Polk County, Iowa · Nursing home
On With Life
4 of 5 overall from CMS
715 SW Ankeny Road, Ankeny, IA 50023
At a glance
- Overall rating 4 of 5 Above the state average of 3.1
- Nurse time per resident, per day Not reported
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 2 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 87.5% of 28 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
On With Life is a 28-bed nursing home in Ankeny, Iowa (Polk County). CMS rates it 4 of 5 stars overall as of Sep 2026. CMS lists no fines in the past three years.
- Certified beds
- 28
- Residents per day (average)
- 24.5
- Certified since
- 1991 (35 yrs)
Non profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask On With Life
Chosen from this home's public data.
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Iowa average 3.1
- Health inspections 4 of 5 Iowa average 2.8
- Staffing Not rated Iowa average 3.7
- Quality measures 4 of 5 Iowa average 3.3
The vertical line marks the Iowa average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff Not reported Iowa average 3.82
- Nurse aides Not reported Iowa average 2.52
- Licensed practical nurses Not reported Iowa average 0.56
- Registered nurses Not reported Iowa average 0.74
- All staff, weekends Not reported Iowa average 3.37
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Iowa average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Iowa average44.0%
- Registered nurse turnoverNot reported
- Iowa average42.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Iowa and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Iowa | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 10.3% | 4.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 7.1% | 4.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 20.7% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 16.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.6% | 20.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 95.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 13.7% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.9% | 25.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | Too few residents or stays to report | 19.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.49 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.08 | 1.78 |
Short-stay residents
| Measure | This home | Iowa | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% | 84.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% | 2.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.2% | 73.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 20.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 13.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 2 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 1 was cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 11, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 4, 2025 | 1 | 0 |
| Oct 10, 2024 | 1 | 1 |
| Oct 12, 2023 | 0 | 1 |
Iowa homes averaged 6.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (2)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 25, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Iowa homes averaged 0.6 fines and $19,286 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Iowa
Common questions
What is the CMS star rating for On With Life?
On With Life has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is not published and quality measures is 4.
How many beds does On With Life have?
On With Life has 28 certified beds. It averages 24.5 residents per day, about 87.5% of its certified beds.
Has On With Life been fined?
CMS lists no fines for this home in the past three years.
Does On With Life accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Sunny View Care Center 94beds 93.2%in use 3.34nurse hours a day
- 3 of 5 The Bridges at Ankeny 100beds 94.9%in use 3.55nurse hours a day
- 5 of 5 Mill-Pond 60beds 92.2%in use 4.58nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Polk County
Who to call in Iowa
These offices serve residents of every nursing home in Iowa.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 866-236-1430 (Toll-free. Relay Iowa TTY: 1-800-735-2942. The page also offers an online complaint form.) An advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Complaints Hotline 1-877-686-0027 (Email hfd_complaint@dia.iowa.gov; complaints fax 515-281-7106. DIAL's complaints page links to an online complaint form (stateofiowa.seamlessdocs.com/f/DIA_Contact_Form).) The state agency that inspects nursing homes.
Iowa staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 165163. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.