Exira Care Center
411 South Carthage, Exira, IA 50076 · Non profit - Corporation · 60 certified beds · (712) 268-5393 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a high payroll-based staffing rating (4/5)
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $22,880 in federal fines (most recent 2024-10-10)
- its payroll-based staffing score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own 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 | 2 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 held steady at 3 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 | 19.7% | 17.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.6% | 4.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 9.7% | 1.5% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 2.6% | 2.4% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.6% | 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 | 1.8% | 3.8% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 19.8% | 16.6% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 14.3% | 20.8% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.5% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.8% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 10.7% | 25.6% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.3% | 19.5% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 2.1% | 1.4% | better |
| Short-stay residents rehospitalized after admission | 18.0% | 20.9% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 26.5% | 13.2% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.13 | 1.49 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.73 | 2.08 | 1.80 | worse |
‡ 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.
35.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 50.0% 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 20 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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 2% 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 | 35.3%CMS range 26.4–48.0 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.3%CMS range 6.8–14.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 50.0% | 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 | 45.0% | 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 | 45.0% | 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 | 90.9% | 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 | 0.0% | 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 | 8.4%CMS range 4.5–14.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.83 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 60 beds and averages 37.7 residents a day — about 63% occupied, or roughly 22 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.42 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 3.42 hrs/resident/day on weekends vs 3.86 on weekdays — 11% thinner on weekends. RN hours go from 0.69 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 50% is about the same as 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
Deficiencies are more than at the previous inspection — worsening. 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.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-11-08 · 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
Based on observations, clinical record review, facility document review, staff and resident interviews, and facility policy review the facility failed to supervise a cognitively impaired resident. Staff were unaware Resident #1 left the building on 10/31/24. Staff last saw Resident #1 at approximately 12:45 PM. The door alarm sounded at 1:01 PM, staff responded, took approximately 5 steps outside, did not see anyone, walked back in the facility, disarmed the door alarm and went back to work. At 1:30 PM a different staff member came into the back-parking lot, saw a car backed up against the curb and was blocking the parking lot. Staff realized it was Resident #1 in the driver's seat with the car running and the doors locked. The responding staff member failed to do a thorough check around the facility, failed to notify nursing staff that she did not see anyone, and failed to initiate a head count to ensure all residents were accounted for. The facility reported a census of 38 residents. On 11/7/24 at 4:20 PM the State Survey Agency informed the facility of the staff's failure 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.
- Potential for harm · E2026-05-06 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interviews, family interviews, staff interviews, and policy review, the facility failed to respond to resident call lights within 15 minutes for 4 of 4 residents (#1, #2, #5, #6). The facility also assigned an uncertified nursing aide to direct resident care alone, used agency staff to orientate a newly hired Certified Nurse Aide, and failed to respond timely to a request for assistance in a locked memory-care unit. The facility reported a census of 35 residents. Findings include: 1. Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 01 out of 15 which indicated severely impaired cognition. It included diagnoses of non-Alzheimer's dementia, anxiety, and hospice. It indicated she was independent with eating, required setup assistance with oral hygiene, supervision with bed repositioning and personal hygiene, was dependent with lower body dressing and footwear, and required moderate assistance with all other…
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 · D2026-05-06 · 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 observations, clinical record review, staff interview, and policy review, the facility failed to maintain dignity for 2 of 3 residents (#6, #7) by leaving a resident's blood-stained sheets on his bed for 4 1/2 hours (#6) and by reaching across the front of a resident's face to pick up a clothing protector off the table (#7). The facility reported a census of 35 residents. Findings include: 1. Resident #6's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 00 which indicated severely impaired cognition. It included diagnoses of non-Alzheimer's dementia and arthritis. It revealed he required supervision with eating, moderate assistance with oral and personal hygiene, maximal assistance with upper body dressing, and was dependent with all other ADLs and mobility.An undated Care Plan indicated the resident had an ADL self-care deficit related to dementia and was at risk for infection related to a suprapubic catheter (urinary catheter surgically…
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 · D2026-05-06 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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 clinical record review, staff interviews, and facility policy review, the facility failed to provide baths for 2 of 3 residents (#1, #3) who required bathing assistance. The facility reported a census of 35 residents. Findings include: 1. Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 02 out of 15 which indicated severely impaired cognition. It included diagnoses of non-Alzheimer's dementia, anxiety, and hospice. It indicated she required supervision with eating and bed repositioning, required moderate assistance with oral hygiene, lying-to-sitting, and sitting-to-lying, required maximal assistance with all other Activities of Daily Living (ADLs) and forms of mobility.An undated Care Plan indicated the resident had an ADL self-care performance deficit related to dementia and directed staff to provide sponge bath when a full bath or shower cannot be tolerated.A hospice document titled Aide Visit Note dated 3/01/26 - 4/29/26…
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 · D2026-05-06 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 clinical record review, staff interviews, and facility policy review, the facility failed to appropriately complete assessments for 3 of 3 residents (#1, #6, #7) who fell at the facility. The facility reported a census of 35 residents. Findings include: 1. Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 01 out of 15 which indicated severely impaired cognition. It included diagnoses of non-Alzheimer's dementia, anxiety, and hospice. It indicated she was independent with eating, required setup assistance with oral hygiene, supervision with bed repositioning and personal hygiene, was dependent with lower body dressing and footwear, and required moderate assistance with all other Activities of Daily Living (ADLs) and forms of mobility.An undated Care Plan indicated the resident had impaired cognitive function/dementia or impaired thought processes related to dementia and directed staff to monitor/document/report PRN any changes in…
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 before2026-05-06 · 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 observation, record review, staff interviews, and policy review, the facility failed to use a gait belt while transferring a resident who required assistance with mobility for 2 of 3 residents (#3, #4) and failed to lock a wheelchair while transferring a resident without a gait belt for 1 of 3 residents (#4). The facility reported a census of 35 residents.Findings include:1. Resident #3's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 00 out of 15 which indicated severely impaired cognition. It included diagnoses of Alzheimer's disease and non-Alzheimer's dementia. It revealed she required moderate assistance with eating and was dependent with all other Activities of Daily Living (ADLs) and all forms of mobility.The Care Plan dated 10/15/25 indicated the resident was a fall risk related to chronic confusion and directed staff to use 2-person assistance or a mechanical standing lift for transfers as needed to promote safety.2. Resident #4'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.
- Potential for harm · D2026-05-06 · 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 observations, clinic record review, resident and staff interviews, and policy review, the facility failed to maintain competent staff by allowing a Training Nurse Aide (TNA - uncertified nurse aide) to incorrectly transfer two (2) residents (#3, #4), incorrectly apply a leg immobilizer on a resident with a broken leg (#2), and assign a Certified Nurse Aide (CNA) without evidence of dementia training to provide care for dementia residents. The facility reported a census of 35 residents. Findings include: 1. Resident #2's MDS dated [DATE] identified a BIMS score of 14 out of 15 which indicated completely intact cognition. It included diagnoses of cancer, heart failure, and a left leg fracture. It indicated she was independent with eating and oral hygiene, required setup assistance with upper body dressing and personal hygiene, required maximal assistance with all other ADLs and was dependent with all forms of mobility.An undated Care Plan indicated the resident had an ADL self-care performance deficit…
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 · D2026-05-06 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and policy review, the facility failed to perform hand hygiene while assisting with meals for 2 of 3 residents (#3, #6) who were dependent with eating. The facility reported a census of 35 residents.Findings include:1. Resident #3's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 00 out of 15 which indicated severely impaired cognition. It included diagnoses of Alzheimer's disease and non-Alzheimer's dementia. It revealed she required moderate assistance with eating and was dependent with all other Activities of Daily Living (ADLs) and all forms of mobility.An undated Care Plan indicated the resident had a self-care deficit related to Alzheimer's disease and directed staff to attempt to participate and provide assistance with eating.2. Resident #6's MDS assessment dated [DATE] identified a BIMS score of 00 which indicated severely impaired cognition. It included diagnoses of non-Alzheimer's dementia 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.
- Potential for harm · Dcited before2025-08-07 · 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 observation, staff interviews and clinical record review the facility failed to adequately supervise residents in the locked Chronic Confusion or Dementing Illness (CCDI) unit for 1 of 6 residents. The facility reported a census of 44 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #30 was severely cognitively impaired and had delusions. She used a walker and required supervision for transfers and toileting. Her diagnoses included: cerebrovascular accident (CVA), dementia and asthma. The Care Plan for Resident #30, updated on 6/18/25, showed that she had self-care deficits, secondary to chronic confusion and dementia. The resident was an elopement risk, disoriented to place and wandered aimlessly. Staff were to distract the resident from wandering and offer diversions. Resident #30 had communication problems, was rarely understood, and was at risk for falls related to altered mobility and unsteady gait. She had poor safety awareness. Staff were directed 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.
- Potential for harm · D2025-08-07 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews and clinical record review the facility failed to provide adequate urinary catheter care for 2 of 2 residents reviewed. Resident #1 had chronic urinary tract infections and staff failed to monitor his output as ordered. Resident #28 had an order to not insert more than 10 milliliters (ml) of fluid in the catheter balloon. Staff failed to transcribe the specific order and administered fluid according to the catheter package. The facility reported a census of 44 residents.Findings include: 1. According to the Minimum Data Set (MDS) dated [DATE], Resident #28 had a Brief Interview for Mental Status (BIMS) score of 8 (moderate cognitive deficit). He required partial assistance with toileting, transfers, and dressing. The resident had an indwelling catheter and diagnoses that included: coronary artery disease, dementia, type 2 diabetes mellitus, Benign Prostatic Hyperplasia (BPH), retention of urine and edema. The Care Plan, updated on 6/5/25, showed that Resident #28 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 · D2025-08-07 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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, resident interview, and staff interviews the facility failed to consistently monitor meal intakes for residents for sufficient nutrition to maintain proper weight for 1 of 2 residents reviewed (Resident #6). The facility reported a census of 44 residents. Findings include:Review of Resident #6's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13 indicating intact cognition. The MDS further revealed diagnoses of stroke, hyponatremia (low sodium levels in the blood), non-Alzheimer's dementia, and hemiplegia (paralysis or severe weakness on one side of the body).Interview 8/04/25 at 11:23 AM with Resident #6 revealed that she has lost some weight, and that she is on a mechanical soft diet. Resident #6 further revealed that she is on a supplement as well. Review of the Electronic Health Record (EHR) for Resident #6 revealed on 1/12/25 Resident #6 weighed 147 pounds. On 7/27/25 Resident #6 weighed 133 pounds which is a…
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 10 citations
- Potential for harm · D2025-08-07 · 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 clinical record review, policy review, and staff interviews, the facility failed to accurately document resident medication administration for 2 of 13 residents (Resident #1 and #2). The paper Medication Administration Record (MAR) for Residents #1 and #2 showed many days blanks, indicating that the medications had not been given. The facility reported a census of 44 residents. Findings include: 1) The Minimum Data Set (MDS) dated [DATE], showed that Resident #1 had a Brief Interview for Mental Status (BIMS) score of 14 (intact cognitive ability). The resident was totally dependent on staff for toileting hygiene, dressing and transfers. He had an indwelling catheter, diagnoses included: atrial fibrillation, coronary artery disease, heart failure, Benign Prostatic Hyperplasia (BPH) septicemia.The Care Plan, last reviewed on 7/7/25, showed that Resident #1 used antidepressant medication and was on diuretic therapy. Staff were to administer medication as ordered by the physician. The resident was at risk…
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 before2024-11-08 · tag F0641 — isolatedEnsure 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 observations, clinical record review, and staff interviews the facility failed to ensure 1 of 3 resident's (Resident #1) Minimum Data Set (MDS) assessments were accurately completed. The facility reported a census of 38 residents. Findings include: On 11/7/24 at 11:32 AM Resident #1 sat at the dining room table with peers eating her lunch, wanderguard observed to be located on her left ankle. Review of Resident #1's census tab in her Electronic Health Record (EHR) documented her admission date as 5/2/24. According to the admission MDS assessment tool with a reference date of 5/15/24 it documented Resident #1 wandered daily. The MDS also documented a wander/elopement alarm was not used. According to the Quarterly MDS assessment tool with a reference date of 8/15/14 it documented Resident #1 wandered daily. The MDS also documented a wander/elopement alarm was not used. According to the Significant Change MDS assessment tool with a reference date of 8/15/14 it documented Resident #1 wandered 1 to 3 days…
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 before2024-11-08 · 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 observations, clinical record review, and staff interviews the facility failed to ensure 2 of 3 residents' (Resident #1 and #3) care plans included interventions for staff to follow should these residents exhibit wandering/eloping behaviors. Resident #1's care plan failed to include that she had eloped from the building on 10/31/24 and was found in a staff member's car. The facility reported a census of 38 residents. Findings include: 1. According to a significant change Minimum Data Set (MDS) assessment tool with a reference date of 10/9/24 Resident #1 had a Brief Interview of Mental Status (BIMS) score of 8. A BIMS score of 8 suggested mild cognitive impairment. Resident #1 had experienced hallucinations and delusions during the review period. The MDS documented she wandered 1 to 3 days during the review period. Resident #1 had no upper or lower extremity impairments, she utilized a walker and wheelchair for mobility. Resident #1 required supervision or touching assistance when going from a sitting to standing position. She was independent when ambulating. The MDS…
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 · D2023-12-21 · 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, staff interview and facility policy review, the facility failed to ensure staff followed physician orders to treat an infection and prevent subsequent hospitalization for 1 of 3 residents reviewed (Resident #1). Findings include: Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 6, indicating impaired cognition. The MDS included diagnoses of cancer, septicemia (infection in the blood), and urinary tract infection. The care plan last revised on 10/11/23 for Resident #1 did not have a focus area for an actual or potential for urinary tract infection. The MD/Nurse Communication form on 9/8/23 reflected the Primary Care Provider (PCP) ordered a UA with culture. The Health Status Note dated 9/9/23 at 12:12 PM, the PCP ordered a urinalysis (UA) with a culture and sensitivity (C&S) due to behavior concerns. The Health Status Note on 9/11/23 at 10:50 AM, the facility collected the UA, took it to the hospital lab,…
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 · F2023-07-13 · tag F0922 — failed to maintain the building's systems — widespreadHave enough backup water supply for essential areas of the nursing home.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, observations, and review of facility policies the facility failed to ensure procedures were developed to ensure water was available when normal water supply was lost. This failure had the potential to affect all 36 residents. Findings include: On 7/11/23 at 11:00 AM observed an emergency water supply consisting of two gallons and two 24 packs of eight-ounce water bottles in a closet in the closed dementia unit. In addition, noted 20 gallons of water and four cases of 16.9-ounce bottled water in the front storage area. The undated Emergency Water Loss Policy reflected that the policy lacked a reference to bottled water storage within the building, how to make use of existing potable and non-potable water stored in the building such as water from toilet tanks or hot water tanks, and a method of distribution. In addition, the policy referred to water storage areas using bathtubs. The facility has two whirlpool bathtubs, all other resident areas utilize showers. On 7/13/23 at 10:15 AM the Administrator acknowledged that the facility lacked water storage areas and a…
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 · E2023-07-13 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, review of the facility policy, review of menus, and interview with staff, the facility failed to provide a diabetic diet for three of three residents (Resident (R) 14, R25, and R20) with physician orders for a diabetic diet. Findings include: The undated Diet Orders policy instructed that diets will be offered as ordered by the physician. The undated Diets Available on the Menu policy directed the main diet orders that will be offered are regular/no added salt, mechanical soft, puree, gluten free, house diabetic (regular with diet syrup and jellies and half portions of desserts), and small portions. The untitled and undated facility menu with matching spread sheet referred to four diets, a regular diet, a regular diet with small portions, a mechanical diet, and a pureed diet. The facility menu and matching spread sheet lacked a menu for diabetic diets and/or no Regular with half portion desserts, diet syrups, and jellies. The July 2023 physician's orders for R14, R25, and R20 provided by the Dietary Manager included the current physician's orders for a…
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 before2023-07-13 · tag F0641 — isolatedEnsure 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 observation, record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure one resident out of 12 sampled residents (Resident (R) 4) had an accurate Minimum Data Set (MDS) assessment. Failure to code the MDS correctly can lead to inaccurate federal reimbursements, an inaccurate assessment, and care planning of the resident. Findings include: Review of the RAI Manual, dated 10/1/19, indicated, . It is important to note here that information obtained should cover the same observation period as specified by the MDS items on the assessment and should be validated for accuracy (what the resident's actual status was during that observation period) by the interdisciplinary team (IDT) completing the assessment.'' R4's Face Sheet listed an admission date of 6/5/23. R4's admission MDS assessment dated [DATE] indicated that they used an anticoagulant for seven out of seven days during the lookback period. R4's Orders lacked documentation of a…
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 before2023-07-13 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to develop a person-centered Comprehensive Care plan for one of 12 sampled residents (Resident (R) 31). On admission R31's assessment reflected them as high-risk for falls and the Care Plan did not address person-centered interventions for falls. This deficient practice may result in interventions not identified to prevent resident falls. Findings include: R31's undated Face Sheet listed an admission date of 4/21/22. The face sheet included a diagnosis of unspecified dementia, unspecified severity, without behavioral disturbances. R31's Fall Risk assessment dated [DATE] reflected a fall risk score of 14, where a risk assessment of greater than 10 indicated a High Risk for falls. R31's Care Plan lacked person-centered interventions to address their high risk of falls During an interview on 2/12/23 at 11:16 AM, the Assistant Director of Nursing (ADON) confirmed R31's Care Plan lacked interventions addressing the fall risk score of 14 upon admission. 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 · D2023-07-13 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 observation, interview, record review, and policy review the facility failed to update the Care Plan Focus related to a resident's fall risk with new interventions to prevent falls after a resident fell for one of 12 sampled residents (Resident (R)31). This deficient practice placed the resident at greater risk of future falls and injury. Findings include: R31's undated Face Sheet listed an admission date of 4/21/22. The face sheet included a diagnosis of unspecified dementia, unspecified severity, without behavioral disturbances. R31's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview Mental Status (BIMS) score of 6, indicating severe cognitive impairment. The MDS indicated R31 required limited assistance of one person with walking in her room, walking in the corridor, toilet use, personal hygiene, locomotion on unit and off the unit. R31's Fall Risk assessment dated [DATE] revealed a fall risk of 14, where a risk assessment of greater than 10 indicated a High Risk for falls.…
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.
- No harm found · C2023-07-13 · tag F0577 — widespreadAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to post the most recent survey results and the previous three years of surveys including annual surveys, complaint surveys, infection control surveys, and life safety code surveys in a readily accessible location. This has the potential to affect all 36 residents. Findings include: On 7/11/23 at 2:30 PM observed a sign posted in the main lobby area that directed The most recent survey can be found in a red binder near the dining area. On 7/11/23 at 2:30 PM observed the red binder labeled Survey near the dining area contained one survey dated 12/31/19. During an interview on 7/11/23 at 2:35 PM, the Administrator verified the red binder contained only one survey and indicated they had other surveys in a binder in their office. On 7/13/23 at 10:00 AM, the red binder no longer had the previous survey of 12/31/19 and contained only the annual survey dated 5/12/22. The red binder lacked annual life safety code surveys, complaint surveys, or other surveys.
“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
$22,880 in federal fines across 1 penalty.
- $22,880 — penalty dated 2024-10-10
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 | Since |
|---|---|---|---|
| NELSON, DALE | Individual | CORPORATE DIRECTOR | since 10/01/2017 |
| THOMPSON, BECKY | Individual | CORPORATE DIRECTOR | since 05/01/2025 |
| GODWIN, THOMAS | Individual | CORPORATE OFFICER | since 10/01/2017 |
| BURNS, MARTY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 09/15/2020 |
| DENTLINGER, LORI | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 05/25/2018 |
| MARSHALL, TANYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 05/29/2024 |
| OLSEN, TINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 01/31/1994 |
| PAULSEN, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/1994 |
| VAMPOLA-RUNYAN, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/05/1988 |
| BCG HOLDINGS INC | Organization | ADP OF THE SNF | since 10/01/2024 |
| BRIGHTON CONSULTING GROUP LLC | Organization | ADP OF THE SNF | since 10/01/2024 |
| CATTAIL BCG LLC | Organization | ADP OF THE SNF | since 10/01/2024 |
| CATTAIL INC | Organization | ADP OF THE SNF | since 10/01/2024 |
| CREATIVE PLANNING HOLD CO LLC | Organization | ADP OF THE SNF | since 08/01/2024 |
| ECSI INC | Organization | ADP OF THE SNF | since 10/01/2024 |
| IOWA HEALTH CARE ASSOCIATION | Organization | ADP OF THE SNF | since 10/01/2024 |
| JONI ANDERSON CONSULTING LLC | Organization | ADP OF THE SNF | since 06/30/2018 |
| KEY REHABILITATION INC | Organization | ADP OF THE SNF | since 06/30/2018 |
CMS files one row per role, so the 19 rows in the source record cover these 18 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.
9 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in IA
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 165412. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-07, 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.