Deficiency Index

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
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/19

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

MeasureThis facilityPeer median
Nurse hours per resident day4.794.26
Registered-nurse hours per resident day1.12—
Annual nurse turnover29.3%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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD240.0%E360.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 5 of the 57 citations on record.

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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction