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

Lone Tree Health Care Center Inc

Lone Tree, IA · 44 certified beds · Last Life Safety survey November 20, 2025

CMS Certification Number 165388 · first certified April 1998

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

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

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IA

14 citations — more than 59% 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

Improvingfewer 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 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 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

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 14 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

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 facility14IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
82023-0632024-0932025-11
Citations at each Life Safety survey
Survey dateCitations
June 22, 20238
September 19, 20243
November 20, 20253

Most-cited tags

Most-cited tags at this facility
K-07122K-09142K-09211K-09181K-07111K-07611K-02221K-01611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22024-09-19
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22024-09-19
K-0921Ensure that testing and maintenance of electrical equipment is performed.12025-11-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-06-22
K-0711Provide a written emergency evacuation plan.12023-06-22
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-06-22
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-09-19
K-0161Use approved construction type or materials.12025-11-20

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Smoke Deficiencies 3
  • Emergency Preparedness Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies4
Smoke Deficiencies3
Emergency Preparedness Deficiencies1
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

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

November 20, 2025 — 3 citations

Citations issued on November 20, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (November 28, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 5, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 28, 2025)

September 19, 2024 — 3 citations

Citations issued on September 19, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (October 1, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 2, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (September 30, 2024)

June 22, 2023 — 8 citations

Citations issued on June 22, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 28, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (July 28, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 28, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 28, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 28, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 28, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 28, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 28, 2023)

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