St Anthony Senior Services
406 East Anthony Street, Carroll, IA 51401 · Non profit - Church related · 79 certified beds · (712) 794-5455 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2026
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $12,038 in federal fines (most recent 2024-01-25)
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (1/5)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 3 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, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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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 | 4 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 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 fell from 2 to 1 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 20.3% | 17.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.2% | 4.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.0% | 1.5% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 0.3% | 2.4% | 2.0% | better |
| Long-stay residents with depressive symptoms | 4.3% | 4.2% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.5% | 3.8% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 19.1% | 16.6% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 27.0% | 20.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 97.3% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.2% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 28.7% | 25.6% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 36.5% | 19.5% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 2.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 29.2% | 73.3% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 13.9% | 20.9% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 8.8% | 13.2% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 0.71 | 1.49 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.98 | 2.08 | 1.80 | typical |
‡ 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.
Met the expected recovery: 45.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 35 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.04 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not 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 SNF | not 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 discharge | 45.7% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 22.9% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 34.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 92.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | not 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not 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 SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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
How full it usually is: this home is certified for 79 beds and averages 73.8 residents a day — about 93% occupied, or roughly 5 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 3.87 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.69 is at or above 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 3.56 hrs/resident/day on weekends vs 3.99 on weekdays — 11% thinner on weekends. RN hours go from 0.80 to 0.54 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
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
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.
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.
19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.
- Immediate jeopardy · Kcited before2024-01-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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, clinical record review, resident and staff interviews, and facility policy review, the facility failed to protect residents from possible accidents and injuries. An electric space heater was used to provide supplemental heat to 3 rooms without out monitoring or supervision. Two rooms were in the Memory Care Unit with residents who had Brief Interview for Mental Status (BIMS) scores of 3 and 5 out of 15, indicating severe cognitive impairment. One resident was ambulatory and at risk for unsafe wandering per their Care Plan. Space heaters were provided on the weekend of 1/13/24 and removed 1/22/24 for 4 of 74 residents reviewed (Resident #1, #20, #30, and #173). The facility staff also failed to attach a lift sling to a mechanical lift correctly when transferring a resident, resulting in a fall with injury to 1 of 3 residents reviewed (Resident #29). These failures resulted in an Immediate Jeopardy (IJ) of the safety and welfare for the residents. The State Agency informed the facility 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.
- Actual harm · G2026-04-01 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, clinical record review, facility investigative file review, staff interviews and facility policy review the facility failed to protect the resident's right to be free from physical abuse by a facility staff member for 1 of 3 residents (Resident #1). The facility reported a census of 73 residents. Findings include:According to the quarterly Minimum Data Set (MDS) assessment with a reference date of 3/17/2026, Resident #1 scored 0 on the Brief Interview of Mental Status (BIMS). A score of 0 suggested severe cognitive impairment. The MDS documented he had impairments to his bilateral upper and lower extremities and utilized a wheelchair. Resident #1 was dependent on staff for toileting hygiene, upper and lower body dressing, mobility, and toileting transfers. The MDS documented he was not on a toileting program, was frequently incontinent of urine and always continent of stool. The MDS documented Resident #1 received an antipsychotic during the review period. The following diagnoses were listed for Resident #1: Alzheimer's disease, heart failure, stroke, 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.
- Actual harm · Gcited before2025-10-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 clinical record reviews, hospital record review, staff interviews and policy review, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 1 of 3 residents reviewed (Resident #1) for falls. The facility failed to implement effective interventions and follow the care plan to prevent falls. Resident #1 was at risk for falls and had a history of repeated falls with trends. Resident #1 had eight falls from January 2025 to August 2025. On 6/1/25 Resident #1 had a fall in her room after attempting to self transfer from her wheelchair to her recliner, resulting in her hitting her head and sustaining a laceration to her forehead requiring an emergency room (ER) visit and 8 staples. On 8/8/25 she fell again in her room after attempting to self transfer from wheelchair to her recliner, resulting in her hitting her head and left hip pain. Resident #1 was transferred to the hospital for x-rays and revealed she had a left hip fracture which required surgical intervention.…
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.
- Potential for harm · D2026-02-12 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 clinical record review and staff interviews, the facility failed to submit a Level 2 Preadmission Screening and Resident Review (PASRR) evaluation for 1 of 2 residents reviewed (Resident #12). The facility reported a census of 75 residents.Findings include: The Minimum Data Set (MDS) dated [DATE] documented Resident #12 had a Brief Interview for Mental Status (BIMS) of 03 indicating severely impaired cognition. The MDS revealed Resident #12 had diagnoses of Non-Alzheimer's dementia, depression, and psychotic disorder. The Care Plan with a target date of 7/2/26 revealed Resident #12 took an antipsychotic medication for treatment and management of symptoms of delusional disorder, insomnia and depression. The Clinical record revealed a diagnosis of delusional disorders with an effective date of 9/27/23. A Physician Order dated 4/3/25 directed staff to administer Seroquel (antipsychotic medication) 25 MG (milligrams) one tablet at bed time related to dementia without behavioral disturbance, psychotic…
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.
- Potential for harm · D2026-02-12 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, and staff interviews, the facility failed to accurately transcribe written physician orders for psychotropic medications with correct medication end dates into the electronic medical record for 2 of 3 residents reviewed (Resident #5 and #62). The facility reported a census of 75 residents.Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #5 documented diagnoses of dementia, stroke and heart failure. The MDS showed the Brief Interview for Mental Status (BIMS) score of 3, which indicated severe cognitive impairment. The Care Plan with an initiated date of 8/12/25 showed Resident #5 used psychotropic medications to aid with the treatment of the diagnosis of mild cognitive impairment with behaviors including, restlessness, agitation, inappropriate towards female staff. The written Physician Order dated 1/27/25 for Resident #5 showed Lorazepam 2 milligram (mg)/milliter (ml) give 0.25 ml per mouth every 4 hours as needed for 3 months. 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.
- Potential for harm · Dcited before2026-02-12 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, staff interview, and review of facility policy, the facility failed to follow proper infection control practices during catheter care to prevent urinary tract infections and skin infection for 1 of 2 residents observed (Resident #5). The facility reported a census of 75 residents.Finding include:Observation on 2/11/26 at 1:50 PM identified Staff A, Certified Nursing Assistant (CNA), performed hand hygiene and donned personal protective equipment (PPE). Staff A assisted the resident to lower pants and sit on the toilet, gathered supplies, placed two washcloths in the sink, and allowed the sink to fill with water. Staff A removed a washcloth from the sink, folded it into fourths, and provided perineal care to the resident's penis. Observation revealed areas of irritated, reddened skin. Staff A then used the same washcloth to cleanse the tubing of the resident's urinary catheter. After completion of care, when asked if any part of the care should have been performed differently, Staff A responded no, and reported the state had not observed her for several years.…
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.
- Potential for harm · E2025-01-23 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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
Based on observation, staff interviews and policy review, the facility failed to ensure open items were dated, covered and labeled. The facility further failed to ensure staff used proper hand hygiene practices during lunch service while serving food. The facility reported a census of 76 residents. Findings include: 1. Observation 1/21/25 at 10:00 AM in the main kitchen with Staff I, Food and Service Director, present revealed the following: a. Two open undated bags of pasta b. Open undated bag of graham cracker crumbs During an interview 1/21/25 at 10:20 AM, Staff I stated an expectation the food is dated, labeled and sealed after it is opened. Staff I stated an intention to label and date these food items and return them to the pantry. Review of the facility Food Storage Guidelines policy, with a revision date of 12/24, documented food not served in the service of a meal will be handled safely to prevent contamination or spoilage. Unused foods are identified, labeled and dated. 2. During an observation 1/21/25, beginning at 11:30 AM, Staff J, kitchen staff, served residents lunch,…
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.
- Potential for harm · D2025-01-23 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 resident record review, staff interviews, observation and facility policy review the facility failed to verify the resident's advanced directive choice documented accurately for 1 (Resident #58) of 24 residents reviewed. The facility reported a census of 76 residents. Findings include: The Resident Dashboard for Resident #58, dated [DATE], documented the resident was admitted to the facility on [DATE] and a current Code Status, Advanced Directive of Do Not Attempt Resuscitation (DNR). Resident #58's Iowa Physician Orders for Scope of Treatment (IPOST), signed by the physician [DATE], documented Cardio Pulmonary Resuscitation (CPR). Resident #58's Iowa Physician Orders for Scope of Treatment (IPOST), signed by the physician [DATE], documented DNR. Resident #58's Order Summary Report dated [DATE], documented a physician's order for DNR with order date [DATE]. Interview on [DATE] at 1:25 PM, Staff G, Registered Nurse stated all full code residents are listed on a sheet at the nurse's station, charts are…
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.
- Potential for harm · D2025-01-23 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident record review, staff interview, and facility policy review the facility failed to develop and implement a comprehensive person-centered care plan to include a resident's diagnoses and treatment for urinary tract infection two times since admission and history of within 30 days of admission for 1 resident (Resident #16) of 18 residents reviewed for care plans. The facility reported a census of 76 residents. Findings include: The Minimum Data Set (MDS) for Resident #16, dated 10/31/24, included diagnosis Non-Alzheimer's Dementia and Urinary Tract Infection (UTI) (in the last 30 days). The MDS documented the resident was frequently incontinent of urine. Resident #16's Medication Administration Record (MAR) for 11/24 - 11/30/24 documented a physician's order started 11/27/24 for Macrobid (urinary anti-infective medication) two times a day for a UTI. Resident #16's Order Summary Report dated 1/22/25, documented a physician's order dated 1/14/25 for Cefurixine (antibiotic medication) two times a day for UTI for 10 days. Resident #16's Care Plan lacked inclusion of 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.
- Potential for harm · D2025-01-23 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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, interview and clinical record review, the facility failed to ensure an accurate accounting of Scheduled 2 (II) (high potential for abuse) controlled medications for 1 of 3 residents reviewed. On 1/3/25, staff reported that Resident #44 was missing a dose of Ativan. The facility reported a census of 76 residents. Findings include: According to the Minimum Data Set, dated [DATE], Resident #44 was rarely understood so he was unable to complete Brief Interview for Mental Status assessment. Resident #44 required substantial assistance with toileting, showering and dressing, and supervision only with chair to bed transfers and walking. The resident had disorganized thinking, hallucinations, delusions, and daily physical symptoms directed toward others such as hitting, grabbing and pushing. The Care Plan for Resident #44 showed that the resident had episodes of behaviors such as combativeness, name calling and occasional refusal of medication/care resist cares. Staff were directed to administer…
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.
- Potential for harm · D2024-01-25 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 clinical record review, observations, and staff interviews, the facility failed to provide dignity by leaving a catheter bag uncovered and easily visible in the dayroom and in the bedroom to 1 of 1 resident reviewed with catheters (Resident #32). The facility reported a census of 74 residents. Findings Include: 1. The Minimum Data Set (MDS) assessment dated [DATE] documented Resident #32 had a Brief Interview for Mental Status (BIMS) score of 5 out of 15, indicating severe cognitive impairment. The MDS documented a diagnosis of fluid overload, urinary retention, overactive bladder, and urinary incontinence. Observation on 1/23/24 at 10:19 AM, revealed Resident #32 sitting in a recliner in the dayroom with a catheter bag hanging on the right side of the recliner without a privacy bag in place. Observation on 1/23/24 at 2:41 PM, revealed Resident #32 lying in bed with a catheter bag hanging from the frame of the bed on the right side without a privacy bag in place, visible from the hallway On 1/23/24 at…
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.
- Potential for harm · D2024-01-25 · tag F0573 — isolatedLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
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 clinical record review, family and staff interviews, and facility policy review, the facility failed to provide family with requested medical records in a timely manner for 1 of 1 resident reviewed (Resident #123). The facility reported a census of 74 residents. Findings Include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #123 had a Brief Interview for Mental Status (BIMS) score of 0 out of 15 (severe cognitive deficit.) The resident had daily behavioral symptoms such as hitting, pacing and rummaging. Resident #123 required partial assistance with eating, was dependent with toileting, required substantial assistance to transfer from sit to stand. His diagnosis included renal insufficiency, diabetes mellitus, Alzheimer's Disease, Dementia and anxiety disorder. The Care Plan updated on 10/9/23 showed that Resident #123 admitted to Hospice level of care and staff directed to administer medication and treatments as ordered and monitor for side effect and effectiveness. He had…
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.
- Potential for harm · D2024-01-25 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 clinical record review, observation, staff interviews and facility policy review, the facility failed to follow Physicians Orders for special dietary needs for 1 of 3 residents reviewed (Resident #62). Resident #62 served a regular texture meal when the order was for pureed texture. The facility reported a census of 74 residents Findings Include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #62 had a Brief Interview for Mental Status (BIMS) score of 0 out of 15 (severe cognitive deficit). The resident identified severely impaired, never/rarely made decisions and was totally dependent on staff for help with meals. The Care Plan dated 2/9/23, showed that Resident #62 at risk for fluid imbalance related to being dependent on staff to provide and prompt her to consume adequate fluids. She had self-care deficits and required assistance with activities of daily living. The resident was unable to effectively communicate her basic needs. In an observation on 1/23/24 at 7:51 AM,…
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.
Show the remaining 6 citations
- Potential for harm · D2024-01-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 clinical record review, observations, resident and staff interviews the facility failed to provide respiratory care and services in accordance with professional standards of practice for 1 of 2 residents reviewed, requiring the use of oxygen (Resident #17). The facility reported a census of 74 residents. Findings Include: 1. The Minimum Data Set (MDS) assessment dated [DATE], documented Resident #17 had a Brief Interview for Mental Status (BIMS) of 15 out of 15, indicating no cognitive impairment. The MDS documented a diagnosis of chronic obstructive pulmonary disease. On 1/23/24 at 9:02 AM Resident #17 stated she did not remember oxygen tubing changed by staff at the facility. An Observation on 1/23/24 at 9:02 AM of Resident #17's oxygen tubing revealed a date of 12/15 on the tubing. Review of Resident #17's orders revealed current order for oxygen to be delivered at 1-5 liters as needed to maintain oxygen saturations above 88% and no current order for oxygen tubing change. On 1/23/24 at 2:44 PM, Staff…
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.
- Potential for harm · D2024-01-25 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 clinical record review, resident and staff interviews, the facility failed to ensure that all staff were adequately trained on the use of mechanical lifts for 1 of 3 residents reviewed who required a mechanical lift to be transferred (Resident #29). Resident #29 fell from the EZ Stand Lift (a Sit to Stand mechanical lift) when an Agency Staff person failed to ensure that the loop on the sling was secured with the hook. The facility did not have an orientation process in place to ensure skill competency on the use of mechanical lifts. The facility reported a census of 74 residents. Findings Include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #29 had a Brief Interview for Mental Status (BIMS) score of 13 out of 15, (moderate cognitive deficit). The resident identified with lower extremities impairment on both sides and required substantial assistance with transfers. The Care Plan for Resident #29 showed the resident with a diagnosis of peripheral vascular disease and was at…
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.
- Potential for harm · D2024-01-25 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 clinical record review, staff interviews and facility policy review, the facility failed to review the use of as needed (PRN) psychotropic medications for Resident #54's PRN topical Ativan ordered 6/19/23. The facility also failed to ensure psychotropic medications are only used when the medication is necessary and PRN use is limited for Resident #123 who had a diagnosis of dementia with agitation and confusion. Resident #123 had several different as needed (PRN) psychotropic medication orders to help with the anxiety. Staff overlapped the administration of these PRN medications and the resident was found to be lethargic the next day. The facility reported a census of 74 residents. Findings Include: 1. The Minimum Data Set (MDS) assessment dated [DATE] identified Resident #54 as rarely/never understood for documentation of Brief Interview for Mental Status (BIMS). The MDS documented a diagnosis of Neurocognitive disorder with Lewy Bodies. Review of Resident #54's Physician Orders revealed Lorazepam…
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.
- Potential for harm · D2024-01-25 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 clinical record review, document review, and staff interviews, the facility failed to keep accurate drug records for all controlled medications (Hydrocodone-APAP 5/325 milligram (mg)) for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 74 residents. Findings Include: 1. The Minimum Data Set (MDS) assessment dated [DATE], documented Resident #4 with a Brief Interview for Mental Status (BIMS) of 15 out of 15, indicating no cognitive impairment. The MDS documented a diagnosis of multiple sclerosis, muscle spasm, and migraine. Review of Resident #4's Physician Orders revealed an order for Hydrocodone-Acetaminophen tab 5-325 mg give one tablet by mouth two times a day for pain hold if lethargic. Review of a document titled Resident's Controlled Substance Record for Resident #4 starting 12/6/23 ending 12/11/23 revealed 2 Hydrocodone-APAP 5-325 mg tablets remaining. Review of a document titled Nursing Home Medication Variance dated 12/12/23 documented 1 missing Hydrocodone-APAP 5-325…
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.
- Potential for harm · Dcited before2024-01-25 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, clinical record review, staff interview, and facility policy review, the facility failed to provide appropriate infection prevention practices by not utilizing proper hand washing during administration of medications to 1 of 7 residents reviewed (Resident #59). The facility reported a census of 74 residents. Findings Include: 1. The Minimum Data Set (MDS) assessment dated [DATE], documented Resident #59 rarely/never understood for documentation of Brief Interview for Mental Status (BIMS) . The MDS documented a diagnosis of fracture of an unspecified part of neck of unspecified femur closed fracture with routine healing. An observation on 1/24/24 at 8:07 AM, revealed Staff A, Registered Nurse (RN) removed medication cassettes from the medication carts for Resident #59. Staff removed medications from medication cassettes into a medication cup. Staff A dropped an Acetaminophen tablet onto the medication cart. Staff A picked the medication up with bare hands and put the medication into 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.
- Potential for harm · Ecited before2023-12-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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, clinical record review, staff interviews, and facility policy the facility failed to provide adequate supervision to ensure residents remained safe from another resident for 3 of 5 residents reviewed (Residents #3, #4 and #5). In addition, the facility failed to provide 1 of 5 residents reviewed with enough supervision to prevent him for attempting to hurt other residents (Resident #6). Resident #6 had physical altercations on 11/18/23 with Resident #4, 11/21/23 with Resident #5, and 11/24/23 with Resident #3. Findings include: 1. Resident #6's Minimum Data Set (MDS) assessment dated [DATE] identified him with short- and long-term memory impairments and severely impaired for decision making abilities. Resident #6 displayed altered mental status changes, inattention, and disorganized thinking. Resident #6 experienced physical behavioral symptoms directed towards others (hitting, kicking, pushing, scratching, grabbing), other behavioral symptoms not directed towards others (pacing,…
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.
“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.
- 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.
Fines & penalties
$12,038 in federal fines across 1 penalty.
- $12,038 — penalty dated 2024-01-25
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 100% | since 07/01/2025 |
| ANDERSON, ALLEN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER | — | since 07/01/2025 |
| AUEN, DEB | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| BADDING, NICHOLAS | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| EISCHEID, KARL | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| ELSBERND, ROSE | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| GRETEMAN, MATTHEW | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| KELLER, THERESA | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| KOSTER, JEFF | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| MOELLER, JOANNE | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| PETTIT, MICHELE | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| QUAM, CARLY | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| SALMONSON, ERIC | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER | — | since 07/01/2025 |
| SCHARFENKAMP, JEFF | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/01/2025 |
| BRIGHTON CONSULTING GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2025 |
| EIDE BAILLY LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2025 |
| MURRAY, JILLIANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2025 |
| WORDEKEMPER, JERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2025 |
CMS files one row per role, so the 26 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.
3 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.
What families pay in IA
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.
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 165796. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, 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.