On With Life Long Term Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1996-07-03. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (515) 421-9200 or your local Medicaid office to verify current eligibility.

On With Life Long Term Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (N/A★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.9/100, placing it #5976 of 14703 facilities nationally and #148 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at On With Life Long Term Care receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is N/A out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 25 fine(s) over the 5-year period, totaling $52,296. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 6.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, On With Life Long Term Care ranks 5976th out of 14,703 facilities (composite score: 74.9/100), placing it in the above average nationwide. Within IA, it ranks 148th out of 390 nursing homes. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2025 staffing: total nurse hours rank #104 nationally and RN hours rank #203 nationally (#4 in IA). Our composite quality score of 74.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Polk City, visit: https://nursinghomesnearme.org/iowa/polk-city/