Bishop Drumm Retirement Center

Johnston, IA • CMS Certification: 165448

  • Date Updated: May 01, 2026
  • Overall Rating: 1 Stars
  • Address: 5837 Winwood Drive, Johnston IA 50131
  • Phone: 5152701100

About Bishop Drumm Retirement Center

Bishop Drumm Retirement Center, located in Johnston, IA, is a non-profit organization that accepts Medicare and Medicaid. This facility is part of a continuing care retirement community.

Why Families Choose Bishop Drumm Retirement Center

Key Performance Indicators

  • CMS Overall Rating 1 Stars
  • Nursing Hours 3.53 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the COMMONSPIRIT HEALTH network. This chain operates 19 facilities.

Chain Performance Overview

Inspection
2.6
Staffing
3.3
Quality
3.7

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Bishop Drumm Retirement Center provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.78 hrs/day
State: 0.74 US: 0.68
Case Mix Adj: 0.64
Quality Adj: 0.83

Licensed Practical Nurses

1.12 hrs/day
State: 1.30 US: 1.54
Case Mix Adj: 0.81
Quality Adj: 0.37

Certified Assistants

2.40 hrs/day
State: 2.51 US: 2.33
Case Mix Adj: 2.18
Quality Adj: 2.55

CMS Quality Ratings

Category Rating Stars
Overall Rating 1
Health Inspection 1
Quality Measures 4
Staffing 4

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 200 Jul 21, 2025
Weighted Average 279 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 29.0%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 10.9%
Number of hospitalizations per 1000 long-stay resident days (QM551) 2.3%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 1.7%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 6.8%
Percentage of long-stay residents who lose too much weight (QM404) 10.8%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 1.2%
Percentage of long-stay residents with a urinary tract infection (QM407) 1.2%
Percentage of long-stay residents who have depressive symptoms (QM408) 5.3%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 3.8%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 95.7%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 84.1%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 1.6%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 10.5%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 18.1%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 89.2%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 84.1%
Percentage of long-stay residents with pressure ulcers (QM479) 2.7%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 33.3%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 9.4%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 20 complaints
  • 2024: 15 complaints
  • 2025: 18 complaints
  • 2026: 10 complaints
  • Total: 63 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Apr 20, 2026 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 20, 2026 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Apr 20, 2026 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Apr 20, 2026 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 20, 2026 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Apr 20, 2026 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Apr 20, 2026 Ensure that residents are free from significant medication errors.
Apr 20, 2026 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 20, 2026 Have a plan that describes the process for conducting QAPI and QAA activities.
Apr 20, 2026 Provide and implement an infection prevention and control program.
Oct 16, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Oct 16, 2025 Ensure services provided by the nursing facility meet professional standards of quality.
Oct 16, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Oct 16, 2025 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Oct 16, 2025 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Oct 16, 2025 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Oct 16, 2025 Have a plan that describes the process for conducting QAPI and QAA activities.
Oct 16, 2025 Provide and implement an infection prevention and control program.
Jul 30, 2025 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jul 30, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 30, 2025 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jul 30, 2025 Provide and implement an infection prevention and control program.
Jun 11, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jun 11, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 11, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jun 11, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 22, 2025 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Apr 22, 2025 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Oct 09, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 04, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Sep 04, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 24, 2024 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jul 24, 2024 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
May 17, 2024 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 17, 2024 Ensure services provided by the nursing facility meet professional standards of quality.
May 17, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 20, 2024 Provide and implement an infection prevention and control program.
Mar 20, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 20, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 20, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 20, 2024 Ensure services provided by the nursing facility meet professional standards of quality.
Mar 20, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jan 18, 2024 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Oct 25, 2023 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Oct 25, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 25, 2023 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Oct 25, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 25, 2023 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Oct 25, 2023 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Oct 09, 2023 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Oct 09, 2023 Provide and implement an infection prevention and control program.
Aug 23, 2023 Provide and implement an infection prevention and control program.
Aug 23, 2023 Ensure that residents are free from significant medication errors.
Aug 23, 2023 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Aug 23, 2023 Ensure services provided by the nursing facility meet professional standards of quality.
Jul 29, 2023 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Jul 29, 2023 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jul 29, 2023 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 29, 2023 Provide care and assistance to perform activities of daily living for any resident who is unable.
Jul 29, 2023 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jul 29, 2023 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jul 29, 2023 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Jul 29, 2023 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

CHI LIVING COMMUNITIES

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in Johnston, IA

Compare Bishop Drumm Retirement Center to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Bishop Drumm Retirement Center has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 3.53 hours per resident daily, compared to the national average of 3.87 hours.

Bishop Drumm Retirement Center is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 150 certified beds.

Bishop Drumm Retirement Center accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Bishop Drumm Retirement Center directly at 5152701100. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Bishop Drumm Retirement Center, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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