Bishop Drumm Retirement Center
A nursing home in Johnston, Iowa 50131
5837 Winwood Drive, Johnston, Iowa 50131. (515) 270-1100.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 26 health citations at the latest inspection cycle Iowa average: 6.6
- 3.55 nurse hours per resident per day Iowa average: 3.86
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
26 health citations at the latest inspection cycle
The Iowa average is 6.6.
Last standard inspection Jul 21, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Aug 18, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
58 citations in 13 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 58 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 50 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 13, 2026: complaint inspection1 citation
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jun 11, 2026: complaint inspection6 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Feb 18, 2026: complaint inspection10 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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.
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Ensure that residents are free from significant medication errors.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Provide and implement an infection prevention and control program.
Sep 17, 2025: complaint inspection8 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Provide and implement an infection prevention and control program.
Jul 21, 2025: standard inspection5 citations
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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.
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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.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jul 21, 2025: standard and complaint inspection4 citations
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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.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
Provide and implement an infection prevention and control program.
May 29, 2025: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 3, 2025: complaint inspection4 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Sep 19, 2024: standard inspection3 citations
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Provide enough food/fluids to maintain a resident’s health.
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Provide and implement an infection prevention and control program.
Sep 19, 2024: standard and complaint inspection1 citation
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 18, 2024: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jun 27, 2024: complaint inspection3 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
May 3, 2024: complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 27, 2024: complaint inspection6 citations
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Provide and implement an infection prevention and control program.
Jan 10, 2024: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 1, 2002.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, church related.
- 150 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $258,177 in all.
- 3 Medicare payment denials in the last three years.
- 50 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 21, 2025 | Medicare payment denial | Not given |
| Jul 21, 2025 | Fine | $127,088 |
| Apr 3, 2025 | Medicare payment denial | Not given |
| Sep 19, 2024 | Fine | $22,588 |
| Jun 27, 2024 | Medicare payment denial | Not given |
| Jun 27, 2024 | Fine | $55,424 |
| Feb 27, 2024 | Fine | $53,077 |
Who does the caring?
3.55 nurse hours per resident per day
The Iowa average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Iowa average |
|---|---|---|
| Nurse hours per resident per day | 3.55 | 3.86 |
| Of which registered nurses | 0.78 | 0.74 |
| At weekends | 3.06 | 3.38 |
| Nursing staff turnover | 29.5% | 44.1% |
| Registered nurse turnover | 23.1% | 42.1% |
| Administrators who left | 0 | Not given |
Who owns it?
- Sylvania Franciscan Health owns 100% directly since Jul 1, 2016.
- Commonspirit Health and Ulrichpinciotti Design Group, LLC and Reliant Care Pharmacy Services LLC and Concept Rehab, Inc. and Ohio Newspapers, Inc. and Forvis Mazars LLP and The Northern Trust Company run it.
- 58 owners or officers are people: Ted Hazard (corporate director); Ted Hazard (runs it (operational or managerial control)); Ted Hazard (additional disclosable party (controls, leases property to, or provides services to the home)); Joan Longhin-Howard (runs it (operational or managerial control)); Joan Longhin-Howard (additional disclosable party (controls, leases property to, or provides services to the home)); Trestin Lang (runs it (operational or managerial control)); Caitlin Cecil (corporate director); Caitlin Cecil (runs it (operational or managerial control)); Caitlin Cecil (additional disclosable party (controls, leases property to, or provides services to the home)); Stacey Grubbs (corporate director); Stacey Grubbs (runs it (operational or managerial control)); Stacey Grubbs (additional disclosable party (controls, leases property to, or provides services to the home)); Carey Boysen (runs it (operational or managerial control)); Ryan Trosen (runs it (operational or managerial control)); Brenda Ballard (runs it (operational or managerial control)); Michaela Keller (runs it (operational or managerial control)); Dianne Mcfarland (runs it (operational or managerial control)); Dianne Mcfarland (additional disclosable party (controls, leases property to, or provides services to the home)); Terika Richardson Mbanu (on the governing body (managing control)); Angela Herrera (runs it (operational or managerial control)); Mitch Melfi (on the governing body (managing control)); Adam Braden (runs it (operational or managerial control)); Adam Braden (additional disclosable party (controls, leases property to, or provides services to the home)); Scott T Hanson (runs it (operational or managerial control)); Scott T Hanson (additional disclosable party (controls, leases property to, or provides services to the home)); Mary Rebik (runs it (operational or managerial control)); Christopher Fazio (runs it (operational or managerial control)); Jennifer Nagel (corporate director); Jennifer Nagel (runs it (operational or managerial control)); Jennifer Nagel (additional disclosable party (controls, leases property to, or provides services to the home)); Casey Howard (runs it (operational or managerial control)); Casey Howard (additional disclosable party (controls, leases property to, or provides services to the home)); Lori Miller (runs it (operational or managerial control)); Gina Lucas (additional disclosable party (controls, leases property to, or provides services to the home)); Heather Rehmer (corporate officer); Heather Rehmer (runs it (operational or managerial control)); Heather Rehmer (additional disclosable party (controls, leases property to, or provides services to the home)); Prentice Lipsey (corporate officer); Prentice Lipsey (on the governing body (managing control)); Barbara Snodgrass (corporate director); Barbara Snodgrass (additional disclosable party (controls, leases property to, or provides services to the home)); Matthew Wine (corporate director); Matthew Wine (runs it (operational or managerial control)); Matthew Wine (additional disclosable party (controls, leases property to, or provides services to the home)); Christina Finn (corporate director); Christina Finn (runs it (operational or managerial control)); Christina Finn (additional disclosable party (controls, leases property to, or provides services to the home)); Alisa Iffland (corporate officer); Alisa Iffland (runs it (operational or managerial control)); Alisa Iffland (additional disclosable party (controls, leases property to, or provides services to the home)); Shelly Murriel (corporate director); Shelly Murriel (runs it (operational or managerial control)); Shelly Murriel (additional disclosable party (controls, leases property to, or provides services to the home)); Kyle Munroe (corporate director); Kyle Munroe (runs it (operational or managerial control)); Kyle Munroe (additional disclosable party (controls, leases property to, or provides services to the home)); Cassie Stevenson (additional disclosable party (controls, leases property to, or provides services to the home)); Janet Naset-Payne (runs it (operational or managerial control)).
- Part of Commonspirit Health (18 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sylvania Franciscan Health | Owns 5% or more directly | 100% | Jul 1, 2016 |
| Commonspirit Health | Owns 5% or more through other companies | 100% | Jul 1, 2016 |
| Sylvania Franciscan Health | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2016 | |
| Commonspirit Health | Runs it (operational or managerial control) | Jul 1, 2016 | |
| Commonspirit Health | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2016 | |
| Ulrichpinciotti Design Group, LLC | Runs it (operational or managerial control) | Jul 1, 2011 | |
| Reliant Care Pharmacy Services LLC | Runs it (operational or managerial control) | Feb 1, 2024 | |
| Reliant Care Pharmacy Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| Concept Rehab, Inc. | Runs it (operational or managerial control) | Jul 1, 2016 | |
| Concept Rehab, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 24, 2025 | |
| Ohio Newspapers, Inc. | Runs it (operational or managerial control) | Jul 1, 2011 | |
| Ohio Newspapers, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 24, 2025 | |
| Forvis Mazars LLP | Runs it (operational or managerial control) | Aug 16, 2019 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 24, 2025 | |
| The Northern Trust Company | Runs it (operational or managerial control) | Jul 1, 2016 | |
| The Northern Trust Company | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 24, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Iowa average 3.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 5.5 miles, this one had the 2nd most health citations at the latest inspection cycle (26; the middle value was 8).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Bishop Drumm Retirement Center This nursing home | 26 | |
| Childserve Habilitation Center | 0.5 | 3 |
| Royal Oaks Nursing and Rehabilitation Center | 2.4 | 23 |
| Brio of Johnston, LLC | 2.6 | 5 |
| Karen Acres Care Center | 3.1 | 3 |
| Calvin Community | 3.9 | 8 |
| Ramsey Village | 4.8 | 12 |
| On With Life | 5.1 | 1 |
| Iowa Jewish Senior Life Center | 5.3 | 5 |
| Sunny View Care Center | 5.3 | 9 |
| The Bridges at Ankeny | 5.3 | 8 |
| Pine Acres Rehabilitation and Care Center | 5.5 | 35 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.