On With Life is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-08-20. 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) 965-1339 or your local Medicaid office to verify current eligibility.

On With Life 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 (N/A★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 75.0/100, placing it #5966 of 14703 facilities nationally and #146 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 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.

On With Life has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 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 2.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, On With Life ranks 5966th out of 14,703 facilities (composite score: 75.0/100), placing it in the above average nationwide. Within IA, it ranks 146th out of 390 nursing homes. In Ankeny, it ranks 3rd out of 4 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2025 staffing: total nurse hours rank #10 nationally and RN hours rank #23 nationally (#1 in IA). Our composite quality score of 75.0/100 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 Ankeny, visit: https://nursinghomesnearme.org/iowa/ankeny/