Story Medical Senior Care
Nevada, Iowa · CCN 16E277
19 surveys since 2010. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 57
- Surveys
- 19
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- Government - County
- Chain
- Independent
- County
- Story
- Medicare-certified since
- 1974
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=15, floor 20).
Last survey on record
Nov 19, 2025
355 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.79 | 4.26 |
| Registered-nurse hours per resident day | 1.12 | — |
| Annual nurse turnover | 29.3% | 30.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D240.0% | E360.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at Story Medical Senior Care, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF610Nov 19, 2025
Based on clinical record review, staff interviews, family interview and policy review, the facility failed to complete a thorough investigation and take steps to ensure resident safety after alleged abuse for 1 of 3 residents reviewed for abuse (Resident #1). The facility reported a census of 57 residents. Findings include: The Minimum Data Set (MDS), dated [DATE], documented Resident #1 had a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The MDS documented diagnoses to include debility, cardiorespiratory conditions, heart failure, renal insufficiency, diabetes mellitus, unspecified macular degeneration, anxiety disorder and depression. The resident was dependent on toileting hygiene and required substantial/maximal assistance with toilet transfer. […]
- No harm, potential for more than minimal, patternF812May 9, 2024
Based on observation, facility staff interview, and facility policy the facility failed to meet professional standards of food service sanitation during meal service. The facility reported a census of 48. Findings include: On 5/8/24 at 11:45 AM during an observation of the meal service on first floor dining room, witnessed Staff B, Cook, remove the stainless steel covering off the food and placed the lids upright, alongside the cabinet, behind the steam table. The lids touched the floor. Interview on 5/8/24 at 12:30 PM Staff A, Dietitian, reported the covers are usually set alongside the food on the table. Staff B didn't place the lids appropriately. […]
- No harm, potential for more than minimal, patternF943May 9, 2024
Based on personnel file review, facility policy, and staff interview, the facility failed to assure 3 of 5 staff met the requirements for Mandatory Adult Abuse Training (Staff D, Staff E, and Staff F). The facility reported a census for 48 residents. Findings include: The New Hires Since Last Survey Form provided by the facility listed the following staff with hire dates: a. Staff D, Certified Nursing Assistant (CNA): 5/22/23. b. Staff E, Food Nutrition Services (FNS): 6/13/23. c. Staff F, FNS: 7/7/23. Staff D's personnel file lacked a two-hour Dependent Adult Abuse Mandatory Reporter Training until 1/24/24. […]
- No harm, potential for more than minimal, isolatedF609Nov 19, 2025
Based on clinical record review, staff interviews, family interview and policy review, the facility failed to report an allegation of alleged abuse to the State survey and certification agency for 1 of 3 residents reviewed for abuse (Resident #1). The facility reported a census of 57 residents. Findings include: The Minimum Data Set (MDS), dated [DATE], documented Resident #1 had a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The MDS documented diagnoses to include debility, cardiorespiratory conditions, heart failure, renal insufficiency, diabetes mellitus, unspecified macular degeneration, anxiety disorder and depression. The resident was dependent on toileting hygiene and required substantial/maximal assistance with toilet transfer. […]
- No harm, potential for more than minimal, isolatedF644Apr 3, 2025
Based on clinical record review, staff interview and policy review, the facility failed to submit a Level II Preadmission Screening and Resident Review (PASSR) evaluation for 1 of 1 residents reviewed with a new mental health diagnosis and initiation of a psychotropic medication (Resident #17). The facility reported a census of 54 residents. Findings include: Resident #17's Minimum Data Set (MDS) assessment dated [DATE] included a diagnosis of delusional disorder. The MDS reflected Resident #17 received an antidepressant on a routine basis during the lookback period. The Care Plan initiated 5/24/24 indicated Resident #17 received the antidepressant Lexapro due to his diagnosis of delusions and anxiety. […]
Read 23 findings in full →The most serious and the most recent: 23 of 57 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 19, 2025Complaint2 findings
- Apr 3, 2025Standard1 finding
- May 9, 2024Standard2 findings
- Feb 2, 2023Standard4 findings
- Sep 1, 2021Standard6 findings
- Nov 7, 2019Standard4 findings
- Nov 14, 2018Complaint1 finding
- Aug 23, 2018Standard3 findings · 2 harm
Show the 11 earlier surveys
- May 24, 2017Standard1 finding
- Apr 21, 2016Standard2 findings
- Mar 17, 2016Complaint1 finding · 1 harm
- Jun 18, 2015Standard4 findings
- Sep 23, 2014Complaint2 findings
- May 8, 2014Standard3 findings
- Sep 13, 2013—2 findings
- Feb 28, 2013—4 findings
- Mar 7, 2012—1 finding
- Feb 3, 2012—10 findings
- Dec 13, 2010—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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