No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Oakwood Specialty Care

200 16th Avenue East, Albia, IA 52531 · Non profit - Corporation · 54 certified beds · (641) 932-7105 Medicare & Medicaid certified

Call the home — (641) 932-7105 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 18 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
107 N 3rd St · (641) 969-5212 · Call to confirm hours
Pharmacy
6580 165th St · (641) 932-3249 · Call to confirm hours
Grocery
Hy-Vee0.5 mi
301 Highway 34 W · (641) 932-7131 · Call to confirm hours
Park
Monroe County Veterans Memorial · Typically dawn to dusk
Place of worship
311 S 10th St · (641) 932-2588

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.1%17.1%15.4%better
Long-stay residents who lose too much weight2.1%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.5%0.9%better
Long-stay residents with a urinary tract infection0.5%2.4%2.0%better
Long-stay residents with depressive symptoms9.2%4.2%6.5%worse
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.1%3.8%3.3%better
Long-stay residents whose ability to walk worsened16.1%16.6%16.1%typical
Long-stay residents on antianxiety or hypnotic medication28.7%20.8%18.9%worse
Long-stay residents given the seasonal flu vaccine98.1%95.3%95.3%typical
Long-stay residents with pressure ulcers1.7%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control24.9%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table21.9%19.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%2.1%1.4%better
Long-stay hospitalizations per 1,000 resident days0.001.491.67better
Long-stay outpatient ER visits per 1,000 resident days0.472.081.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

0.12U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.091.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.54
RN hours/ resident / day
0.70
LPN hours/ resident / day
2.03
Aide hours/ resident / day
3.26
Total nurse hours/ resident / day
0.36
RN hoursweekends
31.7%
Total nursing turnover
28.6%
RN turnover

How full it usually is: this home is certified for 54 beds and averages 47.4 residents a day — about 88% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.26 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.84 hrs/resident/day on weekends vs 3.43 on weekdays — 17% thinner on weekends. RN hours go from 0.61 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

1
deficiencies at the latest standard inspection (2025-09-04)
6
at the previous standard inspection (2024-09-05)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · Dcited before2025-09-04 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, staff interview, and facility policy review the facility failed to perform appropriate hand hygiene during personal cares for one of two residents observed for toileting hygiene (Res #3). The facility reported a census of 50 residents.Findings include:The Minimum Data Set of Resident #3 dated 8/20/25 coded the resident dependent for toileting hygiene. The MDS reflected the resident always incontinent of urine and bowel. The MDS documented diagnoses that included non Alzheimer's dementia and Parkinson's Disease. The Care Plan of Resident #3 documented the resident to always have urinary incontinence and frequent bowel incontinence, dated 5/5/25. On 9/3/25 at 8:51 am, Resident #3 was in the dining room finishing breakfast. A puddle of urine was noted to be on the floor underneath his wheelchair.On 9/3/25 at 9:06 am, Staff A, Certified Nurse Aide (CNA) cued Resident #3 to put his feet up on his wheelchair foot pedals to take him to his room. When she noted the urine, she notified another staff member for it to be cleaned. Observation of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-09-05 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, Facility Assessment and staff interviews, the facility failed to maintain an adequate number of staff for the facility's census. The facility reported a census of 50 residents. Findings include: The Payroll Based Journal (PBJ) Staffing Data Report for the fiscal year's Quarter 2 (1/1/24 to 3/31/24) revealed the category for an excessively low weekend staffing triggered and the facility had a one-star staffing rating triggered. The Facility Assessment for 2024 provided by the Administrator to the survey team on 9/3/24 had a review date 7/26/24. The assessment revealed the following daily staffing pattern and total number of staff needed per day: Licensed Nurse providing direct care: 6-7 Certified Nursing Assistants ((CNA/ Restorative): 11-13 Certified Medication Aide (CMA): 0-2 The facility had an average daily census of 50.6 residents. The facility assessment revealed staffing based on the resident's acuity and staffing strengths. The assessment also revealed the facility provided a wide…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-09-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and policy review the facility failed to maintain clean and sanitary conditions in the kitchen, failed to label and store food items and discard leftovers after 3 days in order to maintain food quality and reduce the risk of food-borne illness in the kitchen and the designated resident's refrigerator for one of one nursing units observed. Facility staff also failed to wash hands to prevent food borne illness. The facility reported a census of 50 residents. Findings include: 1. Initial kitchen observations on 09/03/24 starting at 9:40 AM revealed the following: a. The microwave had dried yellow debris splattered over the interior glass door and the glass plate inside the microwave, and splatters of food on the top and sides inside the microwave. b. A large frying pan had multiple scratches and the interior surface had peeled and missing Teflon coating. c. The [NAME] Cold Refrigerator had food particles on shelving, and a red liquid spillage on the bottom. The outside of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-05 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, menu review, record review, and staff interviews, the facility failed to serve the appropriate portions for 4 of 4 residents who received pureed diets (Resident #9, #12, #27, and #31) and 10 of 10 residents on a mechanical soft diet (Resident #4, #7, #18, #19, #25, #28, #30, #35, #37, and #47). The facility reported a census of 50 residents. Findings include: The facility's Week 3 menu for Tuesday lunch identified barbeque (BBQ) chicken to be served as part of the planned pureed textured diet for the lunch meal served on 09/03/24. The facility's Week 3 menu for Tuesday lunch identified a #8 scoop of BBQ chicken to be served as part of the planned mechanical soft textured diet for the lunch meal served on 09/03/24. The facility's Census Order -All Special Diet Report identified four (4) residents on a pureed texture diet, and ten (10) residents on a mechanical soft textured diet. During observation on 09/03/24 at 12:08 PM, Staff C, Dietary Manager, placed six (6) chicken breasts into a robot coupe container and blended the contents. Staff C took tongs and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-05 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and facility policy review the facility failed to prepare and serve all foods at a safe and palatable temperature in order to prevent foodborne illness for 1 of 1 meals observed. The facility reported a census of 50 residents. Findings include: During observation on 09/03/24 at 12:17 PM, four plates of lettuce salad with cut up pieces of ham, turkey, and boiled eggs, and twelve bowls of cottage cheese sat on the counter next to the stove. The plates of salad and the bowls of cottage cheese were not on ice or a cooling mechanism. During observation on 09/03/24 at 12:43 PM, the Activities Director (AD) checked and reported the food temperatures on the following entrees: a. Ground chicken at 162 degrees Fahrenheit (F) b. Pureed rice/broccoli casserole at 184 (F) c. Pureed chicken at 173.5 (F) At 12:53 PM, the AD began to plate food for the residents. At 12:59 PM, the Director of Nursing (DON) checked the temperatures on the following entrées: a. Lettuce salad at 54.1 (F) b. Cottage cheese at 49.6 (F) At 1:04 PM, a container of cheese slices sat on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-05 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview and facility policy review, the facility failed to maintain accurate medical records for 1 of 18 residents (Res #26) reviewed. The facility reported a census of 50 residents. Findings include: The Minimum Data Set (MDS) Assessment of Resident #26 dated 9/20/23 identified a Brief Interview of Mental Status (BIMS) score of 6 which indicated severe cognitive impairment. The MDS documented the resident to have experienced hallucinations during the look back period. The MDS documented the resident exhibited verbal behaviors directed towards others during 4-6 days of the 7-day look back period and exhibited wandering behavior during 1-3 days of the 7-day look back period. The MDS documented diagnoses that included Non-Alzheimer's Dementia, seizure disorder, depression and bipolar disorder. The MDS failed to document the resident having a diagnosis of schizophrenia. The Medical Diagnosis section of the Electronic Health Record (EHR) of Resident #26 documented schizophrenia became an active diagnosis on 9/8/23 but was not added to the EHR…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interview, and policy review, the facility failed to implement infection control practices to prevent cross contamination of invasive medical equipment for 1 of 1 resident reviewed (#12). The facility reported a census of 50 residents. Findings include: On 9/03/24 at 10:54 AM, Resident #12 was observed with a urinary catheter hung on the left side of the recliner with dependent loop. The Minimum Data Set (MDS) assessment dated [DATE] indicated the resident had a Brief Interview for Mental Status (BIMS) score of 99 which indicated the resident was not able to complete the interview. It included diagnoses of neurogenic bladder (lack of bladder control due to nerve damage), cerebral palsy, bipolar disorder, and need for assistance with personal cares. It also revealed the resident had an indwelling catheter and was dependent in all activities of daily living (ADLs). A Physician's Order included Enhanced Barrier Precautions (EBP) due to colostomy & suprapubic catheter every…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-29 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interview and resident interviews, the facility failed to serve room trays at regular times comparable to normal mealtimes in the community or in accordance with resident needs, preferences, requests, and plan of care, by delaying room tray delivery for the lunch meal past 1:00 p.m. The facility reported a census of 48. Findings include: In an interview on 5/28/24 at 1:30 p.m. the Director of Nursing stated meal times are scheduled at 8:00 a.m., 12:00 p.m. and 5:45 p.m. During observations on 5/23/24 at 12:15 p.m. staff began serving individual meal plates to residents in the dining room at 12:15 p.m. and completed the serving in the dining room at 12:37 p.m. Room trays observed being prepared at 12:40 p.m. At 12:50 p.m. through 12:52 p.m. room trays delivered to hall 1. Room trays for hall 2 left the kitchen at 1:00 p.m. and the last tray served on hall 2 was at 1:11 p.m. Interviews of residents receiving food trays found some who expressed dissatisfaction with the late serving time. During observations on 5/28/24, staff began serving individual meal…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-23 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical record review, resident and staff interviews, the facility failed to ensure residents are provided bathing opportunities for 2 of 3 residents dependent on staff. (Residents #2, #6) The facility reported resident census of 48. Findings include: 1. The admission Minimum Data Set (MDS) with a reference date of 9/26/23, Resident #2 had a Brief Mental Status (BIMS) score of 15 out of 15 which indicated an intact cognitive status. Resident #2 required limited assistance with transfers, mobility, dressing, toilet use and personal hygiene needs. Resident #2's diagnosis included chronic obstructive pulmonary disease, diabetes mellitus and bipolar disorder. According to Resident #2's Care Plan dated 9/28/23, Resident #2 requires limited physical assistance with bathing. Review of Resident #2's bathing records for September and October 2023, found three occasions in which there was an excess of five days in between bathing opportunities (9/7-9/14/23, 9/15-9/21/23, and 9/25-10/2/23). According to Resident #2's Care Plan dated 9/28/23, the care plan lacked…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-23 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, resident and staff interviews, the facility failed to answer call lights within a reasonable amount of time. (Residents #2, #6, #7, #8) The facility reported resident census of 48. Findings include: 1. According to a Minimum Data Set (MDS) with a reference date of 9/26/23, Resident #2 had a Brief Mental Status (BIMS) score of 15 out of 15 indicating an intact cognitive status. Resident #2 required limited assistance with transfers, mobility, dressing, toilet use and personal hygiene needs. Resident #2's diagnosis included chronic obstructive pulmonary disease, diabetes mellitus and bipolar disorder. In an interview on 10/18/23 at 12:00 p.m. Resident #2 stated her only concern with the facility was not having enough staff, noting long call light wait times. 2. According to a MDS with a reference date of 9/26/23, Resident #6 had a BIMS score of 15 out of 15 indicating an intact cognitive status. Resident #6 required extensive assistance with transfers, mobility, dressing, toilet use and personal hygiene needs. Resident #6's diagnosis…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · E2023-06-15 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, policy review, and staff interview, the facility failed to administer medications as ordered for 4 of 11 residents reviewed for medication administration (Residents #1, #14, #16, #23) and failed to administer the correct nutritional feeding for 1 of 1 residents reviewed with a Gastrostomy Tube(g-tube-a tube inserted into the stomach through the abdomen) (Resident #38). The facility reported a census of 34 residents. Findings include: 1. The Quarterly Minimum Data Set (MDS) assessment tool, dated 2/9/23, listed diagnoses for Resident #14 which included non-Alzheimer's dementia, anxiety, and bipolar disorder. The MDS listed the resident's Brief Interview for Mental Health (BIMS) score as 5 out of 15, which indicated severely impaired cognition. A 9/4/18 Care Plan entry stated the resident received Clonazepam (a medication used to treat anxiety) for anxiety. A 3/11/23 Incident, Accident, Unusual Occurrence Note stated the resident received 1 milligram (milligram)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-06-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, policy review, and staff interview, the facility failed to follow proper sanitation and food handling practices during the initial pool and for 1 of 1 meal observed. The facility reported a census of 34 residents. Findings include: Observations during the initial tour on 6/12/23 at 9:45 a.m. revealed the following concerns: a. The hand washing sink had no paper towels and was located directly in front of a table which had a package of bread and other food items on top of it. The bread was less than 2 feet from the freezer. b. The fire prevention spigots had dust particles hanging down from them directly over the stove top. c. A fan with heavy dust particles clinging to the grill blew directly into the dish washing area. d. The [NAME] refrigerator contained 12 various type of juices which were not labeled with dates. e. A bag of corned beef hash was on the bottom shelf undated. f. A bag of ham was dated 6/2/23. g. A bag of lettuce was dated 6/4/23. h. There were multiple red splatters on the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, observations, staff interview and facility policy, the facility failed to provide clean bed linens for 1 of 16 residents reviewed for homelike environment (Resident #7). Findings include: The Significant Change Minimum Data Set (MDS) for Resident#7 dated 1/3/23 identified a Brief Interview of Mental Status (BIMS) score of 3 which indicated severe cognitive impairment. The MDS revealed the resident required extensive physical assistance of 1 person for bed mobility and personal hygiene and extensive physical assistance of 2 persons for transfers. The Care Plan revised on 5/17/23 identified the resident required assistance for all activities of daily living. The Care Plan directed staff to transfer the resident with assistance of 2 using a Hoyer lift and needing assistance of 1 staff member for personal hygiene. On 6/12/23 at 2:14 pm, Resident #7 was observed lying in his bed. An odor was noted in the room. The fitted sheet was visibly soiled and was noted to only be partially on the mattress with one corner of the fitted sheet not under the mattress.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, Resident Assessment Instrument (RAI) manual v1.17.1_October 2019, and staff interview, the facility failed to complete a comprehensive assessment of a resident's needs within 14 days of admission for 1 of 15 residents (Resident #38) for Minimum Data Set (MDS) requirements. Findings Include: The Entry Minimum Data Set (MDS) of Resident #38 dated 5/30/23 identified the resident had an admission date to the facility of 5/20/23. Section 2.5 of the RAI manual, dated October 2019, defines admission as the date a person enters the facility and is admitted as a resident. The RAI documented an admission assessment must occur in any of the following admission situations: · when the resident has never been admitted to this facility before; OR · when the resident has been in this facility previously and was discharged return not anticipated; OR · when the resident has been in this facility previously and was discharged return anticipated and did not return within 30 days of discharge. Section 2.6 of the RAI manual documented an admission Assessment must be completed no…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to accurately document the functional status and the anticoagulant medications on the MDS (Minimum Data Set) assessment for 2 of 15 residents reviewed (R# 16, R#23). The facility reported a census of 34. Findings Include: 1. The Annual MDS assessment dated [DATE] revealed Resident #23 scored 4 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severely impaired. The MDS revealed medical diagnosis of non-traumatic brain dysfunction; unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety; and unspecified lack of coordination. The MDS revealed the resident did not transfer between surfaces including to or from the bed, chair or wheelchair during the 7 day look back period. The Care Plan dated 4/20/23 revealed a focus problem of history of falling. Interventions dated 1/25/23 revealed using a one way slide to wheelchair. The Care Plan revealed a focus problem…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, policy review, and staff interview, the facility failed to provide care and services to maintain acceptable parameters of nutritional status for 1 of 3 residents reviewed for weight loss (Resident #24). The facility reported a census of 34 residents. Findings Include: 1. The Quarterly Minimum Data Set(MDS) assessment tool, dated 5/31/23, listed diagnoses for Resident #24 which included non-Alzheimer's dementia, seizure disorder, and moderate intellectual disabilities. The MDS stated the resident required extensive assistance of 1 staff for eating and listed the resident's Brief Interview for Mental Status(BIMS) as 0 out of 15, which indicated severely impaired cognition. During an observation on 6/14/23 at 8:09 a.m., the resident sat at breakfast and had a glass of red liquid and a water. The resident did not appear to have a nutritional supplement. The Weights and Vitals report revealed the following: The resident's weights of 124 lbs on 9/5/22 and 111.2 lbs on 3/1/23 calculated as a 10.32% loss. The report listed the following…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, the facility failed to assess pain or carry out interventions to relieve pain for 1 of 2 residents reviewed for pain (Resident #11). The facility reported a census of 34 residents. Findings include: The Minimum Data Set (MDS) assessment tool, dated 5/24/23, listed diagnoses for Resident #11 which included chronic pain, other neurologic conditions, and spondylosis (degeneration of the spine) in the lumbar region. The MDS revealed the resident required extensive assistance of 1 for room mobility and toileting; limited assistance of 1 for transfers and corridor mobility; supervision for bed mobility and personal hygiene; and ate independently with set up. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 15 out of 15, indicating intact cognition. During an observation on 06/12/23 at 11:09 am, Resident #11 propelled her wheelchair from the dining room to her room. The resident emitted groans, sighs, and grunts as she moved her chair forward. The resident displayed facial grimacing as she traveled down the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-15 · tag F0868 — isolated
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility records, staff interview and policy review, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee met on a quarterly basis. Findings include: Per sign in sheets provided by the facility, the facility held QAPI meetings on 7/14/22, 10/27/22 and 5/17/23. There was no meeting between October of 2022 and May of 2023. On 6/15/23 at 10:15 am, the Administrator stated no meeting was held in 2023 prior to May 17. The Administrator stated Past Non Compliance Education was provided to facility staff due to the missed meeting. The facility was in transition of change of leadership during the time the meeting was missed. One administrator served the building from March through October of 2022 and another from November of 2022 through March of 2023, with the current Administrator beginning in March of 2023. There were also four different Director of Nurses during this time frame. The Policy Quality Assurance and Performance Improvement - Governance and Leadership, revised March 2020, documented 'The Committee meets at least quarterly,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CARE INITIATIVES — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 52.9+1.1 vs chain
Health inspection 3 of 52.5+0.5 vs chain
Staffing 3 of 53.7-0.7 vs chain
Quality measures 5 of 53.7+1.3 vs chain
The other 42 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Avoca Specialty CareAvoca, IA 1 of 5Correctionville Specialty CareCorrectionville, IA 1 of 5Crestview Specialty CareWest Branch, IA 1 of 5Heritage Specialty CareCedar Rapids, IA 1 of 5Kingsley Specialty CareKingsley, IA 1 of 5Parkridge Specialty CarePleasant Hill, IA 1 of 5Ravenwood Specialty CareWaterloo, IA 1 of 5Westwood Specialty CareSioux City, IA 2 of 5Chariton Specialty CareChariton, IA 2 of 5Creston Specialty CareCreston, IA 2 of 5Dubuque Specialty CareDubuque, IA 2 of 5Lantern Park Specialty CareCoralville, IA 2 of 5New London Specialty CareNew London, IA 2 of 5Northcrest Specialty CareWaterloo, IA 2 of 5Northern Mahaska Specialty CareOskaloosa, IA 2 of 5Pinnacle Specialty CareCedar Falls, IA 2 of 5Southridge Specialty CareMarshalltown, IA 2 of 5Stratford Specialty CareStratford, IA 3 of 5Atlantic Specialty CareAtlantic, IA 3 of 5Centerville Specialty CareCenterville, IA 3 of 5Cherokee Specialty CareCherokee, IA 3 of 5Eldora Specialty CareEldora, IA 3 of 5Manly Specialty CareManly, IA 3 of 5Montezuma Specialty CareMontezuma, IA 3 of 5Odebolt Specialty CareOdebolt, IA 3 of 5Panora Specialty CarePanora, IA 3 of 5Ridgewood Specialty CareOttumwa, IA 3 of 5Southern Hills Specialty CareOsceola, IA 3 of 5West Ridge Specialty CareKnoxville, IA 4 of 5Bedford Specialty CareBedford, IA 4 of 5Belle Plaine Specialty CareBelle Plaine, IA 4 of 5Corning Specialty CareCorning, IA 4 of 5Corydon Specialty CareCorydon, IA 4 of 5Dunlap Specialty CareDunlap, IA 4 of 5Laporte City Specialty CareLa Porte City, IA 4 of 5Lyon Specialty CareRock Rapids, IA 5 of 5Fonda Specialty CareFonda, IA 5 of 5Lamoni Specialty CareLamoni, IA 5 of 5Mechanicsville Specialty CareMechanicsville, IA 5 of 5Sibley Specialty CareSibley, IA

Showing 40 of 42; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
CARE INITIATIVESOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/12/2010
COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 01/01/2025
BEAL, MICHAELIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 06/01/2020
BOWEN, LANEIndividualCORPORATE DIRECTORsince 01/01/2021
CAROTHERS, MARY JANEIndividualCORPORATE DIRECTORsince 01/01/2023
CHILDS, KEVINIndividualCORPORATE DIRECTORsince 04/01/2023
CORLESS, PETERIndividualCORPORATE DIRECTORsince 01/01/2025
KREIN, KEITHIndividualCORPORATE DIRECTORsince 06/29/2022
RUST, ELIZABETHIndividualCORPORATE DIRECTORsince 01/01/2023
STURM, DENISEIndividualCORPORATE DIRECTORsince 01/01/2021
UPMEYER, LINDAIndividualCORPORATE DIRECTORsince 06/29/2022
DIXON, DAVIDIndividualCORPORATE OFFICERsince 06/01/2016
DRAKE, EMILYIndividualCORPORATE OFFICERsince 01/04/2023
GILYARD, TANYAIndividualCORPORATE OFFICERsince 05/23/2025
KUHN, JERAMYIndividualCORPORATE OFFICERsince 06/25/2008
MCDYER, JESSICAIndividualCORPORATE OFFICERsince 02/22/2023
VOLM, JOHANNAIndividualCORPORATE OFFICERsince 01/01/2021
DUFUR, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/15/2025
MAHLER, CARLAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2024
WEI, SHIPENGIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024

CMS files one row per role, so the 25 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$3.6M
Net patient revenuemost recent cost report
-6.1%
Operating marginrevenue minus expenses
$294K
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 75%Medicare 5%Other / private 20%

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $294K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$281per resident / day
operating cost
$8,553per month
≈ monthly operating cost
$265per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.

Typical monthly cost in Iowa
$9,277/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,381/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165313. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-04, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

What to do next