Nursing Home

On With Life

715 SW Ankeny Road, Ankeny, IA 50023
28 certified beds 25 residents per day on average

CMS Five-Star Quality Rating

4 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Not rated

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

CMS has not published staffing data for this facility.

Ownership

Ownership type
Non profit - Corporation
Who owns this facility — 9 entries in CMS's ownership records expand ↓
  • Foreman, Jim Individual
    Managing employee (W-2) since 03/31/2014
  • Shelton, Jeanette Individual
    Managing employee (W-2) since 11/01/2017
  • Stilwill, Patrick M Individual
    Managing employee (W-2) since 07/21/2006
  • Shelton, Jeanette Individual
    Corporate director since 11/01/2017
  • Foreman, Jim Individual
    Corporate officer since 03/31/2014
  • On With Life Inc Organization
    Operational/managerial control since 05/22/1987
  • Foreman, Jim Individual
    Operational/managerial control since 03/31/2014
  • Shelton, Jeanette Individual
    Operational/managerial control since 11/01/2017
  • Stilwill, Patrick M Individual
    Operational/managerial control since 07/21/2006

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 1 health (IA avg 6.5) · 1 fire (IA avg 3.6) · ⚠ 1 serious Details

2 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy). Most recent survey: June 11, 2026.

Most recent inspection cycle: 1 health deficiency · IA average: 6.5 · National: 9.3

2 fire-safety deficiencies cited — most often smoke (2).

Most recent fire-safety inspection (2024-10-10): 1 deficiency · IA average: 3.6 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How On With Life compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, On With Life's overall star rating is 4★; the median among the 8 peers reporting it is 3★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 4★ 3★ 5★
Health inspections reported by 8 of 8 nearby peers 4★ 2.5★ 4★
Staffing reported by 8 of 8 nearby peers Not available 4★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 4★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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