Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MercyOne Dyersville Senior Care

Dyersville, IA · 40 certified beds · Last Life Safety survey November 6, 2025

CMS Certification Number 16E638 · first certified October 1986

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within IA

6 citations — more than 16% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to December 2026. This facility’s last Life Safety survey was November 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 6 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility6IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
12024-0122024-1132025-11
Citations at each Life Safety survey
Survey dateCitations
January 10, 20241
November 7, 20242
November 6, 20253

Most-cited tags

Most-cited tags at this facility
K-09202K-07531K-02911K-03531E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.22025-11-06
K-0753Have restrictions on the use of highly flammable decorations.12025-11-06
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-01-10
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-11-07
E-0039Conduct testing and exercise requirements.12025-11-06

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Smoke Deficiencies 1
  • Emergency Preparedness Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Smoke Deficiencies1
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 6, 2025 — 3 citations

Citations issued on November 6, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (November 17, 2025)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (November 13, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 13, 2025)

November 7, 2024 — 2 citations

Citations issued on November 7, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 14, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 14, 2024)

January 10, 2024 — 1 citation

Citations issued on January 10, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 19, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.