Greenfield Rehabilitation & Health Care Center
615 SE Kent Street, Greenfield, IA 50849 · For profit - Corporation · 46 certified beds · (641) 743-6131 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- it has 1 actual-harm citation
- 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
- the CMS record shows $4,516 in federal fines (most recent 2024-01-30)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing 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) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 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 | 15.2% | 17.1% | 15.4% | typical |
| Long-stay residents who lose too much weight | 5.2% | 4.6% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.6% | 2.4% | 2.0% | better |
| Long-stay residents with depressive symptoms | 4.5% | 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 | 0.0% | 3.8% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 15.6% | 16.6% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 27.0% | 20.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 96.9% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 0.6% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 22.0% | 25.6% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 13.3% | 19.5% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 2.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 88.5% | 73.3% | 79.4% | better |
| Long-stay hospitalizations per 1,000 resident days | 0.78 | 1.49 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 2.36 | 2.08 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Met the expected recovery: 60.9% 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 23 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.2%CMS range 6.4–15.7 | 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 | 60.9% | 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 | 47.8% | 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 | 52.2% | 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 | 87.0% | 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 — 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 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 | 4.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.75 | 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 46 beds and averages 42.3 residents a day — about 92% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.76 hrs/resident/day on weekends vs 3.49 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.55 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 56% 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 unchanged from the previous inspection. 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.
20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · Gcited before2025-07-17 · 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 Number of residents sampled: 3Number of residents cited: 1Based on clinical record review, family interview, staff interviews, hospital record review and policy review, the facility failed to properly supervise a resident and failed to implement interventions to prevent a fall for 1 of 3 residents reviewed. Resident #49 sustained a femur fracture after she fell from the commode. The facility reported a census of 43 residents. Findings include:According to the Minimum Data Set (MDS), dated [DATE], Resident #49 had a Brief Interview for Mental Status (BIMS) score of 15 (intact cognitive ability). She was admitted to the facility on [DATE], and totally dependent on staff for hygiene, dressing, and transfers. Resident #49 had impairment on both sides of her lower extremities, was frequently incontinent of urine and always continent of bowel. Her diagnoses included: Multiple Sclerosis (MS), malnutrition, anxiety disorder, depression and muscle spasm. The Care Plan dated 3/20/25, showed that Resident #49 was admitted…
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 before2026-01-15 · 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 record review, staff and family interviews, and facility policy review the facility failed to obtain all of 1 of 3 resident's (Resident #1) medications once they were admitted to the facility. The facility reported a census of 42 residents.Findings include:According to the admission Minimum Data Set (MDS) assessment tool with a reference date of 10/31/2025, Resident #1 was admitted to the facility on [DATE]. The MDS documented a Brief Interview of Mental Status (BIMS) score of 15 out of 15, which suggested no cognitive impairment. The MDS listed the following diagnoses for Resident #1: hypertension, hip fracture, stroke, depression, cognitive communication deficit and atrial fibrillation.Record review of the scripts sent to the facility's pharmacy revealed the following order: doxazosin mesylate (treat high blood pressure) 2 milligram (mg). Give 0.5 tablet by mouth two times a day (BID). The order was electronically signed on 10/29/2025 at 10:54 AM. Review of Resident #1's October 2025 Medication…
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 before2026-01-15 · 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
Based on record review, resident and staff interviews, and facility policy review the facility failed to provided incontinent cares on the overnight shift for 1 of 3 residents reviewed (Resident #3). The facility reported a census of 42 residents.Findings include:According to the quarterly Minimum Data Set (MDS) assessment tool with a reference date of 12/11/2025, Resident #3 had a Brief Interview of Mental Status (BIMS) score of 15 out of 15, which suggested no cognitive impairment. The MDS documented she exhibited no rejection of care during the review period and had impairments to her bilateral upper and lower extremities. Resident #3 required substantial/maximal assistance with toileting hygiene and personal hygiene. Resident #3 was frequently incontinent of urine and always incontinent of bowel. The following diagnoses were listed for Resident #3: ulcerative colitis, paraplegia, anxiety, and depression.A Care Plan Focus Area with a revision date of 8/13/2024 documented Resident #3 had bladder incontinence. The Care Plan intervention revised 11/5/2024 encouraged staff to change…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-07-17 · tag F0636 — patternAssess 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
Number of residents sampled: 11Number of residents cited: 8Based on clinical record review, staff interview and guidance from the 2024 Resident Assessment Instrument (RAI) Manual, the facility failed to complete and transmit Comprehensive Minimum Data Set (MDS) Assessments within federal guidelines for 6 of 11 residents (#1, #2, #4, #6, #8, #18) reviewed for MDS Assessments. The facility reported a census of 43 residents.Findings include:1. The admission (Comprehensive) Minimum Data Set (MDS) of Resident #1 documented an Assessment Reference Date (ARD) of 3/18/25. The MDS recorded the resident had an admission date to the facility of 3/12/25. Page 58 of the MDS recorded a completion date of 4/2/25, day 22 of the resident's stay.2. The admission (Comprehensive) MDS of Resident #2 documented an ARD date of 1/15/25. The MDS recorded the resident had an admission date to the facility of 1/3/25. Page 58 of the MDS recorded a completion date of 1/28/25, day 26 of the resident's stay.3. The admission (Comprehensive) MDS of Resident #4 documented an ARD date of 8/2/24. The MDS recorded the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-17 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 3Number of residents cited: 1Based on staff interviews, Electronic Health Record (EHR) review, policy review and document review, the facility failed to provide the estimated cost of service with the end of a Medicare part A stay or when all of part B therapies were ending to 1 of 3 resident representatives (Resident #6). The facility reported a census of 43 residents.Findings include:1. The Minimum Data Set (MDS) dated [DATE] documented Resident #6's Brief Interview for Mental Status (BIMS) documented Resident #6 was rarely / never understood. Review of the document dated 5/28/25 titled, Declaration Relating to Life-sustaining Procedures (Living Will) and Durable Power of Attorney For Health Care Decisions (Medical Power of Attorney) documented Resident #6's daughter as power of attorney for health care decisions. Review of Resident #6's EHR titled, Profile documented Resident #6's daughter as the responsible party.Review of document titled, Notice of Medicare Non-Coverage for…
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 · D2025-07-17 · tag F0638 — isolatedAssure that each resident’s assessment is updated at least once every 3 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 Number of residents sampled: 3Number of residents cited: 1Based on clinical record review, staff interview and guidance from the 2024 Resident Assessment Instrument (RAI) Manual, the facility failed to complete Quarterly Minimum Data Set (MDS) Assessments within federal guidelines for 1 of 3 (Resident #39) residents reviewed. The facility reported a census of 43 residents. Findings include: The MDS portion of the Electronic Health Record (EHR) of Resident #39 recorded the resident's admission MDS was dated 11/28/24 with a Quarterly MDS dated [DATE]. The Resident then had a discharge MDS dated [DATE] with a re-entry dated 5/14/25. Per the MDS tracker built into the software, the next quarterly MDS was due 5/23/25. Upon review on 7/15/25 at 11:45 am, no further Quarterly assessments had been scheduled or completed. A Medicare - 5 day MDS dated [DATE] was the last MDS scheduled or completed. Page 2-35 of the 2024 RAI Manual documented a Quarterly Assessment must be within 92 days of the Previous OBRA assessment…
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 · D2025-07-17 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Number of residents sampled: 13Number of residents cited: 2Based on clinical record review, staff interviews, information from a drug manufacturer and guidance from the 2024 Resident Assessment Instrument (RAI) Manual, the facility failed to accurately reflect the status of 2 of 13 residents in the Minimum Data Set (MDS) Assessments (Resident #2, Resident #6). The facility reported a census of 43 residents. Findings include: 1. The MDS of Resident #2 dated 4/10/25 identified a Brief Interview for Mental Status Score of 14 which indicated cognition intact. The MDS coded the resident had a start date for Speech therapy as 3/18/25. The MDS recorded the resident had zero minutes of speech therapy during the seven day lookback period of April 4/4/25 - 4/10/25. The MDS coded the resident had a start date for Occupational Therapy of 3/18/25 and also recorded zero minutes of Occupational Therapy during the same seven day lookback period. The MDS coded the resident had a start date for Physical Therapy of 3/19/25, also with zero minutes of therapy recorded. On 7/14/25 at 3:02 pm, Resident #2…
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 · D2025-07-17 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
Number of residents sampled: 13Number of residents cited: 1Based on clinical record review and staff interviews, the facility failed to implement a Baseline Care Plan within 48 hours of admission for 1 of 13 residents reviewed (Resident #2). The facility reported a census of 43 residents. Findings include: The Census Line portion of the Electronic Health Record (EHR) of Resident #2 recorded the resident had moved from the facility's Assisted Living into the Long Term Care portion of the facility on 1/3/25. The Minimum Data Set (MDS) Assessment of Resident #2, dated 1/3/25, additionally recorded an admission date of 1/3/25. The Care Plan Section of Resident #2 EHR identified her most recent Care Plan had been initiated on 1/15/25. The prior Care Plan had an initiation date of 11/22/2022. When reviewed on 7/15/25, the Care Plan reflected initiation dates that varied by focus area. The earliest initiation date was documented as 1/20/25, which was five days after the Care Plan was noted as initiated and 17 days after the resident was admitted to the Long Term Care portion of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-07-17 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 3Number of residents cited: 3Based on observations, clinical record review, staff interviews, and policy review, the facility failed to prevent indwelling catheters from potential contamination by securing the urine drainage bag on a resident's trash can and allowing a drainage bag on rest on the floor for 2 of 3 residents reviewed (#3, #22). Staff also failed to don Personal Protective Equipment (PPE) or perform proper hand hygiene during indwelling catheter care for 1 of 3 residents reviewed (#29). The facility reported a census of 43. 1. On 7/14/2025 at 12:24 PM, Resident #22 was observed seated at a dining room table with an indwelling urinary catheter. At 2:21 PM, Resident #22’s urinary bag was observed hanging on the side of the trashcan to the right of his recliner. The Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 6 out of 15 which indicated severely impaired cognition. It included diagnoses of chronic kidney…
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 · E2024-08-29 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 policy review the facility failed to establish comprehensive, resident specific care plans for 4 of 4 residents reviewed (Resident #9, #13, #4 and #26). The facility reported a census of 29 residents. Findings include: 1. According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #9 had a Brief Interview of Mental Status (BIMS) score of 15 (intact cognitive ability). The resident was independent with eating, dressing, transfers and toileting. Her diagnosis included heart failure, renal insufficiency, diabetes and depression. The resident was taking an anticoagulant, insulin, opioid, antidepressant and a diuretic medication. The resident was admitted to the facility on [DATE]. The Care Plan dated 8/12/24, showed that Resident #9 had the potential for nutritional problems related to diagnosis of congestive heart failure, diabetes mellitus, depression, obesity and chronic kidney disease. She had weight fluctuations related to edema/diuresis. 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 · E2024-08-29 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview and policy review the facility failed to ensure that opened food items were dated. They failed to mitigate possible food contamination by using proper hand hygiene and hair net use. The facility reported a census of 29 residents. Findings include: On 8/26/24 at 10:25 AM, in an initial tour of the kitchen, Staff E, [NAME] was found at the sink in the kitchen. He had a full beard and mustache that was not covered. A survey of the refrigerator revealed a tray of drinks uncovered, and a large open bag of shredded lettuce undated. The dry storage area contained a large open bag of cheerios undated. On 8/27/24 at 11:55 AM, in an observation of the lunch service, Staff F, Dietary Aide, prepared a grilled cheese sandwich. She put a glove on her left hand, then opened a container of butter, opened the bread bag and reached into the bag and got bread, all with the same gloved hand. She then opened a container with cheese slices and took out a slice of cheese with same gloved hand. On 8/27/24 at 7:55 AM, the Dietary Manager (DM) said she understood that…
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 9 citations
- Potential for harm · D2024-08-29 · 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 clinical record reviews, observations, resident interview, staff interviews, and policy review, the facility failed to review and revise the care plan to include focus area and interventions for 2 of 15 residents (Resident #7 and Resident #15) reviewed. The facility reported a census of 29 residents. Findings include: 1. The Minimum Data Set (MDS) assessment for Resident #7 dated 8-2-24 identified a Brief Interview for Mental Status (BIMS) score of 15 which indicated cognition intact. The MDS documented diagnoses that included: arthritis, pain in the right leg and hip, and history of falling. Resident #7's Clinical Census revealed the resident admitted to the facility on [DATE]. The Care Plan printed 8/28/24 informed the staff Resident #7 did not wear edema garments. Resident #7's Clinical Physician Orders revealed the use of compression stockings on during the day and off at night with a start date of 8/9/24. The Progress Note dated 8/7/24 indicated the primary care provider completed rounds with a new…
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 before2024-08-29 · 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 observation, pharmacist interview, staff interview and clinical record review the facility failed to follow physicians' orders for 1 of 4 residents reviewed during medication pass. Resident #128 had a medication order for 100 milligrams (mg) of Sertraline, and the pharmacy sent a bubble pack of pills for 75 mg. Staff did not notice the discrepancy and had administered the wrong dose 26 times. The facility reported a census of 29 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #128 had a Brief Interview for Mental Status (BIMS) score of 11 (moderate cognitive deficits). He was independent with eating, hygiene, dressing and transferring. The resident was taking an antidepressant and antianxiety medications. The Care Plan updated on 8/15/24, showed that Resident #128 had an anxiety disorder, edema, obesity and intellectual disabilities. The Care Plan lacked reference to antidepressant and antianxiety medications. The census tab in the electronic record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-29 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, observations, resident interview, staff interview, and policy review, the facility failed to provide respiratory care and services in accordance with professional standards of practice for 1 of 1 residents reviewed, requiring the use of oxygen (Resident #15). The facility reported a census of 29 residents Findings include: The Minimum Data Set (MDS) assessment for Resident #15 dated 8-2-24 identified a Brief Interview for Mental Status (BIMS) score of 11 which indicated moderate cognitive impairment. The MDS documented diagnoses that included: Parkinson's Disease, personal history of transient ischemic attack and cerebral infarction, and personal history of COVID-19. The MDS documented Resident #15 did not require oxygen on admission to the facility. The Care Plan printed 8/28/24 informed the staff Resident #15 did not receive oxygen. Resident #15's Physician Orders revealed use of oxygen at 1-2 Liters as needed to keep oxygen saturations above 90% with a start date of 8/9/24. Resident #15's Medication Administration Record/Treatment Administration…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-29 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, observation, staff interview, and policy review, the facility failed to document the correct medication provided for 1 of 6 (Resident #26) residents reviewed. The facility reported a census of 29 residents Findings include: The Minimum Data Set (MDS) assessment for Resident #26 dated 8-2-24 identified a Brief Interview for Mental Status (BIMS) score of 4 which indicated severe cognitive impairment. The MDS documented diagnoses that included: Non-Alzheimer's Dementia, and anxiety disorder. The MDS documented Resident #26 received antianxiety and dementia medication on 7 out of 7 days of the assessment reference period. The Care Plan printed 8/28/24 informed the staff Resident #26 received medication related to anxiety and dementia. The Care Plan directed staff to monitor for side effects and effectiveness. Resident #26's Medication Administration Record (MAR) for August 2024 documented entries for Rivastigmine Patch 24 Hours 4.6MG/24HR from 8/1 through 8/27; apply 1 patch transdermally one time a day for dementia with a start date of 7/26/24. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-29 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, staff interviews, and policy reviews, the facility failed to provide adequate hand hygiene and Enhanced Barrier Precautions (EBP) for 1 of 2 (Resident #23) residents reviewed. The facility reported a census of 29 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] identified Resident #23 with a Brief Interview for Mental Status (BIMS) score of 15 which indicated cognition intact. The MDS coded the presence of an indwelling catheter. The MDS reflected the resident always incontinent of bowel. The MDS documented diagnoses that included: benign prostatic hypertension, end stage renal disease, neurogenic bladder and senile degeneration of brain. The Care Plan printed 8/28/24 identified Resident #23 with a catheter and neurogenic bladder and directed staff to provide catheter care every shift and as needed (PRN), monitor and document output as per facility policy, and monitor for signs/symptoms of discomfort. Resident #23's physician orders…
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 · D2023-06-20 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 policy review, the facility failed to provide timely notification to the physician and family for a significant weight loss for 1 of 1 resident reviewed (Resident #37). The facility reported a census of 43 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] indicated Resident #37 had a Brief Interview for Mental Status (BIMS) score of 13 out of 15 indicating intact cognition. The MDS included diagnoses of Non-Alzheimer's Dementia, depression, constipation, muscle weakness, and hypokalemia. The MDS included Resident #37's documented weight of 145 lbs. and indicated she was independent with eating and required set-up assistance only. The MDS dated [DATE] indicated Resident #37 had a BIMS score of 8 out of 15 indicating moderately impaired cognition. The MDS included Resident #37's documented weight of 128 lbs. and indicated she required one-person, limited assistance with eating. Resident #37's Care Plan dated 9/2/22 indicated a nutritional…
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 before2023-06-20 · 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 routine scheduled baths for 1 of 15 residents reviewed (Resident # 16). The facility reported a census of 43 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #16 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating intact cognition. The MDS included diagnoses of Congestive Heart Failure, shortness of breath, weakness, and unsteadiness on feet. The MDS indicated the resident required one-person physical assistance with bathing. Resident #16's Care Plan dated 9/1/22 revealed the resident required one-person assistance with bathing. On 6/12/2023 at 9:54 AM, Resident #16 stated she had received one bath per week on several occasions. A Progress Note dated 4/18/23 at 8:29 AM included documentation the resident had not received a bath for 12 days. The documentation revealed the resident declined a shower due to inability to stand for…
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 before2023-06-20 · 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 observations, clinical record review, staff interviews, and facility policy review the facility failed to provide adequate supervision to mitigate a resident's risk for elopement for 1 of 2 residents reviewed (Resident #40). On 6/9/23 sometime between 7:20 PM and 7:35 PM, Resident #40 exited the building and a staff member found the resident outside the building, approximately 200 feet east of the facility, in grass approximately 3 feet tall. The facility reported a census of 43 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #40, dated 3/16/23, included diagnoses of Non-Alzheimer's Dementia, anxiety disorder, depression, persistent mood disorder, muscle weakness, and difficulty in walking. The MDS identified the resident needed extensive assistance of one staff for bed mobility, transfers, walking in room and corridor, dressing, and toilet use. The MDS indicated the resident had a Brief Interview for Mental Status (BIMS) score of 02, indicating severe cognitive…
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 · D2023-06-20 · tag F0727 — failed to provide required RN coverage — isolatedHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — the official record, unedited, may be distressing
Based on facility document review and staff interviews the facility failed to ensure a Registered Nurse (RN) was in the facility for eight (8) consecutive hours for 8 of 92 days reviewed (March, April and May of 2023). The facility reported a census of 43 residents. Findings include: Review of untitled documents of the facility's staff schedules for March, April and May of 2023 revealed the facility had no RN coverage on 3/5/23, 3/11/23, 3/12/23, 3/18/23, 3/19/23, 3/25/23, 3/26/23, and 5/21/23. Interview on 6/12/23 at 2:02 PM, with the Administrator and she confirmed there was no RN coverage at the facility on 3/5/23, 3/11/23, 3/12/23, 3/18/23, 3/19/23, 3/25/23, 3/26/23, and 5/21/23. She stated she would expect to have 8 hours of RN coverage a day. During a follow up interview with the Administrator on 6/13/23 a request was made for a staffing policy and the Administrator stated the facility does not have one.
“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
$4,516 in federal fines across 1 penalty. 1 Medicare payment denial on record.
- $4,516 — penalty dated 2024-01-30
- Medicare payment denial — starting 2025-08-13 for 6 days
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| HINZ, ARLENE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER | 50% | since 01/01/1990 |
| HINZ, ROGER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER | 50% | since 01/01/1990 |
| HINZ, DANIEL | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 05/01/2019 |
| TUTERA SENIOR LIVING & HEALTH CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/01/2019 |
CMS files one row per role, so the 10 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner 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.
This home reported $131K paid to related parties (affiliated landlords or management companies) in its most recent 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 165383. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-17, 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.