Hallmark Care Center
215 Highway 30 SW, Mount Vernon, IA 52314 · For profit - Limited Liability company · 55 certified beds · (319) 895-8891 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its independent health-inspection 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) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
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 | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 2 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 | 15.6% | 17.1% | 15.4% | typical |
| Long-stay residents who lose too much weight | 2.4% | 4.6% | 5.4% | better |
| 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 | 2.1% | 2.4% | 2.0% | typical |
| 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 | 4.8% | 3.8% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 15.4% | 16.6% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 12.7% | 20.8% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.5% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 0.7% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 40.5% | 25.6% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.1% | 19.5% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 3.8% | 2.1% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 85.7% | 73.3% | 79.4% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.90 | 1.49 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.02 | 2.08 | 1.80 | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 11% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 55 beds and averages 40.6 residents a day — about 74% occupied, or roughly 14 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.62 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.37 hrs/resident/day on weekends vs 3.88 on weekdays — 13% thinner on weekends. RN hours go from 0.69 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · E2026-04-09 · tag F0552 — patternEnsure that residents are fully informed and understand their health status, care and treatments.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record reviews and staff interview, the facility failed to ensure residents were provided with education regarding the risks and benefits of psychotropic medications 4 of 5 residents reviewed for unnecessary medications (Resident #8, #18, #33, #38) . Additionally, the facility failed to offer alternative treatment options prior to the administration of the medications. The facility reported a census of 42 residents. Findings include:1. The admission Minimum Data Set (MDS) Assessment for Resident #8 dated 7/30/25 documented diagnoses that included: Non Alzheimer's dementia, anxiety disorder, and depression. The MDS recorded an admission date to the facility of 7/23/25. The resident's Medication Administration Record (MAR) dated July of 2025 reflected the resident had orders for Escitalopram, an antidepressant medication, start date 7/24/25; Buspirone, an antianxiety medication, start date 7/24/25 and Quetiapine, an antipsychotic medication, start date of 7/23/25. A clinical record review of the Resident's Electronic Health Record (EHR) failed to reveal consent…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-04-09 · tag F0641 — patternEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, Center for Medicare and Medicaid (CMS) Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User Manual, and staff interview the facility failed to accurately code resident falls with major injury, medications, smoking, and restraints on the Minimum Data Set (MDS) Assessment for 5 of 15 reviewed (Resident #8, #13, #18, #28 and #31). The facility identified a census of 42 residents. Findings include:1.Resident #13's Electronic Healthcare Record (EHR) Census showed he admitted to the facility on [DATE]. A 2/12/26 Hospital Discharge Summary documented Resident #13 with a diagnosis of a stroke and to discharge on aspirin (antiplatelet medication) 81 Milligrams (MG) chewable tablet daily and clopidogrel (antiplatelet medication) 75 MG, take 1 tablet daily. A 2/16/26 Provider Encounter Visit Progress Note documented Resident #13 on dual antiplatelet therapy for secondary stroke prevention. Resident #13's 2/19/26 MDS Assessment showed a Brief Interview for Mental…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-04-09 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of records, staff interviews, and facility policy, the facility failed to provide education and obtain informed consent for 4 of 4 residents regarding eligibility for influenza vaccination (Resident #7, #12, #18, and #24) and 3 of 3 residents for pneumococcal vaccination (Resident #7, #18, and #24). The facility reported a census of 42 residents.Findings include:Review of the Census List on 4/9/26 for Resident #7 documented she was admitted to the facility on [DATE] and was a current resident. A review of her Electronic Health Record (EHR) on 4/9/26 revealed she had not received her influenza or pneumococcal vaccinations.Review of the Census List on 4/9/26 for Resident #12 documented he was admitted to the facility on [DATE] and was a current resident. A review of his EHR on 4/9/26 revealed he had not received the influenza vaccination.Review of the Census List on 4/9/26 for Resident #18 documented she was admitted to the facility on [DATE] and was a current resident. A review of her EHR on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-09 · 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 Based on clinical record review, staff interview, and instructions of CMS form 10123-NOMNC, and 10055-SNF ABN, the facility failed to ensure an accurate and timely Notice of Medicare Non-Coverage (NOMNC) was provided and failed to issue a Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) for 1 of 3 residents reviewed for Beneficiary Notification (Resident #50). The facility reported a census of 42 residents.Findings include: Record review of Resident #50's Minimum Data Set (MDS) assessment dated [DATE] and the Census line of the resident's Electronic Health Record (EHR) revealed the resident received Medicare-covered services from 2/10/26 through 3/3/26. On 3/4/26, the resident's payor source transitioned to private pay until discharge on [DATE]. A review of the facility-provided Notice of Medicare Non Coverage (NOMNC) form for Resident #50, signed by the resident's spouse/representative on 2/18/26, documented that Medicare coverage would end on 2/24/26. On 4/7/26, the facility noted on the SNF…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-09 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, staff and resident interviews, and policy review, the facility failed to maintain documentation of the information sent to the hospital to ensure that continuity of care and resident needs were maintained during the transfer process for 4 of 4 hospitalizations reviewed (Residents #2 and #6). The facility reported a census of 42 residents.Findings include: 1.The Census List for Resident #2 documented a hospital transfer from 1/19/26 to 1/23/26, and a second transfer from 3/25/26 to 4/2/26.A review of Resident #2's Progress Notes and Assessments revealed a lack of documentation regarding the information sent to the hospital for the 1/19/26 and 3/25/26 hospitalizations2. The Census List for Resident #6 documented hospital transfers from 2/18/26 to 2/27/26 and from 3/29/26 to 4/3/26.A review of Resident #6's Progress Notes and Assessments revealed a lack of documentation regarding the information sent to the hospital for the 2/18/26 and 3/29/26 hospitalizationsDuring an interview on 4/8/26 at 3:17 PM, the Director of Nursing (DON) and Administrator stated the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-09 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, Pre-admission Screening and Resident Review (PASRR), and resident and staff interviews, the facility failed to ensure a resident's mental health diagnosis and medications were accurately reported to the designated state agency for 1 of 3 residents diagnosed with Post Traumatic Stress Disorder (PTSD) (Resident #38) and failed to implement PASRR level II recommendations into the care plan for 2 of 3 residents (Residents #6 and #18). The facility reported a census of 42 residents.Findings include:The Electronic Healthcare Record (EHR) Census documented Resident #38 admitted to the facility on [DATE]. A Facsimile (fax) Transmission dated 9/3/25 from a local hospital detailed a 9/2/25 PASRR (a federally mandated process for evaluating individuals with serious mental illness (SMI), intellectual disabilities (ID), or related conditions (RC) prior to admission into a Medicaid-certified nursing facility to ensure appropriate placement, and necessary services) which determined Resident #38…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-09 · 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
Based on record review, staff and resident interviews, and policy review, the facility failed to implement interventions into the care plans for 2 of 2 residents following their return from hospitalizations (Residents #2 and #6). The facility reported a census of 42 residents.Findings include:1.The Census List for Resident #2 documented hospitalization from 1/19/26 to 1/23/26, and a second hospitalization from 3/25/26 to 4/2/26.Review of Resident #2's Progress Note by his Advanced Registered Nurse Practitioner (ARNP) revealed he was seen on 1/26/26 at the facility for an acute follow-up due to a recent hospitalization from 1/19/26 to 1/23/26. During his hospital stay, he was diagnosed with acute respiratory failure with hypoxia due to Influenza A and was also treated for a Urinary Tract Infection (UTI).Review of Resident #2's Progress Note by his ARNP revealed he was seen on 4/6/26 at the facility for an acute follow up due to a recent hospitalization that he returned from on 4/2/26. During his hospital stay, he was treated for kidney stones and treated for a UTI. He returned to 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 · D2026-04-09 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, document review and staff interview the facility failed to follow physician orders to obtain daily weights for 1 of 1 resident sampled on daily weights (Resident #5). The facility reported a census of 42 residents.Findings include:The Electronic Healthcare Record (EHR), last order review 2/09/26 documented a physician order for a daily weight in the morning related to heart failure, start date 11/25/25.The Risk for Altered Cardiovascular Functioning related to Heart Failure and Chronic Kidney Disease, Stage 4 Care Plan dated 10/7/25 directed to monitor weights as ordered. A 4/07/26 review of the 2026 Electronic Treatment Administration Records (ETARs) and the Vital Sign Weight Records revealed the following missing daily weights:a. January 1, 3, 4, 13, 18, 20, 29 and 31b. February 12, 19, and 21c. March 1, 3, 5, 17, 19, and 22d. April 4On 4/08/26 at 10:23 AM, Staff A, Certified Medication Aide (CMA) reported generally the certified nursing assistants (CNAs) got the daily weights first thing in the morning and then gave the weights to the nurses. 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 · D2026-04-09 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolatedHave a plan that describes the process for conducting QAPI and QAA activities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, CMS 2567 review, and QAPI (Quality Assurance Performance Improvement) Plan review, the facility failed to implement effective quality assurance processes to address Pre-admission Screening and Resident Review (PASRR) deficiencies, resulting in F644 being cited in 2025 as well as the current survey. The facility reported a census of 42 residents.Findings include:A review of the facility CASPER report revealed the facility cited for F644 Coordination of Pre-admission Screening and Resident Review (PASRR) (a federally mandated process for evaluating individuals with serious mental illness (SMI), intellectual disabilities (ID), or related conditions (RC) prior to admission into a Medicaid-certified nursing facility to ensure appropriate placement, and necessary services) and Assessments March 2025.The facility CMS 2567 Plan Of Correction (POC) with a compliance date of 4/19/25 detailed the Administrative Nurses and Social Service Designee would continue to review 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 · D2026-04-09 · tag F0868 — isolatedHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — an excerpt from the official record, may be distressing
Based on document review, policy review, and staff interview the facility failed to ensure the Infection Preventionist attended the Quality Assurance and Performance Improvement (QAPI) quarterly meetings. The facility identified a census of 42 residents.Findings include:A 4/07/26 review of the Quality Assurance (QA) Sign-in (Attendance) Sheets for 10/24/25 and 1/21/26 lacked documentation the facility Infection Preventionist attended the quarterly QA meetings.On 4/08/26 at 3:00 PM the Director of Nursing (DON) reported the Infection Preventionist had still been an employee of the facility at that time and may have worked the floor so she was unable to attend the QA meetings.On 4/09/26 at 8:35 AM the Administrator reviewed all the QA Sign-In Sheets and verified the Infection Preventionist was not in attendance at the meetings. She reviewed the QAPI meeting notes for 10/24/25 and 1/21/26 to find there wasn't significant information regarding a quarterly review of the infection control program/tracking. The Administrator voiced if the Infection Preventionist had worked the floor, she…
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 8 citations
- Potential for harm · D2026-04-09 · tag F0887 — isolatedEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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 a review of records, staff interviews, and facility policy, the facility failed to provide education and obtain informed consent for 2 of 5 residents regarding eligibility for COVID-19 vaccination (Resident #7 and #12). The facility reported a census of 42 residents.Findings include:1.Review of the Census List on 4/9/26 for Resident #7 documented she was admitted to the facility on [DATE] and was a current resident. A review of her Electronic Health Record (EHR) on 4/9/26 revealed no documentation that she received COVID-19 vaccination education or was provided informed consent.2. Review of the Census List on 4/9/26 for Resident #12 documented he was admitted to the facility on [DATE] and was a current resident. A review of his EHR on 4/9/26 revealed no documentation that he received COVID-19 vaccination education or was provided informed consent.In an interview on 4/9/26 at 10:29 AM, the Director of Nursing stated the current Infection Preventionist was on leave. After reviewing past immunization…
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 before2025-03-20 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on electronic health record review, Pre-admission Screening and Resident Review (PASRR) review, resident interview, staff interview, and policy review the facility failed to ensure a resident's mental health diagnoses and medications were accurately reported to the designated state agency for 1 of 3 residents diagnosed with PTSD (Post Traumatic Stress Disorder) (Resident #17). The facility reported a census of 38 residents. Findings include: The Minimum Data Set (MDS) for Resident #17 dated March 3, 2025 included diagnoses of depression, anxiety disorder, and PTSD. The Brief Interview for Mental Status (BIMS) indicated the resident scored 15/15 which indicated intact cognition. The resident's Electronic Health Record (EHR) confirmed they had diagnoses of anxiety disorder, unspecified dated 9/20/24; post-traumatic stress disorder, unspecified dated 9/20/24; and depression, unspecified dated 9/20/24 which indicated they were present at admission. On 9/23/24 the resident signed medication consent forms for Alprazolam aka (also known as) Xanax (anxiety), Duloxetine aka Cymbalta…
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 · D2025-03-20 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident and staff interviews, clinical record review, and facility policy review, the facility failed to ensure interventions for pain management provided resident with effective pain relief following a fall with injury to right wrist for 1 of 3 resident reviewed for pain management (Resident #8). The facility reported a census of 38 residents. Findings include: The Care Plan revealed Resident #8 had been at risk for falling related to decreased safety awareness and impulsiveness with an intervention initiated on 2/13/25 for pain evaluation to be completed with Primary Care Provider, elastic bandage wrap (ACE wrap), and ice to be applied to right wrist for swelling and pain control. The Care Plan revealed Resident #8 had impaired cognition related to a traumatic brain injury that affected short term and long term memory. The Care Plan lacked a focused area for pain management, goals for pain, or identification of ongoing pain symptoms following the fall on 2/11/25 with injury to the right wrist. Review of Nursing Notes revealed the following entries: 1. On 2/11/25 at 6:10…
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 · D2025-03-20 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
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, resident interview, staff interview, and policy review the facility failed to account for a resident's experiences, preferences, and potential triggers that might cause re-traumatization for 1 of 3 residents diagnosed with PTSD (Post Traumatic Stress Disorder) (Resident #17). The facility reported a census of 38 residents. Findings include: Resident #17's Social History, dated 09/23/24 at 12:34 PM for an admission on [DATE], documented the resident suffered a lot of abuse as a child. She indicated she didn't like to sleep with her door closed, was nervous around people, had difficulty trusting others, felt sadness, lost family connection, and had a lot of traumatic experiences as an adult. The document included recognition of her PTSD diagnosis. The Minimum Data Set (MDS) for Resident #17 dated March 3, 2025 included diagnoses of depression, anxiety disorder, and PTSD. The Brief Interview for Mental Status indicated the resident scored 15/15 which indicated intact cognition.…
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 · E2024-05-22 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews, and policy review, the facility failed to ensure food items covered, dated, and stored to prevent possible cross-contamination. The facility reported a census of 40 residents. Findings include: During an observation on 05/19/24 at 9:30 AM, initial tour of the kitchen revealed the walk-in refrigerator with a four wheeled cart, on top glasses of various poured drinks included, 3 white milks, 2 chocolate milks, 3 apple juices, and 3 orange juices. The glasses were uncovered. The cart had two opened milk jugs without open dates. Another larger tiered cart contained two trays of individual plated pies slices, also uncovered, without a label or date. During an interview on 5/19/24 at 9:32 AM dietary Staff B, stated the pies were to be served for lunch today, did not know when they were cut. Staff B revealed the four wheeled cart in the refrigerator was used for breakfast and pushed into the refrigerator after the breakfast meal. On 5/20/24 at 11:54 AM Certified Dietary Manager, Staff A relayed was not sure why the cart was in the refrigerator with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-22 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, and state designated authority direction for Preadmission Screening and Resident Review (PASRR) the facility failed to complete a follow-up PASRR screening for one out of one resident reviewed in the current sample who had a change in mental health status (Resident #17). The facility reported a census of 40 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] did not reveal a completed score for the Brief Interview for Mental Status (BIMS). The MDS recorded Resident #17 with Psychiatric/Mood disorders that included anxiety disorder, depression, and bipolar disorder. The MDS revealed antipsychotics received by Resident #17 on a routine basis. The Care Plan, revised date 5/8/24 documented for Resident #17 psychotropic medication used, included potential for adverse reactions related to psychotropic, antidepressant and antipsychotic medications due to obsessive-compulsive disorder, anxiety, depression, post-traumatic stress disorder, and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2025-03-20 · tag F0625 — patternNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 facility policy review, the facility failed to provide bed hold notice to resident or resident representative prior to transferring 2 of 3 residents to the hospital (Resident #35 and Resident #27). The facility reported a census of 38 residents. Findings include: 1. Resident #35: The Minimum Data Set (MDS), dated [DATE], revealed the most recent reentry to facility dated 1/26/25 from acute/short-term general hospital. The Electronic Health Records (EHR) census tab informed that on 1/22/25 Resident #35 had a hospital paid leave and on 1/26/25 Resident #35 readmitted to facility. Review of the Nursing Notes revealed the following entries: On 1/22/25 at 3:11 AM, Resident #35 had unwitnessed fall with head injury and vital signs out of normal range. Resident #35 transferred to the hospital via ambulance. Family, physician, and Director of Nursing notified of transfer. On 1/22/25 at 3:57 AM, Nursing Note included reason for transfer and personal belongings sent…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2025-03-20 · tag F0640 — patternEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on MDS (Minimum Data Set) review, resident census data, the Resident Assessment Instrument (RAI) manual, staff interview, and policy review the facility failed to submit a discharge MDS for 1 of 1 residents reviewed (Resident #25). The facility reported a census of 38 residents. Findings include: The MDS for resident #25 dated 01/02/25 documented the resident admitted to the facility 11/01/24, discharged from the facility on 01/02/25 to the community, and return was not anticipated. The census tab of the electronic health record indicated the facility stopped billing on 01/02/25. The MDS Summary screen documented the facility completed the MDS with a note that read 'Do not submit to CMS (Centers for Medicare and Medicaid Services)'. During and interview on 03/19/25 at 12:57 PM the Director of Nursing (DON) stated the MDS should have been submitted. She was not sure what happened to trigger the do not submit indicator or how this had been missed. The DON reported that based on the resident's insurance and discharge status they had to submit the discharge MDS and confirmed it…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to LEGACY HEALTHCARE — 89 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.9 | -0.9 vs chain |
| Health inspection | 2 of 5 | 2.8 | -0.8 vs chain |
| Staffing | 3 of 5 | 2.5 | +0.5 vs chain |
| Quality measures | 3 of 5 | 3.3 | -0.3 vs chain |
The other 88 homes this chain runs (chain average 2.9★, per CMS)
Showing 40 of 88; lowest-rated first.
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
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| IOWA PORTFOLIO OPCO HOLDINGS LLC | Organization | DIRECT OWNERSHIP INTEREST | since 08/15/2024 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | INDIRECT OWNERSHIP INTEREST | since 08/15/2024 |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | INDIRECT OWNERSHIP INTEREST | since 08/15/2024 |
| OAKWAY OPERATIONS LLC | Organization | INDIRECT OWNERSHIP INTEREST | since 08/15/2024 |
| RAJCHENBACH, CHAIM | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| SHABAT, MENACHEM | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| BEASLEY, KARLA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| BEHOUNEK, LINSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| BORCHERDING, JENNY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| BURKEN, SHERI | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| FRIEDENBERG, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| HEDBERG, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| HENNAGER, CHRISTINA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| HEYING, LARINA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| HOUSTON, MINDY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| JAEGER, KRYSTLE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| KNUTSON, MICHELE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| LARSON, MELISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| MCCLURE, DOROTHY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| OTTERBECK, PATRICIA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| SCHUETT, CLAYTON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| SCOTT, KATHLEEN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| SEU, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| SHEAR, KILEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| STAUDT, SANDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| VAN VEGHEL, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| VANDERPLOEG, JESSICA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| WHALEN, ABIGAIL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| WIERSCHEM, BOBBIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| WOOD, ROSEMARY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| WRIGHT, AMY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/15/2024 |
| FRIEDMAN, BRIAN | Individual | TRUSTEE OF THE SNF | since 08/15/2024 |
| RAJCHENBACH, AVRUM | Individual | TRUSTEE OF THE SNF | since 08/15/2024 |
| RAJCHENBACH, RIVKA | Individual | TRUSTEE OF THE SNF | since 08/15/2024 |
| SHABAT, AHUVA | Individual | TRUSTEE OF THE SNF | since 08/15/2024 |
| CASCADE CAPITAL HOLDINGS LLC | Organization | ADP OF THE SNF | since 05/06/2025 |
| CASCADE CAPITAL PARTNERS LLC | Organization | ADP OF THE SNF | since 05/06/2025 |
| CCG GORGONA LLC | Organization | ADP OF THE SNF | since 05/06/2025 |
| GORGONA HOLDCO LLC | Organization | ADP OF THE SNF | since 05/06/2025 |
| GORGONA PROPCO HOLDINGS LLC | Organization | ADP OF THE SNF | since 05/06/2025 |
| GORGONA SUB HOLDCO LLC | Organization | ADP OF THE SNF | since 05/06/2025 |
| MN8 RH HOLDCO LLC | Organization | ADP OF THE SNF | since 08/15/2024 |
| MOUNT VERNON IA PROPERTY HOLDINGS LLC | Organization | ADP OF THE SNF | since 05/06/2025 |
CMS files one row per role, so the 74 rows in the source record cover these 44 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.
13 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $632K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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
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 165333. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-09, 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.