SNF
Deerfield Health Care Center
CCN: 165557 · Urbandale, IA 50323 · Polk County
CCRC
Overview
- Address
- 13731 Hickman Road, Urbandale, IA 50323
- Phone
- 5153316900
- Certified beds
- 30
- Avg daily residents
- 23 (76% of beds filled)
- Ownership
- Non-profit (church-affiliated)
- Provider type
- Medicare
- Medicare/Medicaid since
- 2005-07-22
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.82 | 3.86 | 5.82 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.56 | 0.67 | 1.56 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.91 | 0.86 | 0.91 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.35 | 2.33 | 3.36 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.47 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.15 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
5.29
hrs / resident / day
RN (weekend)
1.24
hrs / resident / day
Total nurse (adjusted, weekend)
5.29
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
20.6%
annual
RN turnover
11.1%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.37
higher acuity than avg
Case-Mix Index Ratio
0.99
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-27 | 2 | 2 | 0 | 8 | 1 | 8 |
| Cycle 2/3 (prior) | 2024-04-25 | 2 | 1 | 1 | 8 | 1 | 8 |
Total weighted health score
8.0
lower is better
Deficiencies (4)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
4 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-03-27 | 2025-04-21 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-03-27 | 2025-04-21 |
| 0761 | 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 | 2024-04-25 | 2024-05-10 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-06-09 | 2023-06-10 |
Financial Health (FY 2024)
Operating performance
Operating Margin
-9.4%
Total Margin
32.8%
Occupancy Rate
83.7%
Cost per Resident Day
$86
Revenue & costs
Net Patient Revenue
$4.5M
Total Costs
$786K
Net Income
$2.4M
Balance sheet
Total Assets
$1.5M
Total Liabilities
$164K
Fund Balance
$1.4M
Current Ratio
1.56
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: IMMANUEL
- Chain ID
281- Facilities in chain
- 3
- Legal business name
- IMMANUEL LONG TERM CARE
Chain-average star ratings (for peer context)
Overall
4.7
Health
4.0
Staffing
5.0
QM
4.0
Owner / manager individuals (38)
| Name | Role | Association |
|---|---|---|
| BEAR, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | since 11/13/2017 |
| GURLEY, ERIC | OPERATIONAL/MANAGERIAL CONTROL | since 04/05/2013 |
| HUDNUTT, KARI | OPERATIONAL/MANAGERIAL CONTROL | since 02/16/2023 |
| MASON, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | since 08/01/2021 |
| PALADINO-KAMINSKI, JULIE | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2017 |
| SEALER, TAMARA | OPERATIONAL/MANAGERIAL CONTROL | since 04/05/2013 |
| ALLOWAY, CINDY | CORPORATE DIRECTOR | since 01/01/2018 |
| BALLUFF, MARY | CORPORATE DIRECTOR | since 07/01/2024 |
| BENSON, ELLSWORTH | CORPORATE DIRECTOR | since 05/14/2020 |
| BERGMAN-EVANS, BRENDA | CORPORATE DIRECTOR | since 07/01/2022 |
| BOTHOF, JOHN | CORPORATE DIRECTOR | since 07/01/2023 |
| BULLOCK, STEVE | CORPORATE DIRECTOR | since 07/01/2019 |
| BURNS, RANDAL | CORPORATE DIRECTOR | since 05/14/2020 |
| FRIEDLUND, DANNY | CORPORATE DIRECTOR | since 07/01/2021 |
| GURLEY, ERIC | CORPORATE DIRECTOR | since 04/05/2013 |
| HAWLIK, TERESA | CORPORATE DIRECTOR | since 07/01/2024 |
| HOWERTER, SCOTT | CORPORATE DIRECTOR | since 05/14/2020 |
| JOHNSON, SCOTT | CORPORATE DIRECTOR | since 10/01/2022 |
| NICHOLS, CLARENCE | CORPORATE DIRECTOR | since 01/01/2018 |
| PARKER, MARY | CORPORATE DIRECTOR | since 07/01/2024 |
| POWERS, JILL | CORPORATE DIRECTOR | since 01/01/2018 |
| SCANLAN, STEVEN | CORPORATE DIRECTOR | since 07/01/2022 |
| SKOLKIN, ANDREA | CORPORATE DIRECTOR | since 07/01/2019 |
| THOMPSON, ROGER | CORPORATE DIRECTOR | since 07/01/2024 |
| BEAR, SCOTT | CORPORATE OFFICER | since 11/13/2017 |
Showing 25 of 38 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $86 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.56 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicare Day Share (%) | 17.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $2,375,987 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $4,461,295 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 83.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -9.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,514,803 | metrics.total_assets |
| Cost Report | Total Costs ($) | $786,156 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,350,448 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $164,355 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 32.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.90743 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.35692 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.56000 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.82434 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 5.29201 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 22.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.85608 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.32664 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.67478 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.85750 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.39998 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.7 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 5.0 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 281 | Chain ID |
| Provider Information | Chain Name | IMMANUEL | Chain Name |
| Provider Information | City/Town | Urbandale | City/Town |
| Provider Information | CMS Certification Number (CCN) | 165557 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Polk | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2005-07-22 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.6149 | Latitude |
| Provider Information | Legal Business Name | IMMANUEL LONG TERM CARE | Legal Business Name |
| Provider Information | Location | 13731 Hickman Road,Urbandale,IA,50323 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -93.807 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 30 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 3 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.36654 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.99194 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Church related | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 13731 Hickman Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Deerfield Health Care Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 760 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 8 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 8 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 1 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-04-25 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 8 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 8 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.23922 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 11.1 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.46523 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.90662 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.35394 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.14716 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.55861 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.81917 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 5 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | IA | State |
| Provider Information | Telephone Number | 5153316900 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.28731 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 20.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 8.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 50323 | ZIP Code |