.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- DF0688Provide 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.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-29 · Health · corrected 2023-08-23
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-29 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-06-29 · Health · corrected 2023-08-23
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
- CF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-06-29 · Health · corrected 2023-07-29
Potential for minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-06-29 · Health · corrected 2023-07-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SYLVANIA FRANCISCAN HEALTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-07-01 |
| COMMONSPIRIT HEALTH | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-07-01 |
| COMMONSPIRIT HEALTH | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| CONCEPT REHAB, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| FORVIS MAZARS LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-16 |
| OHIO NEWSPAPERS, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-07-01 |
| RELIANT CARE PHARMACY SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| THE NORTHERN TRUST COMPANY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| ULRICHPINCIOTTI DESIGN GROUP, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-07-01 |
| BALLARD, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| BOYSEN, CAREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| BRADEN, ADAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-24 |
| CECIL, CAITLIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| FAZIO, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-09 |
| FINN, CHRISTINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| GRUBBS, STACEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| HANSON, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| HAZARD, TED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| HERRERA, ANGELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-02 |
| HOWARD, CASEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| IFFLAND, ALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| KELLER, MICHAELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-08 |
| LANG, TRESTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-15 |
| LONGHIN-HOWARD, JOAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| MILLER, LORI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| MUNROE, KYLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| MURRIEL, SHELLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| NAGEL, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| NASET-PAYNE, JANET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-24 |
| REBIK, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-10 |
| REHMER, HEATHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-05 |
| SOUKUP-MCFARLAND, DIANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-18 |
| TROSEN, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-26 |
| WINE, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 |
| CECIL, CAITLIN | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| FINN, CHRISTINA | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| GRUBBS, STACEY | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| HAZARD, TED | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| MUNROE, KYLE | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| MURRIEL, SHELLY | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| NAGEL, JENNIFER | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| SNODGRASS, BARBARA | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| WINE, MATTHEW | Individual | CORPORATE DIRECTOR | — | 2016-07-01 |
| IFFLAND, ALISA | Individual | CORPORATE OFFICER | — | 2016-09-13 |
| LIPSEY, PRENTICE | Individual | CORPORATE OFFICER | — | 2021-09-17 |
| REHMER, HEATHER | Individual | CORPORATE OFFICER | — | 2024-06-25 |
Other facilities in Johnston
| Name | Overall | Beds |
|---|---|---|
| Brio of Johnston, LLC | ★★★★★ | 36 |
| Childserve Habilitation Center | ★★★★★ | 74 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.