Nursing home · Top rated by CMS
On With Life Long Term Care
1002 W Washington Ave., Polk City, IA 50225 · Map
Non profit - Corporation · 40 certified beds
On With Life Long Term Care is a Medicare-certified nursing home in Polk City, Iowa. CMS rates it 5 out of 5 stars overall. Its most recent inspection on Dec 31, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How On With Life Long Term Care compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 3.83 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.73 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.53 | 2.34 | — |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 1.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 5, 2025 inspection was corrected by August 27, 2025
What inspectors found at On With Life Long Term Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 5, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 12, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 12, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Sep 28, 2023 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 28, 2023
Show all 7 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Sep 28, 2023 - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Sep 28, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1002 W Washington Ave.
Polk City, IA 50225 - CMS certification #
- 165281
- Ownership
- Non profit - Corporation
- Certified beds
- 40
- Avg residents/day
- 38.2
- Provider type
- Medicare and Medicaid
- First certified
- 1996-07-03
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around On With Life Long Term Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Broadlawns Medical Center, Des Moines. 11.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Granger Nursing & Rehabilitation Center, Granger. 5.5 miles away, straight line.
- Nearest home health agency office
- Childserve Home Care Inc, Johnston. 7.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 6.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50225 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Ankeny Dialysis, Ankeny, 6.4 miles away, straight line (CMS rating 4 of 5 stars)
Davita Windsor Heights Dialysis, Windsor Heights, 11.9 miles away, straight line (CMS rating 3 of 5 stars)
Davita West Des Moines Dialysis, West Des Moines, 12.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 50225.
St Croix Hospice, office in Ankeny, 8.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Unitypoint Hospice, office in Urbandale, 9.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Everystep, office in Des Moines, 13.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 44.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is On With Life Long Term Care a good nursing home?
CMS gives On With Life Long Term Care an overall rating of 5 out of 5 stars. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has On With Life Long Term Care had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does On With Life Long Term Care have?
On With Life Long Term Care is certified for 40 beds.