Bishop Drumm Retirement Center

Nursing Home · Johnston, IA

CMS overall rating 1/5 SFF candidate Non profit - Church related

CMS certification number165448
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

5837 Winwood Drive
Johnston, IA 50131
Polk County
Phone
(515) 270-1100
ZIP code
50131 – all care providers

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Facility details

Certified beds
150
Residents per day
120.3 (80% occupied)
Ownership
Non profit - Church related
Legal name
CHI Living Communities
Chain
Commonspirit Health (18 facilities, avg 2.7★)
Medicare certified since
June 1, 2002
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.64 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.81 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.29 (state 0.56 · U.S. 0.86)
Nurse aides
2.54 (state 2.51 · U.S. 2.32)
Weekend total
3.18 (state 3.37 · U.S. 3.42)
Nursing staff turnover
34.9 (state 44.0 · U.S. 45.8)%
RN turnover
32.1 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 21, 2025
Health deficiencies (last cycle)
33.0 (state 6.5 · U.S. 9.3)
From complaints
28
Citations on record (3 years)
70 health · 10 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-11 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-11 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-02-18 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2026-02-18 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-20
2025-09-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-10-16
2025-09-17 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-17 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-17 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-17 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-17 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-17 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-07-21 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.
F0688 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-07-30
2025-07-21 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-07-21 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-07-21 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-07-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-07-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-07-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-07-21 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-07-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-30
2025-05-29 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-11
2025-05-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-11
2025-04-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-06-11
2025-04-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-06-11
2025-04-03 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-22
2025-04-03 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-22
2024-09-19 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-10-09
2024-09-19 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-09
2024-09-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-09
2024-09-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-09
2024-08-18 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-09-04
2024-06-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-09-04
2024-06-27 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-07-24
2024-06-27 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-24
2024-05-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-17
2024-05-03 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-17
2024-05-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

7 penalties in the last three years, including $258,177 in fines.

DateTypeAmount
2025-07-21Payment Denial68 days payment denial
2025-07-21Fine$127,088
2025-04-03Payment Denial43 days payment denial
2024-09-19Fine$22,588
2024-06-27Payment Denial42 days payment denial
2024-06-27Fine$55,424
2024-02-27Fine$53,077

Ownership & management

NameRoleSince
Sylvania Franciscan Health (organization)5%+ Direct Ownership Interest · 100%
Commonspirit Health (organization)5%+ Indirect Ownership Interest · 100%
Braden, Adam (individual)Administrator · NOT APPLICABLE
Cecil, Caitlin (individual)Administrator · NOT APPLICABLE
Commonspirit Health (organization)Administrator · NOT APPLICABLE
Concept Rehab, INC. (organization)Administrator · NOT APPLICABLE
Finn, Christina (individual)Administrator · NOT APPLICABLE
Forvis Mazars LLP (organization)Administrator · NOT APPLICABLE
Grubbs, Stacey (individual)Administrator · NOT APPLICABLE
Hanson, Scott (individual)Administrator · NOT APPLICABLE
Hazard, Ted (individual)Administrator · NOT APPLICABLE
Howard, Casey (individual)Administrator · NOT APPLICABLE
Iffland, Alisa (individual)Administrator · NOT APPLICABLE
Longhin-Howard, Joan (individual)Administrator · NOT APPLICABLE
Lucas, Gina (individual)Administrator · NOT APPLICABLE
McFarland, Dianne (individual)Administrator · NOT APPLICABLE
Munroe, Kyle (individual)Administrator · NOT APPLICABLE
Murriel, Shelly (individual)Administrator · NOT APPLICABLE
Nagel, Jennifer (individual)Administrator · NOT APPLICABLE
Ohio Newspapers, INC. (organization)Administrator · NOT APPLICABLE
Rehmer, Heather (individual)Administrator · NOT APPLICABLE
Reliant Care Pharmacy Services LLC (organization)Administrator · NOT APPLICABLE
Snodgrass, Barbara (individual)Administrator · NOT APPLICABLE
Stevenson, Cassie (individual)Administrator · NOT APPLICABLE
Sylvania Franciscan Health (organization)Administrator · NOT APPLICABLE
The Northern Trust Company (organization)Administrator · NOT APPLICABLE
Wine, Matthew (individual)Administrator · NOT APPLICABLE
Cecil, Caitlin (individual)Corporate Director · NOT APPLICABLE
Finn, Christina (individual)Corporate Director · NOT APPLICABLE
Grubbs, Stacey (individual)Corporate Director · NOT APPLICABLE
Hazard, Ted (individual)Corporate Director · NOT APPLICABLE
Munroe, Kyle (individual)Corporate Director · NOT APPLICABLE
Murriel, Shelly (individual)Corporate Director · NOT APPLICABLE
Nagel, Jennifer (individual)Corporate Director · NOT APPLICABLE
Snodgrass, Barbara (individual)Corporate Director · NOT APPLICABLE
Wine, Matthew (individual)Corporate Director · NOT APPLICABLE
Iffland, Alisa (individual)Corporate Officer · NOT APPLICABLE
Lipsey, Prentice (individual)Corporate Officer · NOT APPLICABLE
Rehmer, Heather (individual)Corporate Officer · NOT APPLICABLE
Lipsey, Prentice (individual)Managing Control - Governing Body · NOT APPLICABLE
Mbanu, Terika (individual)Managing Control - Governing Body · NOT APPLICABLE
Melfi, Mitch (individual)Managing Control - Governing Body · NOT APPLICABLE
Ballard, Brenda (individual)Operational/managerial Control · NOT APPLICABLE
Boysen, Carey (individual)Operational/managerial Control · NOT APPLICABLE
Braden, Adam (individual)Operational/managerial Control · NOT APPLICABLE
Cecil, Caitlin (individual)Operational/managerial Control · NOT APPLICABLE
Commonspirit Health (organization)Operational/managerial Control · NOT APPLICABLE
Concept Rehab, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Fazio, Christopher (individual)Operational/managerial Control · NOT APPLICABLE
Finn, Christina (individual)Operational/managerial Control · NOT APPLICABLE
Forvis Mazars LLP (organization)Operational/managerial Control · NOT APPLICABLE
Grubbs, Stacey (individual)Operational/managerial Control · NOT APPLICABLE
Hanson, Scott (individual)Operational/managerial Control · NOT APPLICABLE
Hazard, Ted (individual)Operational/managerial Control · NOT APPLICABLE
Herrera, Angela (individual)Operational/managerial Control · NOT APPLICABLE
Howard, Casey (individual)Operational/managerial Control · NOT APPLICABLE
Iffland, Alisa (individual)Operational/managerial Control · NOT APPLICABLE
Keller, Michaela (individual)Operational/managerial Control · NOT APPLICABLE
Lang, Trestin (individual)Operational/managerial Control · NOT APPLICABLE
Longhin-Howard, Joan (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Bishop Drumm Retirement Center?

Bishop Drumm Retirement Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Bishop Drumm Retirement Center have?

It has 150 certified beds and cares for about 120 residents per day.

Has Bishop Drumm Retirement Center been fined?

Yes. CMS lists 7 penalties totaling $258,177 in the last three years.

Who owns Bishop Drumm Retirement Center?

It is part of Commonspirit Health and is classified as non profit - church related. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Bishop Drumm Retirement Center?

(515) 270-1100. The facility is located at 5837 Winwood Drive, Johnston, IA 50131.

Other nursing homes in Johnston

Compare all nursing homes in Johnston, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.