CAMPBELL STREET SERVICES
Ownership rollup across 22 nursing homes in 3 states: Iowa, Kansas, Minnesota. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.1 of 5 stars on the CMS overall rating — about 1.0 stars below the ~3.1 average of the 3 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 22 homes rated throughout, the average rose 0.23 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.0 of 5 | 21 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.2 of 5 | 21 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.4 of 5 | 21 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
5 of this chain’s 22 homes are tied to private-equity ownership in CMS ownership records. Private-equity and REIT operators are the focus of most research into how money is moved out of nursing homes — often through the related-party payments shown below. CMS under-reports these ties, so read this as a floor.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the all 22 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Altoona Nursing and Rehabilitation CenterAltoona, IA | 1 of 5 | — |
| Bettendorf Health Care CenterBettendorf, IA | 1 of 5 | $35,622 fined |
| Grundy Care CenterGrundy Center, IA | 1 of 5 | 3 immediate-jeopardy $48,796 fined |
| Iowa City Rehab & Health CareIowa City, IA | 1 of 5 | — |
| Osage Rehab and Health Care CenterOsage, IA | 1 of 5 | 1 immediate-jeopardy $14,433 fined |
| Parkview ManorWellman, IA | 1 of 5 | 4 immediate-jeopardy Abuse flag $93,473 fined |
| Regency Care CenterNorwalk, IA | 1 of 5 | 1 immediate-jeopardy Abuse flag $78,497 fined |
| Horizon Post AcuteWichita, KS | 1 of 5 | 4 immediate-jeopardy $43,188 fined |
| Legacy At HeringtonHerington, KS | 1 of 5 | 1 immediate-jeopardy |
| Legacy At SalinaSalina, KS | 1 of 5 | $26,868 fined |
| Glenoaks Senior Living CampusNew London, MN | 1 of 5 | 2 immediate-jeopardy $29,822 fined |
| Casa De Paz Health Care CenterSioux City, IA | 2 of 5 | — |
| Cedar Falls Health Care CenterCedar Falls, IA | 2 of 5 | — |
| Granger Nursing & Rehabilitation CenterGranger, IA | 3 of 5 | — |
| Norwalk Nursing and Rehabilitation CenterNorwalk, IA | 3 of 5 | — |
| Pleasant Acres Care CenterHull, IA | 3 of 5 | — |
| The Bridges at AnkenyAnkeny, IA | 3 of 5 | $9,110 fined PE-backed |
| Denison Care CenterDenison, IA | 4 of 5 | — |
| Regency Park Nursing & Rehab Center of JeffersonJefferson, IA | 4 of 5 | — |
| University Park Nursing And Rehabilitation CenterDes Moines, IA | 4 of 5 | — |
| Regency Park Nursing & Rehab Center of CarrollCarroll, IA | 5 of 5 | — |
| Garden View Care CenterShenandoah, IA | Not rated | 6 immediate-jeopardy Special Focus Abuse flag $137,835 fined |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.