Bishop Drumm Retirement Center: Repeat Violations - IA
Since June 2023, state inspectors have cited the 114-bed facility for failures in pressure wound care, nursing staffing, infection control, and professional care standards across nine separate surveys. The most recent inspection, completed September 17, 2025, found the facility still hadn't fixed them.
The violations aren't minor paperwork failures. Pressure sores, cited under F686, can develop into open wounds that reach bone. Insufficient nursing staffing, cited under F725, means residents wait longer for basic care. Infection control failures, cited under F880, can spread illness through a facility where residents already have compromised immune systems.
Bishop Drumm was cited for staffing shortages in June 2023. Then again in October 2023. Then again in June 2024. Then again in April 2025. Then again in July 2025, just two months before the September survey that produced this report.
The pressure wound citations followed a similar pattern. Inspectors flagged them in June 2023, February 2024, June 2024, and August 2024. Infection control failures appeared in June 2023, October 2023, February 2024, September 2024, and July 2025.
When inspectors asked the administrator on September 17 what the facility had done to address the repeated deficiencies, he said the facility had done quite a few things. He described a new wound assessment and tracking system. He said the facility had hired a wound nurse. He said infection control was now being tracked differently so trends could be spotted more easily. He said the facility was conducting routine audits, reviewing resident infections, and working with an outside quality of care coalition on a monthly basis.
He said he had thought the facility had a good process in place for pressure wounds.
The current survey had just found otherwise.
On call lights, the administrator said the facility had been tracking response times and had made changes to how staff were scheduled. He said he felt call lights had improved. He said the concerns identified during the current survey would be reviewed and discussed through the facility's quality assurance committee.
That committee has a formal plan, dated February 26, 2025. The plan describes a systematic approach to identifying problems, finding their root causes, and developing actions that create change at the systems level. It commits the facility to ongoing measurement to ensure new actions are adopted consistently and sustained over time.
The inspection report notes that the facility failed to correct its own deficiencies and failed to maintain an effective quality assurance program.
The gap between the written plan and the inspection record is stark. A QAPI policy that promises sustained, systems-level improvement sits alongside a two-and-a-half-year history in which the same four problems return survey after survey, sometimes within months of each other.
Inspectors rated the harm level for this violation as minimal harm or potential for actual harm. The underlying violations that kept recurring, pressure sores and staffing shortages among them, carry their own harm ratings in their own citations.
The 114 residents living at Bishop Drumm during the September inspection were the latest to live inside that gap.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bishop Drumm Retirement Center from 2025-09-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 28, 2026 · Our methodology
Bishop Drumm Retirement Center in Johnston, IA was cited for violations during a health inspection on September 17, 2025.
The most recent inspection, completed September 17, 2025, found the facility still hadn't fixed them.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.