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Colonial Manors of Columbus Community

814 Springer Avenue, Columbus Junction, IA 52738 · For profit - Corporation · 39 certified beds · (319) 728-2276 Medicare & Medicaid certified

Call the home — (319) 728-2276 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Jul 2025
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (21% 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
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
241 Colonels Dr · (319) 728-7400 · Call to confirm hours
Pharmacy
111 Walnut St · (319) 728-3144 · Call to confirm hours
Grocery
228 Main St · (319) 728-2065 · Call to confirm hours
Park
Eden Park3.6 mi
17426 CR-X17 · (319) 523-8381 · Typically dawn to dusk
Place of worship
102 Gamble St · (319) 728-2810

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 2 of 5
Long-stay residentspeople who live here 2 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 3 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 increased25.0%17.1%15.4%worse
Long-stay residents who lose too much weight3.4%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 infection0.0%2.4%2.0%better
Long-stay residents with depressive symptoms8.1%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 injury7.0%3.8%3.3%worse
Long-stay residents whose ability to walk worsened15.0%16.6%16.1%typical
Long-stay residents on antianxiety or hypnotic medication14.1%20.8%18.9%better
Long-stay residents given the seasonal flu vaccine84.8%95.3%95.3%worse
Long-stay residents with pressure ulcers13.3%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control24.3%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.8%19.5%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%2.1%1.4%better
Long-stay hospitalizations per 1,000 resident days2.421.491.67worse
Long-stay outpatient ER visits per 1,000 resident days4.772.081.80worse

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.

0.16U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this 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 SNFsnot 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

0.37
RN hours/ resident / day
0.69
LPN hours/ resident / day
2.40
Aide hours/ resident / day
3.46
Total nurse hours/ resident / day
0.31
RN hoursweekends
21.2%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 39 beds and averages 30.6 residents a day — about 78% occupied, or roughly 8 beds typically open. It usually has some room. 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 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.40 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 3.18 hrs/resident/day on weekends vs 3.57 on weekdays — 11% thinner on weekends. RN hours go from 0.40 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% 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

2
deficiencies at the latest standard inspection (2025-07-24)
10
at the previous standard inspection (2024-08-15)

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.

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

  • Potential for harm · D2025-07-24 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor 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 observation, clinical record review, facility policy review and staff interview, the facility failed to ensure accurate resident code status (resident decision to have cardiopulmonary resuscitation (CPR) performed or do not resuscitate (DNR) in the event of cardiac arrest) information recorded and readily available for 1 of 16 residents (Resident #24) reviewed for code status. The facility reported a census of 30 residents. The Minimum Data Set (MDS) assessment for Resident #17, dated [DATE], identified the resident had a diagnoses of cerebral vascular accident and dementia, and a Brief Interview for Mental Status score of 11 out of 15 (indicative of moderate mental impairment). On [DATE] at 3:44 PM, observation of the outside cover of Resident #17's hard clinical chart revealed an attached label, titled CPR (which indicated staff were to perform CPR in the event of a respiratory or cardiac arrest). Review of the contents of the clinical record in the hard chart revealed a a form located in the front…

    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 · D2025-07-24 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, review of facility incident reports, review of facility policy, family member and staff interview, the facility failed to ensure staff followed their policy for reporting allegations of abuse for 1 of 1 sampled residents (Resident #17) reviewed with an allegation of abuse. The facility reported a census of 30 residents. Review of the Minimum Data Set (MDS) assessment for Resident #17, dated 6/9/25, identified the resident had a diagnosis of dementia. The assessment included a Staff Assessment for Mental Status which indicated Resident #17 had short term and long term memory problems. The Cognitive Skills for Daily Decision Making assessed the resident as Severely impaired (defined as never/rarely made decisions). The MDS identified the resident required supervision or touch assistance to for a chair/bed-to-chair transfer, transfer to toilet, and tub/shower transfer; and partial or moderate assistance for sit to stand, sit to lying, and lying to sitting on side of bed. Review of the Care Plan for Resident #17,initiated 8/9/23, revealed a Focus area to…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-15 · tag F0636 — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, and facility policy review the facility failed to ensure admission Minimum Data Set (MDS) assessments completed timely for four of four residents reviewed for completion of comprehensive assessments (Resident #5, Resident #13, Resident #26, Resident #29). The facility reported a census of 28 residents. Findings include: 1. Review of the electronic health record for Resident #26 revealed the resident admitted to the facility 12/27/23. Review of the resident's admission MDS assessment with Assessment Reference Date (ARD) 1/9/24 revealed the assessment completed 1/19/24. The Facility Policy titled MDS-Resident Assessment Instrument (RAI) and Care Planning, undated, revealed the following: 1. A schedule will be established by the Care Plan Coordinator. This schedule will identify the date the MDS is due and the date the plan-of-care is due. All disciplines will complete their sections within the required timeframe's. All disciplines will assist in identifying those…

    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 before2024-08-15 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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, staff interview, and facility policy review the facility failed to update the Care Plan following initiation of anticoagulant medication, failed to ensure updated fall interventions were included following resident falls, failed to include a wound, and failed to address Clostridium Difficile for four of thirteen residents reviewed for Care Plan revision (Resident #6, Resident #15, Resident #20, Resident #27). The facility reported a census of 28 residents. Findings include: 1. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was rarely to never understood, and further revealed the resident took anticoagulant medication. Review of the Care Plan for Resident #15 lacked a focus area for anticoagulant medication. The Physician Order active 2/25/22 through 12/15/22 revealed a Physician Order for Eliquis 5 mg (milligram), an anticoagulant medication. It was noted the anticoagulant medication initiated for Resident #15 in the month following the resident's…

    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 · D2024-08-15 · 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 record review, interviews, and the facility policy, the facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident's medications they took for 1 of 5 residents reviewed for unnecessary medications (Resident #5). The facility reported a census of 28 residents. Findings include: The MDS assessment dated [DATE] revealed Resident #5 scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition intact. The MDS revealed the resident took a hypnotic and antidepressant. The MDS revealed a diagnosis for depression. The Care Plan revealed a focus area revised on 7/26/24 that the resident received Escitalopram, an antidepressant and Lamotrigine, an anti-convulsant for mixed obsessional thoughts, hoarding disorder, and major depressive disorder. The EHR (Electronic Health Record) lacked documentation the resident took a hypnotic medication. During an interview on 8/15/24 at 1:47 PM, Staff C, LPN (Licensed Practical Nurse) stated she didn't believe…

    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 · D2024-08-15 · tag F0644 — isolated
    Coordinate 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 the record review, staff interview, and the facility policy, the facility failed to resubmit a PASRR (Preadmission Screening and Resident Review) with new mental health diagnoses and psychotropic medications added to the plan of care for 2 of 2 residents reviewed for PASRR (Resident #19 and Resident #20). The facility reported a census of 28 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #19 scored a 10 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition moderately impaired. The MDS revealed diagnoses for non-Alzheimer's Dementia, anxiety disorder, depression, and psychotic disorder (other than schizophrenia). The MDS revealed the resident took an antipsychotic and an antidepressant medication. The MDS revealed the resident took antipsychotics on a routine basis. The Notice of PASRR Level 1 Screen Outcome dated 1/26/23 revealed no Level II required. The PASRR revealed no mental health diagnoses;…

    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 · D2024-08-15 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, and facility policy review the facility failed to ensure diuretic medication was included in the comprehensive Care Plan for one of five residents reviewed for unnecessary medications (Resident #26). The facility reported a census of 28 residents. Findings include: Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #26 scored 00 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognitive impairment. Per this assessment, the resident took diuretic medication. Review of the resident's Care Plan did not address diuretic medication. Review of the Physician Order dated 12/27/23, noted to be the date of the resident's admission, revealed, Furosemide (diuretic) Oral Tablet 20 MG (milligram) with directions to give 1 tablet by mouth every day shift for bilateral lower extremity edema. On 8/14/24, review of Resident #26's Physician Orders revealed the order remained current for Resident #26. On 8/15/24 at 1:40…

    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 · D2024-08-15 · tag F0658 — failed to meet professional standards of care — isolated
    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

    Based on observation, interview, and record review, the facility failed to ensure diuretic medication administered per physician order for one of two residents reviewed for edema (Resident #7). The facility reported a census of 28 residents. Findings include: Review of the Minimum Data Set (MDS) assessment for Resident #7 dated 7/29/24 revealed the resident scored 15 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. Per this assessment, the resident took diuretic medication. The Care Plan for Resident #7 dated 2/10/20, revised 4/2/23, revealed the following: [Resident #7] utilizes diuretic therapy Furosemide r/t (related to) diagnoses of hypertension and unspecified heart failure. The intervention dated 4/2/23 revealed, Weight daily in AM per PCP (Primary Care Physician) orders. Report gains of 3 lbs. or greater in 24 hours to PCP. The Physician Order dated 8/30/21 revealed, Lasix Tablet 40 MG (Furosemide) with instruction to give 40 mg (milligram) by mouth in the morning related to heart failure, unspecified. The Physician Order dated…

    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 · D2024-08-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident interview, and the staff interviews, the facility failed to provide a shower twice a week for 1 of 1 residents reviewed for ADLs (Activities of Daily Living) (Resident #13). The facility reported a census of 28 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #13 scored a 11 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition moderately impaired. The MDS revealed the resident dependent with shower/bathing self and tub/shower transfers. The MDS revealed the diagnosis for Parkinson, unspecified. The Care Plan revealed a focus area revised on 4/2/23 for the resident's ability to complete ADLs had deteriorated related to advanced Parkinson's disease symptoms. The interventions dated 11/14/23 revealed the resident required a mechanical lift for transfer. The interventions revised on 4/2/23 revealed not to rush the resident and allow extra time to complete ADLs. The POC (Plan of Care) Response…

    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 · Dcited before2024-08-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 record review the facility failed to ensure daily weights obtained per Physician Order for two of two residents reviewed for edema (Resident #7, Resident #9), and failed to ensure timely, consistent follow up after documentation of no bowel movement (BM) for greater than three days for one of one resident reviewed for bowel and bladder (Resident #9), and failed to ensure thorough assessment completion for a resident's heel wound for one of two residents reviewed for wounds (Resident #20). The facility reported a census of 28 residents. Findings include: 1. Review of the Minimum Data Set (MDS) assessment for Resident #7 dated 7/29/24 revealed the resident scored 15 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. Per this assessment, the resident took diuretic medication. The Care Plan for Resident #7 dated 2/10/20, revised 4/2/23, revealed the following: [Resident #7] utilizes diuretic therapy Furosemide r/t (related to)…

    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
Show the remaining 10 citations
  • Potential for harm · Dcited before2024-08-15 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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, staff interview, and the facility policy, the facility failed to have the physician respond to the pharmacist GDR (Gradual Dosage Reduction) recommendation letter in a timely manner for 1 of 5 residents reviewed for unnecessary medications (Resident #19). The facility reported a census of 28 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #19 scored a 10 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition moderately impaired. The MDS revealed diagnoses for non-Alzheimer's Dementia, anxiety disorder, depression, and psychotic disorder (other than schizophrenia). The MDS revealed the resident took an antipsychotic and antidepressant medications. The MDS revealed the resident took antipsychotics on a routine basis. The Care Plan revealed a focus area revised on 8/6/24 for resident received psychotropic medications escitalopram and Seroquel related to dementia with behavioral disturbance as evidenced by…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-12 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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, policy review, and staff interview, the facility failed to ensure 4 of 5 residents were offered up to date pneumococcal (referring to pneumonia) vaccinations (Residents #4, #10, #15, #16). The facility reported a census of 24 residents. Findings include: 1. Resident #4's Resident Detail report listed his admission date as 3/10/16 and his date of birth (DOB) as 1/14/36. The Immunization Registry Information System(IRIS) report for Resident #4 lacked documentation he received a pneumococcal vaccination. The admission Checklist, dated 3/10/16, had a question mark next to the question which asked if the resident had a pneumococcal vaccine or would like to receive one. 2. Resident #10's Resident Detail report listed her admission date as 6/4/18 and her DOB as 1/14/26. The IRIS report for Resident #10 lacked documentation she received a pneumococcal vaccination. The resident's electronic health record (EHR) report documented the resident received a Pneumovax Dose 1 on 10/12/18. An…

    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 · Dcited before2023-10-12 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure Care Plans were revised to include use of anticoagulant medications, updated interventions for falls, and use of opioid medication for two of twelve residents reviewed for Care Plans (Resident #10, Resident #17). The facility reported a census of 24 residents. Findings include: 1. The Minimum Data Set (MDS) assessment for Resident #17 documented the resident had severely impaired cognition. Per this assessment, the resident took an anticoagulant medication for seven of the last seven days. a. Review of the Care Plan for Resident #17 did not address the use of anticoagulant medication or opioid medication. The Physician Order dated 12/20/22 documented, Apixaban Oral Tablet 5 MG with instructions to give 1 tablet by mouth two times a day. The Physician Order dated 1/12/23 documented, Fentanyl Transdermal Patch 72 Hour 12 MCG/HR (microgram/hour) with directions to apply 1 patch transdermally every 72 hours for Pain control and remove per schedule. The Medication Administration Record (MAR) for the resident…

    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 before2023-10-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, policy review, and staff interview, the facility failed to carry out assessments and interventions when a resident did not have a bowel movement for multiple days for 1 of 2 residents reviewed on narcotic pain medications (Resident #10). The facility reported a census of 24 residents. Findings: 1. The Minimum Data Set (MDS) assessment tool, dated 8/31/23, listed diagnoses for Resident #10 which included coronary artery disease, hip fracture, and anxiety disorder and listed an admission date of 6/16/22. The MDS stated the resident received opioids and listed her Brief Interview for Mental Status (BIMS) score as 11 out of 15, indicating moderately impaired cognition. The facility policy Regular Bowel Habits, dated 4/19/06, stated if a resident was on the second day with no recorded bowel movements the facility would administer Milk of Magnesia (MOM-a type of laxative) and if no results that night, the resident would receive a dulcolax (a type of laxative) suppository the next morning. The policy stated the resident would maintain regular bowel habits…

    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 · D2023-10-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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

    Based on observation, clinical record review, policy review, and staff interview, the facility failed to implement resident specific interventions for elopement and failed to ensure elopement alert devices were consistently checked for two of two residents reviewed for elopement (Resident #8, Resident #15). The facility reported a census of 24 residents. Findings include: 1. The Minimum Data Set (MDS) assessment tool, dated 7/24/23, listed diagnoses for Resident #15 which included non-Alzheimer's' dementia, delirium due to a known physiological condition, and heart failure. The MDS listed the resident's Brief Interview for Mental Score (BIMS) as 4 out of 15, indicating severely impaired cognition. The facility policy Comprehensive Care Plan, reviewed 4/21/06, stated the facility would develop care directives to maintain optimum health status and stated with periodic reassessments, the facility would review and alter care plans according to need. The facility policy Missing Resident, reviewed 9/29/06, stated the facility would investigate all reports of missing residents. 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 · D2023-10-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure urinary catheter tubing and catheter drainage bag remained off of the floor for one of one resident reviewed for catheters (Resident #4). The facility reported a census of 24 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #4 dated 9;/26/23 revealed the resident scored 4 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognitive impairment. Per this assessment, the resident had an indwelling catheter. The Care Plan dated 4/2/23 revealed, [Resident #4] requires indwelling urinary catheter r/t (related to) obstructive and reflux uropathy. Interventions did not address placement of catheter tubing and urinary drainage bag. Observations of Resident #4 revealed the following: On 10/09/23 at approximately 12:40 PM, Resident #4 observed in his wheelchair with the urinary catheter drainage bag in the wheelchair seat next to the resident, on the left side of the resident. On 10/09/23 at 1:04 PM, Resident #4 observed in his wheelchair with…

    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 · Dcited before2023-10-12 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and facility policy review the facility failed to ensure timely follow up on medication regimen review recommendations for one of five residents reviewed for unnecessary medications (Resident #8). The facility reported a census of 24 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #8 dated 6/5/23 revealed the resident scored 1 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognitive impairment. Per this assessment, the resident received antidepressant medication for seven of the last seven days. The Care Plan dated 12/8/20 revised on 4/3/20 documented, [Resident #8] uses psychotropic medications Fluoxetine, Mirtazapine and Memantine r/t (related to) Behavior management d/t hx (history) of Alzheimer's disease and recurrent major depressive disorder. Review of Pharmacy Progress Notes for Resident #8 for July, August, and September 2023 documented, in part, the following: a. 7/26/2023 at 9:33 AM: No medication changes since last month. One fall this month with no serious injury…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-12 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, policy review, resident interview, and staff interview, the facility failed to provide routine dental services for 3 of 3 residents reviewed for the provision of dental services (Residents #10, #11, and #16). The facility reported a census of 24 residents. Findings include: 1. The Minimum Data Set (MDS) assessment tool, listed diagnoses for Resident #16 which included hip fracture, Parkinson's disease, and anxiety disorder. The MDS listed the resident's Brief Interview for Mental Status (BIMS) score as 13 out of 15, indicating intact cognition. The facility policy Dental Services, dated 12/2003, stated the facility would assist all residents in obtaining needed routine and emergency dental services. The facility lacked documentation the resident received routine dental services from 2/8/22 until 10/12/23. On 10/10/23 at 9:37 a.m., Resident #16 stated she was due to go to the dentist and thought she had a cavity. The resident's Care Plan did not address dental services. 2. The MDS assessment tool, dated 8/31/23, listed diagnoses for Resident #10 which…

    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 · D2023-10-12 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and facility policy review the facility failed to ensure adherence to antibiotic stewardship practices prior to the administration of antibiotics for one of one resident reviewed for antibiotic stewardship (Resident #9). The facility reported a census of 24 residents. Findings include: Review of the Minimum Data Set (MDS) assessment for Resident #9 dated 9/19/23 revealed the resident scored 4 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognitive impairment. Per this assessment, the resident was always incontinent of urine. The Care Plan initiated 1/21/21, revised 9/23/23, documented, [Resident #9] has the potential to experience bladder incontinence r/t (related to) decreased mobility, dementia, and pain. The Intervention dated 7/22/21 documented, Report signs and symptoms of UTI (urinary tract infection) (acute confusion, urgency, frequency, bladder spasms, nocturia, burning, pain, difficulty urinating, low back or flank pain, malaise, n/v (nausea/vomiting) , chills, fever, foul odor, concentrated urine,…

    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
  • No harm found · C2024-08-15 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interview, review of CMS-2567 reports, and facility QAPI (Quality Assurance and Performance Improvement) Plan, the facility failed to ensure an effective QAPI (Quality Assurance Performance Improvement) process to address previously identified quality deficiencies, resulting in multiple repeat deficiencies identified on the facility's current recertification and complaint survey previously identified during surveys completed in the last ten months. The facility reported a census of 28 residents. Findings include: a. The CMS-2567 form from a recertification survey dated 10/9/23 to 10/12/23 revealed received a no actual harm level citation for care plan revision, assessment/intervention, and drug regimen review. b. The facility's current recertification survey, entrance date 8/12/24, resulted in a no harm level deficient practice for assessment and intervention of residents; care plan revision; comprehensive care plans; and drug regimen reviews. During an interview on 8/15/24 at 3:14, the Administrator queried on how they knew a process was still working and she stated…

    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.

Who owns this facility

Owner / managerTypeRoleSince
BOHLING, DIANNEIndividualCORPORATE DIRECTORsince 09/18/2014
BUSER, LAMOYNEIndividualCORPORATE DIRECTORsince 10/01/2023
KELTNER, KASEYIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 02/22/2017
MCFARLAND, CHRISTINE AIndividualCORPORATE DIRECTORsince 10/01/2005
MCFARLAND, ELYSSAIndividualCORPORATE DIRECTORsince 10/04/2022
HOUSTON, JOSEPHIndividualCORPORATE OFFICERsince 10/04/2022
HUSTON, THOMAS MIndividualCORPORATE OFFICERsince 11/18/2020
SENTS, STEVEN AIndividualCORPORATE OFFICERsince 10/01/2005
CUTLER HAND, SARAH KIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/23/2025
NACOS, GEORGEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/23/2025
SKUBAL, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/10/2019
SKUBAL, BRIANAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/03/2017
WELLS, MELINDAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/21/2024
BRIGHTON CONSULTING GROUP LLCOrganizationADP OF THE SNFsince 10/01/2024
DIGITAL STEW SERVICES INCOrganizationADP OF THE SNFsince 01/01/2023
HEALTHCARE OF IOWA INCOrganizationADP OF THE SNFsince 10/31/2017
KRISTINA GEORGEOrganizationADP OF THE SNFsince 04/14/2025
MILLENNIUM REHAB & CONSULTING INCOrganizationADP OF THE SNFsince 10/31/2017
TDT CPA'S AND ADVISORS PCOrganizationADP OF THE SNFsince 08/01/2012
WILLIAM BURKE LTDOrganizationADP OF THE SNFsince 08/31/2013

CMS files one row per role, so the 23 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 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.

$3.0M
Net patient revenuemost recent cost report
-2.7%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 57%Medicare 2%Other / private 42%

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

$321per resident / day
operating cost
$9,754per month
≈ monthly operating cost
$313per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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 165476. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-24, 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.

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