Grundy Care Center

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

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.

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.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 40 beds and averages 30.7 residents a day — about 77% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.547 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 3.05 hrs/resident/day on weekends vs 3.40 on weekdays — 10% thinner on weekends. RN hours go from 0.62 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-01-07 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record reviews, facility policy review, resident, and staff interviews, the facility failed to protect a resident from physical and mental abuse for 1 of 3 residents reviewed (Resident #1). Staff A, Certified Nurse Aide (CNA), accepted money, kissed, sent inappropriate pictures via text, and exchanged inappropriate touch with Resident #1. The inappropriate interactions continued until Staff A resigned from the facility. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of 10/16/24 on 1/6/25 at 2:55 PM The facility staff removed the Immediate Jeopardy on 1/7/25 by implementing the following actions: a. Resident #1 saw psychiatry on 11/14/24 (prior to self-report), then again on 12/12/24, and is scheduled to see psychiatry again on 1/9/25. Resident #1 will receive on-going psychiatry services as indicated by the provider and as needed (PRN). b. 1/6/25: The facility interviewed all interviewable residents. The interviews determined no additional…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2023-08-17 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to ensure that residents had the right to be free from abuse, and exploitation for 4 out of 4 residents reviewed (Resident #17, #20, #136 and #187). The facility must not allow verbal, mental, physical or sexual abuse. Resident #18 was found kissing resident #20 and inappropriately touching Resident #136 and Resident #187. All 3 of these residents had diminished cognitive functioning. Resident #18 was found sitting in Resident #17's doorway and would not leave when she asked him to, causing Resident #17 psychosocial harm. These incidents resulted in an immediate jeopardy to residents' health and safety. The facility reported a census of 32. On 8/10/23 at 3:18 PM, the Iowa Department of Inspections, Appeals, and Licensing staff contacted the facility staff to notify them the Department determined an Immediate Jeopardy situation existed at the facility. The facility staff removed the immediacy on 8/10/23 and decreased the scope to a D, after…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2023-08-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to provide adequate supervision for all residents resulting in exploitation for 4 out of 4 residents reviewed (Resident #17, #20, #136, and #187). The facility must not allow verbal, mental, physical or sexual abuse. Resident #18 was found kissing resident #20 and inappropriately touched Residents #136 & #187. These residents had diminished cognitive functioning. Resident #18 was found sitting in Resident #17's doorway and would not leave when she asked him to, causing Resident #17 fear. The facility was aware of these and other incidents but failed to put interventions into place that would prevent Resident #18 from further exploiting female residents. These incidents resulted in an immediate jeopardy to residents' health and safety. The facility reported a census of 32. On 8/10/23 at 3:18 PM, the Iowa Department of Inspections and Appeals and Licensing staff contacted the facility staff to notify them the Department staff determined an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-08 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, schedule review and CMS (Centers for Medicare and Medicaid Services) document submission review, the facility failed to submit accurate licensed nurse coverage hours into the CMS system, resulting in the appearance of low weekend staffing and lack of 24 hour licensed coverage. The facility reported a census of 30 residents. Findings include:Review of the facility's licensed coverage submission for the 4th quarter of July 1, 2025 - September 30, 2025, listed the facility short of the 24 hours requirements:7/5/25 (Saturday); 12.97 hours7/6/25 (Sunday): 18.92 hours7/12/25 (Saturday): 18.31 hours7/13/25 (Sunday): 17.86 hours9/20/25 (Saturday): 17.48 hoursAn email sent by the Administrator on 1/6/26 at 12:24 PM, documented she looked at the facility's payroll system to see why the daily sheet hours didn't transfer over. On 1/6/26 at 1:25 PM, the Administrator reported they had something wrong with the system and they have reached out to corporate. She stated that on the above days, most of the days were covered by nurses who punch a timeclock and those hours should…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-08 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and policy review, the facility failed to safely handle food while preparing a sandwich. The staff put on gloves then touched other items with their gloved hands prior to touching bread with the same gloved hands. The facility reported a census of 30 residents.Findings include:During an observation on 1/6/26 at 11:54 AM Staff A, Cook, wore gloves during the meal pass for multiple residents on the line. The next resident ordered a hamburger; Staff A touched the potholders on the line then put the hamburger on a plate from behind her in the microwave. With the same gloves, she reached into a bag of buns, pulled one out, and put it on the resident's tray. She then opened the bun on the tray. After finishing the burger, she took it out of the microwave, with the same gloves, picked up the burger, and placed it on the bun. She put the top bun on the burger and smashed it down. Finally, she removed her gloves and performed hand hygiene.In an interview on 1/7/26 at 9:43 AM with the Administrator and Staff B, Dietary Manager, Staff B explained Staff 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, policy review, video footage review and staff interviews, the facility failed to prevent a resident deemed as high risk for elopement exit the building without supervision for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 27 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #1 revealed she had a diagnosis of non-Alzheimer's dementia and a memory deficit following a cerebral infarction (stroke). The MDS further revealed a Brief Interview for Mental Status (BIMS) of 5 indicating severe cognitive impairment. The Care Plan revised 6/26/25 revealed Resident #1 had a risk for injury due to wandering and attempting to elope. The Interventions directed the staff to supervise the resident when she was outside the facility.The Incident Report (IR) dated 8/26/25 at 3:30 PM revealed Resident #1 was found walking in the hospital parking lot by an employee and walked back into the building without incident. The Progress Note dated…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Ecited before2024-11-07 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, and policy review the facility failed to provide licensed nurse coverage 24 hours a day 7 days a week. Review of the Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year Quarter 3 2024 (April 1 through June 30) revealed the facility failed to provide licensed nurse coverage 24 hours per day on 5/7/24, 5/11/24, 5/13/24, 5/19/24, 6/15/24, 6/29/24, and 6/30/24. Findings include: In an interview on 11/6/14 at 1:49 PM, the Interim Administrator stated they had their time cards through another company at the time of the reported dates on the PBJ Staffing Data Report and she would try to obtain the information from them. In an interview on 11/7/24 at 10:55 AM, the Interim Administrator stated the facility would not be able to get the information for licensed nurse coverage until 11/8/24 at the earliest. On 11/7/24 at 10:56 AM, Staff C, Certified Medical Assistant (CMA)/Scheduler provided a list of licensed nurse coverage staff for the dates the facility was reportedly missing licensed coverage. Staff C reported per the facility records…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-11-07 · tag F0727 — failed to provide required RN coverage — pattern
  Have 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 — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, resident interview, policy review, Facility Assessment and Payroll Based Journal (PBJ) review the facility failed to ensure appropriate staffing, lacked Registered Nursing (RN) coverage and lacked a Director of Nursing (DON) on four days. The facility reported as census of 26 residents. Findings include: 1. On 11/04/24 at 10:00 AM upon entrance to the facility , the Assistant Director of Nursing (ADON) relayed the Director of Nurses (DON) left last Wednesday 10/30/24 without notice and there was no DON covering as of yet. The Minimum Data Set (MDS) dated [DATE] documented Resident #7 had a Brief Interview for Mental Status (BIMS) of 15 out of 15 indicating intact cognition. On 11/04/24 at 11:14 AM Staff #7 relayed, they definitely needed more staff. The DON just up and quit and the Administrator quit, there are many temporary staff and definitely needed staff improvements. The Facility Assessment updated 8/5/24 documented the resources needed to provide competent support and care 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-07 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 record review, facility provided document, staff interview, and policy review the facility failed to notify a Resident's Representative and the Long Term Care Ombudsman of discharge/transfer of residents as required for 2 of 4 residents reviewed who were discharged /transferred from the facility (Residents #3, #20). The facility reported a census of 26 residents. Findings include: 1. Review of the facility's Census Report, Resident #3 was transferred and hospitalized on [DATE] until he reentered the facility on 10/11/24. The clinical record lacked documentation of notification to Resident #3's Representative and the Long Term Care Ombudsman that Resident #3 had been discharged to the hospital as required by federal regulation. Facility provided document, Notice of Transfer Form to Long Term Care Ombudsman dated 9/27/24-10/27/24 failed to indicated Resident #3's hospital transfer. Review of Resident #3's clinical record documented on 10/7/24, Resident #3's Guardian had called the facility and 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-07 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review and policy, the facility failed to submit for an updated Preadmission Screening and Resident Review (PASRR) evaluation for 1 of 1 resident reviewed with a new mental health diagnosis (Resident #7). The facility reported a census of 26 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] documented Resident #7 had a Brief Interview for Mental Status (BIMS) score 15 out of 15 indicating intact cognition. The MDS further documented diagnoses of mood disorders, anxiety, depression, and psychotic disorder. The Care Plan for Resident #7 initiated 1/3/23 revealed the Resident #7 used psychotropic medications that included, antipsychotics, antidepressants, and anxiolytics related to delusional disorder. The PASRR dated 12/1/22 for Resident #7's nursing facility admission revealed diagnoses of anxiety disorder and depressive disorder. The Clinical Record for Resident #7 revealed an updated mental health diagnosis on 3/9/23 of delusional disorder. 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-07 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interview, and policy review the facility failed to follow professional standards regarding following facility policy, following physician's orders, and failing to notify physician for 2 of 12 residents reviewed (Residents #3 and #23). The facility reported a census of 26 residents. Findings include: 1. While interviewing a resident on 11/04/24 at 11:12 AM, an observation of a medication cup with pills sitting on the resident's bedside table, during conversation the resident picked up the medication cup and took the pills with water also sitting on her bedside table. The Resident's medications were delivered by the nurse, the nurse failed to provide supervision while the resident took the medications. During an interview on 11/07/24 at 3:14 PM, Facility Administrator stated the expectations are for Nurses and/or Certified Medication Aides to be present with residents until the medications have been administered and not leave the medications unattended. 2. Review of…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, and staff interviews, the facility failed to ensure repositioning for 2 of 3 residents reviewed for positioning and skin care (Residents #4 & #20). The facility reported a census of 26 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #4 documented a Brief Interview for Mental Status (BIMS) of 4 out of 15 indicating severe cognition impairment. The MDS also documented the resident had Moisture Associated Skin Damage (MASD). The MDS coded the resident was dependent for assistance of two (2) or more for toileting, personal hygiene, dressing, and transfers. The Care Plan focus initiated 11/01/20 documented Resident #4 had an alteration in elimination related to decreased mobility and frequent episodes of incontinence and potential for impaired skin integrity. Interventions included to complete peri-care after any incontinent episodes. The Care Plan also documented Resident #4 had self-care deficits, required two assist for transfers, to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-07 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, resident interview, clinical record review, observations, and policy review the facility failed to provide appropriate interventions to minimize or prevent complications of infections for 1 of 2 residents reviewed for urinary conditions (Residents #10). The facility reported a census of 26 residents. Findings include: The Minimum Data Set (MDS) for Resident #10 dated 8/7/24 relayed Resident #10's BIMS score of 10 out of 15 that indicated moderate cognitive impairment. Diagnoses included diabetes, anxiety, depression, lung disease, and renal insufficiency. The Care Plan focus initiated 10/1/24 for Resident #10 documented, had an indwelling catheter related to diagnoses of obstructive uropathy and urinary retention. Interventions included to monitor, record, and report to the provider signs and symptoms of urinary tract infection An Emergency Department Report dated 10/3/24 documented Resident #10 urinalysis report findings included bacteria and included a diagnoses of a urinary tract infection associated with indwelling urethral catheter. A new prescription…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

$48,796 in federal fines across 1 penalty.

• $48,796 — penalty dated 2025-01-07

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.

Part of a chain

This home belongs to CAMPBELL STREET SERVICES — 22 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 3 rows in the source record cover these 1 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.

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.

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $135K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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