Nursing HomeInspections

Bishop Drumm Retirement Center

Nursing home in Johnston, IA

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (515) 270-1100Send a messageMap ↗

Public-record details

Address
5837 Winwood Drive, Johnston, IA 50131
Phone
(515) 270-1100
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
165448
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
150
Average residents per day
120
Ownership
Nonprofit, church related
Legal business name
Chi Living Communities
Chain
Commonspirit Health (18 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165448. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 21, 2025. CMS lists 83 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 29, 2023 to Jun 11, 2026): 58 from complaint inspections, 9 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 11, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 18, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 18, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 18, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 18, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 18, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 18, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 83. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $258,177 and 3 denials of Medicare payment for new admissions in the last three years.

Jul 21, 2025Fine: $127,088
Jul 21, 2025Payment denial for 68 days from Aug 9, 2025
Apr 3, 2025Payment denial for 43 days from Apr 29, 2025
Sep 19, 2024Fine: $22,588
Jun 27, 2024Fine: $55,424
Jun 27, 2024Payment denial for 42 days from Jul 24, 2024
Feb 27, 2024Fine: $53,077

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.64 hours
Registered nurse (RN) time per resident per day
0.81 hours
Nurse aide time per resident per day
2.54 hours
Total nurse staffing on weekends
3.18 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
32%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Johnston

Childserve Habilitation Center5900 Pioneer Parkway · Johnston, IA 50131 · (515) 270-2205 · Nonprofit11 health citations in 3 inspection cycles · last standard inspection May 1, 2025 · no CMS fines in 3 yrsMedicaid-certified5★ overall (CMS)Brio of Johnston, LLC6901 Peckham Street · Johnston, IA 50131 · (515) 253-2501 · For-profit12 health citations in 3 inspection cycles · last standard inspection Apr 9, 2026 · $6,923 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 3 in Johnston →