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Nursing Home Violations
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Bishop Drumm Retirement Center, Johnston, Iowa

79
Citations from health inspectionsIowa average: 21 a home
8
Residents harmed or put in dangerIowa average: 1.3 a home
$258,177
Fines from the federal governmentIowa average: $19,286 a home
1 out of 5
Overall rating in starsIowa average: 3.1

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

14 inspection visits produced 79 citations. Residents were in immediate danger in two findings. Residents were found hurt in six cases. Federal fines came to $258,177 (four fines). Three times, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

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Quick Look at the Record

The home's overall star rating
1 out of 5
Rating for health inspections
1 out of 5
Rating for staffing
4 out of 5
Rating for quality of care
3 out of 5
Nurse time for each resident
3.64 hours each dayThe Iowa average is 3.82 hours
Time from registered nurses
0.81 hours each dayThe Iowa average is 0.74 hours
Nursing staff who left during one year
34.9%against the Iowa average of 44%
Beds that are certified
150
Ownership
Church related (non profit)
Chain
Commonspirit Health, with 18 homes
Street address
5837 Winwood Drive, Johnston, Iowa 50131
County
Polk

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Six citations dated June 11, 2026

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

10 citations dated Feb. 18, 2026

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Eight citations dated Sept. 17, 2025

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Nine citations dated July 21, 2025

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F688 Range of Motion and Mobility: residents were harmed, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.

Two citations dated May 29, 2025

  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated April 3, 2025

  • F925 Pest Control Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
  • F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.

Four citations dated Sept. 19, 2024

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F692 Enough Food and Fluids: residents were harmed, one or a few residents.
  • F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, a pattern, several residents.

One citation dated Aug. 18, 2024

  • F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, one or a few residents, found on a complaint visit.

Three citations dated June 27, 2024

  • F835 Run the Facility Effectively: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
  • F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.

Three citations dated May 3, 2024

  • F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Six citations dated Feb. 27, 2024

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Jan. 10, 2024

  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Five citations dated Oct. 9, 2023

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

17 citations dated June 29, 2023

  • F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
  • F882 Qualified Infection Prevention Leader: minimal risk to residents, widespread.
  • F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
  • F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
  • F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
  • F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents.
  • F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
  • F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
  • F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
  • F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
  • F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

DatePenaltyAmount
July 21, 2025Fine$127,088
July 21, 2025Payment denial for new admissions68 days
April 3, 2025Payment denial for new admissions43 days
Sept. 19, 2024Fine$22,588
June 27, 2024Fine$55,424
June 27, 2024Payment denial for new admissions42 days
Feb. 27, 2024Fine$53,077

Ownership and Management of the Home

  • The home is run by Commonspirit Health (operational or managerial control).
  • The home is run by Concept Rehab, Inc. (operational or managerial control).
  • The home is run by Forvis Mazars LLP (operational or managerial control).
  • The home is run by Ohio Newspapers, Inc. (operational or managerial control).
  • The home is run by Reliant Care Pharmacy Services LLC (operational or managerial control).
  • The home is run by The Northern Trust Company (operational or managerial control).
  • The home is run by Ulrichpinciotti Design Group, LLC (operational or managerial control).
  • The direct 100% owner is Sylvania Franciscan Health.

One additional company has a stake or a management role, according to CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 165448. Other homes in Iowa.