{
 "id": "165281",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "On With Life Long Term Care",
 "slug": "on-with-life-long-term-care",
 "path": "/ia/polk/polk-city/on-with-life-long-term-care",
 "address": {
  "street": "1002 W Washington Ave.",
  "city": "Polk City",
  "county": "Polk",
  "state": "IA",
  "state_name": "Iowa",
  "zip": "50225"
 },
 "phone": "5154219200",
 "coords": null,
 "capacity": 40,
 "residents_per_day": 39.2,
 "status": "Medicare and Medicaid",
 "licensee": "On With Life Extended Services LTD",
 "administrator": null,
 "licensed_since": "1996-07-03",
 "last_visit": "2025-12-31",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Non profit - Corporation",
  "chain": null,
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 5,
   "health_inspection": 5,
   "staffing": null,
   "quality": 2
  },
  "cycle1": {
   "date": "2025-12-31",
   "total": 1,
   "standard": 0,
   "complaint": 1
  },
  "fines": {
   "count": 0,
   "dollars": 0,
   "penalties": 0
  },
  "staffing": {
   "nurse_hours_per_resident_day": null,
   "turnover_pct": null
  },
  "on_record": {
   "immediate_jeopardy": 0,
   "actual_harm": 0,
   "potential_harm": 7,
   "minimal": 0
  },
  "penalties_on_file": {
   "count": 0,
   "dollars": 0
  },
  "owners": [
   {
    "name": "FORS, RUDY",
    "role": "Individual",
    "since": "since 01/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HOOGESTRAAT, DIANA",
    "role": "Individual",
    "since": "since 01/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BENSON LARSON, KATE",
    "role": "Individual",
    "since": "since 01/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "FORS, RUDY",
    "role": "Individual",
    "since": "since 01/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HOOGESTRAAT, DIANA",
    "role": "Individual",
    "since": "since 01/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SNYDER, JOHN",
    "role": "Individual",
    "since": "since 01/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "FOREMAN, JIM",
    "role": "Individual",
    "since": "since 01/01/2015",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHELTON, JEANETTE",
    "role": "Individual",
    "since": "since 11/01/2017",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ON WITH LIFE EXTENDED SERVICES LTD",
    "role": "Organization",
    "since": "since 07/01/2011",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ON WITH LIFE INC",
    "role": "Organization",
    "since": "since 07/01/2001",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "LEWIS, JENNIFER",
    "role": "Individual",
    "since": "since 06/01/2019",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SHELTON, JEANETTE",
    "role": "Individual",
    "since": "since 11/01/2017",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2025-08-05",
   "tag": "0755",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-12-12",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-12-12",
   "tag": "0880",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-09-28",
   "tag": "0641",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-09-28",
   "tag": "0656",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-09-28",
   "tag": "0695",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-09-28",
   "tag": "0883",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "165281"
 }
}