Bishop Drumm Retirement Center

5837 Winwood Drive, Johnston, IA 50131 · CCN 165448 · 150 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2025-09-17 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-07-21 — ACTUAL HARM (tag F0688, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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.

2025-04-03 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-04-03 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-09-19 — ACTUAL HARM (tag F0692, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide enough food/fluids to maintain a resident's health.

2024-08-18 — IMMEDIATE JEOPARDY (tag F0686, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-06-27 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-02-27 — IMMEDIATE JEOPARDY (tag F0686, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.69

state median 3.10

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.63

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

35%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

7 enforcement action(s), totaling $258,177 in fines.

Date	Type	Amount
2025-07-21	Fine	$127,088
2025-07-21	Payment Denial	payment denial
2025-04-03	Payment Denial	payment denial
2024-09-19	Fine	$22,588
2024-06-27	Fine	$55,424
2024-06-27	Payment Denial	payment denial
2024-02-27	Fine	$53,077

Ownership

Ownership type: Non profit - Church related. Part of the COMMONSPIRIT HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO (SAN BERNARDINO, CA) — CMS overall5 of 5
MOUNT ST FRANCIS NURSING CENTER (COLORADO SPRINGS, CO) — CMS overall2 of 5
Madonna Manor (Villa Hills, KY) — CMS overall1 of 5
ST FRANCIS HOME (BRECKENRIDGE, MN) — CMS overall5 of 5
LAKEWOOD CARE CENTER (BAUDETTE, MN) — CMS overall4 of 5
CHI Health St. Francis (Grand Island, NE) — CMS overall3 of 5
GARRISON MEM HOSP NSG FAC (GARRISON, ND) — CMS overall2 of 5
ST LEONARD HCC (CENTERVILLE, OH) — CMS overall3 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 6 · Potential for more than minimal harm: 67 · Immediate jeopardy: 3

Survey date	Tag	Category	Severity	Corrected
2026-02-18	F0550	Resident Rights Deficiencies	D	not recorded
2026-02-18	F0580	Resident Rights Deficiencies	D	not recorded
2026-02-18	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-02-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-02-18	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2026-02-18	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2026-02-18	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-02-18	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-18	F0865	Administration Deficiencies	F	not recorded
2026-02-18	F0880	Infection Control Deficiencies	E	not recorded
2025-09-17	F0580	Resident Rights Deficiencies	D	not recorded
2025-09-17	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-17	F0686	Quality of Life and Care Deficiencies	G	not recorded
2025-09-17	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-09-17	F0693	Quality of Life and Care Deficiencies	D	not recorded
2025-09-17	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2025-09-17	F0865	Administration Deficiencies	F	not recorded
2025-09-17	F0880	Infection Control Deficiencies	D	not recorded
2025-07-21	F0578	Resident Rights Deficiencies	D	not recorded
2025-07-21	F0584	Resident Rights Deficiencies	D	not recorded
2025-07-21	F0628	Resident Rights Deficiencies	D	not recorded
2025-07-21	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-07-21	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-07-21	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-07-21	F0688	Quality of Life and Care Deficiencies	G	not recorded
2025-07-21	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2025-07-21	F0880	Infection Control Deficiencies	D	not recorded
2025-05-29	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-05-29	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-04-03	F0684	Quality of Life and Care Deficiencies	G	not recorded
2025-04-03	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-04-03	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-04-03	F0925	Environmental Deficiencies	D	not recorded
2024-09-19	F0557	Resident Rights Deficiencies	E	not recorded
2024-09-19	F0692	Quality of Life and Care Deficiencies	G	not recorded
2024-09-19	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-09-19	F0880	Infection Control Deficiencies	E	not recorded
2024-08-18	F0686	Quality of Life and Care Deficiencies	J	not recorded
2024-06-27	F0686	Quality of Life and Care Deficiencies	G	not recorded
2024-06-27	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2024-06-27	F0835	Administration Deficiencies	E	not recorded
2024-05-03	F0550	Resident Rights Deficiencies	D	not recorded
2024-05-03	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-05-03	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-02-27	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-02-27	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-02-27	F0686	Quality of Life and Care Deficiencies	J	not recorded
2024-02-27	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-02-27	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-02-27	F0880	Infection Control Deficiencies	D	not recorded
2024-01-10	F0550	Resident Rights Deficiencies	E	not recorded
2023-10-09	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-10-09	F0690	Quality of Life and Care Deficiencies	D	not recorded
2023-10-09	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2023-10-09	F0867	Administration Deficiencies	E	not recorded
2023-10-09	F0880	Infection Control Deficiencies	E	not recorded
2023-08-08	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-08-08	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-08-08	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2023-08-08	F0760	Pharmacy Service Deficiencies	J	not recorded
2023-06-29	F0550	Resident Rights Deficiencies	D	not recorded
2023-06-29	F0578	Resident Rights Deficiencies	D	not recorded
2023-06-29	F0584	Resident Rights Deficiencies	E	not recorded
2023-06-29	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-29	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-29	F0677	Quality of Life and Care Deficiencies	E	not recorded
2023-06-29	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-06-29	F0688	Quality of Life and Care Deficiencies	D	not recorded
2023-06-29	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-06-29	F0690	Quality of Life and Care Deficiencies	D	not recorded
2023-06-29	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2023-06-29	F0756	Pharmacy Service Deficiencies	D	not recorded
2023-06-29	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2023-06-29	F0880	Infection Control Deficiencies	D	not recorded
2023-06-29	F0881	Infection Control Deficiencies	E	not recorded
2023-06-29	F0882	Infection Control Deficiencies	C	not recorded
2023-06-29	F0883	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Bishop Drumm Retirement Center, Johnston” at medicare.gov/care-compare.