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Accura Healthcare of New Hampton

530 South Linn Avenue, New Hampton, IA 50659 · For profit - Corporation · 52 certified beds · (641) 394-3151 Medicare & Medicaid certified

Call the home — (641) 394-3151 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 17 lower-level deficiencies on record (see below)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (21% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
308 N Maple Ave · (641) 394-2151 · Call to confirm hours
Pharmacy
1 W Main St · (641) 394-4156 · Call to confirm hours
Grocery
102 S Water Ave · (641) 394-4652 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
481 S Linn Ave · (641) 394-4380

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 4 of 5
Long-stay residentspeople who live here 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 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.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased8.0%17.1%15.4%better
Long-stay residents who lose too much weight1.9%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.5%0.9%better
Long-stay residents with a urinary tract infection3.9%2.4%2.0%worse
Long-stay residents with depressive symptoms4.2%4.2%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.1%3.8%3.3%typical
Long-stay residents whose ability to walk worsened18.1%16.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication30.1%20.8%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers1.9%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control28.9%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table20.4%19.5%17.1%worse
Long-stay hospitalizations per 1,000 resident days1.311.491.67better
Long-stay outpatient ER visits per 1,000 resident days2.432.081.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

10.8%U.S. median 10.7%
Went back to hospital
0.07U.S. median 0.31
Therapy hours / resident / day
0.02hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 7.1–16.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened5.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.04
RN hours/ resident / day
1.23
LPN hours/ resident / day
3.75
Aide hours/ resident / day
6.02
Total nurse hours/ resident / day
0.87
RN hoursweekends
21.4%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 52 beds and averages 15.3 residents a day — about 29% occupied, or roughly 37 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.02 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.04 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.75 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 5.74 hrs/resident/day on weekends vs 6.13 on weekdays — 6% thinner on weekends. RN hours go from 1.10 to 0.87 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2025-07-31)
4
at the previous standard inspection (2024-08-28)

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.

ABCDEFGHIJKL

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

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

  • Potential for harm · E2025-12-05 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, resident interview, staff interview, and facility policy review the facility failed to maintain comfortable room temperatures and interventions to maintain resident comfort levels during a heating mechanism malfunction that lasted for an extended period of time for 5 of 5 residents reviewed (Resident #1, #2, #3, #5, and #6). The facility identified a census of 31 residents.Findings include: On 12/4/25 at 3:15 p.m., Resident #1 indicated he resided at the facility for two years and the facility dealt with heating/cooling issues about every six months. In this case, the system acted up for 1.5 weeks prior to Thanksgiving when it really felt cold. The resident indicated yesterday had been the first day the facility staff offered him to change rooms because his room lacked heat. The resident confirmed he would have moved sooner if offered because he felt cold. The resident indicated the facility offered more blankets, he had to ask for coffee/tea, the facility checked…

    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 · F2025-07-31 · tag F0882 — widespread
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews, employee job description, and Facility Assessment the facility failed to have the Infection Preventionist (IP) work at least part-time in the role. The facility reported a census of 40 residents.During an interview with the Infection Preventionist/Minimum Data Set Coordinator on 7/30/25 at 2:05 PM revealed she works in the IP role about an hour a week and has not completed staff competencies or audits related to infection control. She informed she does not have time to complete as she will get pulled to the floor or have to work on MDS's. She revealed she will look at the antibiotic resident line listing report to see what's going on but that is it. Review of the Facility Assessment Tool last reviewed on 1/7/25 instructed the Infection Preventionist need for the facility is one (1) employee who works part-time (3-8 hours). Review of Job Description: Quality Assurance & Infection Preventionist Nurse last revised non 11/16/2023 informed an essential job function of the role is to provide education related to infection prevention and control principles,…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-07-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 observation, policy review, 2022 United States (US) Food and Drug Administration (FDA) Food Code, and staff interviews, the facility failed to prevent soiled gloves or soiled utensils from coming into contact with food during food service for 34 of 40 residents served (Resident #2, #3, #5, #6, #7, #8, #9, #10, #12, #13, #14, #15, #16, #18, #20, #22, #23, #24, #25, #26, #27, #28, #29, #32, #33, #34, #35, #36, #37, #38, #39, #40, #41, and #42. The facility identified a census of 40 residents.Findings include: While under continuous observation on 7/29/25 from 12:02 PM to 12:11 PM Staff A, Dietary [NAME] after touching, the stove, a steam pan, thermometer, steam pan lid, applied gloves without washing her hands. She then rubbed the back of the left gloved hand on her left hip of her uniform and pulled her uniform top down in the back with both gloved hands. Staff A then touched bread with either the back of her left gloved hand, fingers of the left gloved hand or palm of her left gloved hand to move or hold bread in place on the plate so she could plate mash potatoes, roast…

    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 · D2025-07-31 · 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 interviews and record review the facility failed to ensure 1 of 1 residents current Preadmission Screening and Resident Review (PASRR) assessment reflected all current diagnoses and medications related to mental health (Resident #7). The facility reported a census of 40 residents. Record review of Resident #7 Minimum Data Set assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) of 15 which indicated no cognitive impairment. The MDS informed she is not considered by the state to be a PASRR level II. Record review of Resident #7 current PASRR dated 6/26/2024 documented mental health diagnoses of depression and anxiety. The PASRR also documented she currently takes antidepressant medications. Record review of Resident #7 Order Summary Report signed by her Doctor on 6/16/2025 documented current mental health diagnoses of anxiety, insomnia, delusional disorders, personal history of adult neglect, depression, and hallucinations. It also documented she currently takes…

    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 · D2025-07-31 · tag F0800 — isolated
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, policy review and staff interview the facility failed to serve diets to meet the residents individualized needs for of 3 of 3 residents sampled (Resident #15, #23, and #34). The facility identified a census of 40 residentsFindings include:1. Resident #15's clinical record showed a 3/11/25 Physician Order for a regular diet, pureed texture, double protein. Resident #15's Potential Nutritional Problem Care Plan, revised 3/27/25, documented Resident #15 received a double portion with all three meals to aide in weight gain and directed the staff to serve the diet as ordered with double protein, pureed texture.On 7/28/25 the facility provided a Tuesday, Week 5 Menu signed by the Dietician which listed the following regular and pureed diet:a. Roast Beef 3 ounces, 1 servingb. Mash Potatoes 4 ounces (oz)c. Beef gravy 2 oz ladled. California blend vegetables 4 oze. Bread/margarine 1 eachA Facility provided 7/28/25, 10:34 AM Diet Order Tally Report listed four residents required a pureed diet (Resident #6, #8, #15 and #33).Observation on 7/29/25…

    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 before2025-06-04 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review and staff interview the facility failed to follow the Care Plan for 1 of 3 residents reviewed (Resident #1). The facility identified a census of 42 residents. Findings include: A Care Plan for Resident #1 directed the facility staff the resident required the following Focus and Intervention areas as dated: a. An activities of daily living (ADL) self-care deficit related to (r/t) a stroke, type II Diabetes Mellitus, peg tube (gastrostomy tube), low vision in both eyes, obesity, hemiplegia on his left side (paralyzed), and respiratory failure. (initiated 1.15.25 and revised 4.11.25). 1. Dependent on two (2) staff members with bed mobility. (initiated 1.15.25 and revised 4.11.25) b. Impaired cognition r/t a Cerebral Infarct (stroke). The resident suffered from an inability to verbalize. (initiated 1.10.25 and revised 4.30.25) c. At risk for falls r/t a stroke, psychotropic medication use, hemiplegia, immobility, poor vision in both eyes, and obesity. (initiated 1.15.25 and revised 5.13.25) 1. Bed in lowest position when positioned in bed. (initiated…

    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 · D2025-06-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, staff interview, and facility policy review, the facility failed to properly assess and intervene for 1 of 3 residents following a fall. (Resident #1) The facility identified a census of 42 residents. Findings include: During an interview 6.4.25 at 12:45 p.m. Staff C, Licensed Practical Nurse (LPN) indicated she received report the resident had fallen last night (6.3.25) but there had been no report of an abrasion to Resident #1 knees. The staff member felt the fall occurred yesterday afternoon but on this day, sometime after 8 a.m., the Director of Nursing (DON) came to her and asked where the Incident Report had been located and Staff C told her she did not know as the Incident Report had not been in Point Click Care (PCC) at 5:45 a.m. During an interview 6.5.25 at 11:27 a.m. Staff D, LPN was aware Staff E, LPN documented her assessment in the Progress Notes around the 8 p.m. hour but failed to complete an Incident Report per facility policy. Staff D confirmed Staff E reported the abrasion located on the resident's right knee but not the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-28 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, and staff interview, the facility failed to provide the Dietician recommended dietary interventions to prevent weight loss for 1 of 1 residents sampled (Resident #14). The facility reported a census of 38 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 2 out of 15 indicating severe cognitive loss. The resident required supervision to touch assistance (helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently) for eating. The MDS listed a diagnosis of dementia with mild psychotic disturbance and documented Resident #14 with a significant weight loss (a significant weight loss is defined as a 5 percent (%) weight loss in 30 days or 10% weight loss in 6 months) and not on a prescribed weight loss regimen. The Care Plan revised 8/08/24 identified Resident…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-28 · 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, resident and staff interviews, the facility failed to follow physician orders for 1 of 3 residents sampled (Resident #32). Facility reported a census of 38 residents. Findings include: Resident #32 Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicating intact cognition. The MDS documented Resident #32 received scheduled pain medication for a pain level of 7 out of 10 (a 1-10 pain scale, 10 being the worst possible pain). The MDS listed medical diagnoses of stroke, arthritis, and osteoporosis. The Care Plan initiated 7/31/24 identified Resident #32 with chronic pain related to osteoarthritis and osteoporosis. The Care Plan goal identified a goal Resident #32 would verbalize adequate relief of pain or the ability to cope with unrelieved pain. The Care Plan directed the staff to: 1. Monitor/document for side effects of pain medication. Observe constipation; new onset or increased agitation,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when 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 observation, clinical record review, and staff interview the facility failed to have emergency equipment readily available at the bedside for 1 of 1 residents reviewed for tracheostomy care (Resident #22). The Facility identified a census of 38 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 12 out of 15 indicating a mild cognitive loss. The MDS documented Resident #22 with a tracheostomy (tracheostomy is an opening surgically created through the neck into the windpipe to allow direct access to the breathing tube and is commonly done in an operating room under general anesthesia. A tube is usually placed through this opening to provide an airway and to remove secretions from the lungs. Breathing is done through the tracheostomy tube rather than through the nose and mouth) and a diagnosis of cancer. The Care Plan revised 6/19/24 documented Resident #22 utilized a tracheostomy related to a malignant neoplasm (cancer) of the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · D2024-08-28 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, and staff interview the facility failed to have eye protection readily available for enhanced barrier precautions (EBP) for 1 of 1 residents reviewed for tracheostomy care (Resident #22). The Facility identified a census of 38 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 12 out of 15 indicating a mild cognitive loss. The MDS documented Resident #22 with a tracheostomy (a tracheostomy is an opening surgically created through the neck into the windpipe to allow direct access to the breathing tube and is commonly done in an operating room under general anesthesia. A tube is usually placed through this opening to provide an airway and to remove secretions from the lungs. Breathing is done through the tracheostomy tube rather than through the nose and mouth) and a diagnosis of cancer. The Care Plan revised 6/19/24 documented Resident #22 utilized a tracheostomy related to a malignant…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-18 · tag F0801 — pattern
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on facility record review and staff interviews, the facility failed to ensure the facility's Dietary Service Manager had the required qualifications in the absence of a full-time dietician. The facility reported a census of 42 residents. Findings include: During an interview on 4/15/24 at 10:17 AM, the Administrator reported the Dietary Manager is not certified but currently enrolled in the course. During an interview on 4/15/24 at 1:38 PM, the Dietary Manager reported she is not certified, but currently enrolled in the course. She reported the dietician comes once a week.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 observation, staff interviews and policy review the facility failed to maintain sanitary practices by improperly storing clean dishes and maintaining a clean kitchen. The facility reported a census of 42 residents. Findings include: During initial kitchen observation on 4/15/24 at 9:45 AM, the following findings were identified. The dishes were stored on open shelving next to the prep area not inverted. The shelves were covered in dust and soiled dark spots. The front of the oven covered in dry food spills and stove top covered in dry food particles. The window in front of the prep area open with build up of dirt and dried leaves with the breeze blowing on the food on the counter. The large mixer with dried food particles on it. The open shelving next to the steam table dirty with food particles and stored dishes in which half were inverted and half were not. During an observation on 4/16/24 at 10:52 AM, the kitchen dirty areas and dishes stored improperly on 4/15/26 remained the same with no changes. Dirty window open and breeze blowing on the prep area in which 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-18 · 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, staff interviews, record review and policy review the facility failed to check placement and elevate the resident's head of bed prior to flushing a g-tube for 1 of 1 resident reviewed (Resident #24); failed to follow physicians orders for insulin for 1of 1 resident reviewed (Resident #33); and failed to prime insulin pen prior to administering for 3 of 3 residents reviewed (Resident #24, #33 and #37). The facility reported a census of 42 residents. Findings include: 1. The Minimum Data Set (MDS) Assessment for Resident #24 documented diagnoses of hypertension, cancer, malnutrition, gastrostomy status, and dysphasia. During an observation on 4/17/24 at 10:30 AM, Staff A, Licensed Practical Nurse (LPN) set up supplies on a barrier. She did hand hygiene and applied a gown and gloves. She then drew up 30 ml of warm water with the syringe, cleaned the port to the G-tube with an alcohol wipe, unclamped the tubing and flushed the line with syringe of warm water. She did not check placement of tube…

    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 · D2024-03-15 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, photos, and provider contract review, and resident interview revealed the facility failed to maintain clean and safe oxygen concentrator filters for 2 residents reviewed on oxygen therapy (Resident #5 and #7). The facility identified a census of 42 residents. Findings include: 1. A Diagnosis Report form dated 3.19.24 indicated Resident #5 had diagnoses that included Parkinson's, combined Systolic and Diastolic Congestive Heart Failure, and Obstructive Sleep Apnea. A Treatment Administration Record (TAR) form dated 3.1.24 thru 3.31.24 indicated the resident as on continuous oxygen set at 2-3 liters per minute related to Acute Respiratory Failure with Hypercapnia with the physician's order dated 2.19.24 at 2:27 p.m. An observation 3.24.24 at 11:28 a.m. with a photo taken revealed the filter on the oxygen concentrator for Resident #5 full of dust, dirt, and debris. 2. A Diagnosis Report form dated 3.19.24 indicated Resident #7 had diagnoses that include Chronic Obstructive Pulmonary Disease (COPD, Occlusion and Stenosis of her Carotid Artery, Obstructive Sleep…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-15 · tag F0925 — failed to control pests — isolated
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    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, photos, record review, staff interview and review of the facilities Resident Rights the facility failed to maintain an environment free of vermin. The facility identified a census of 42 residents. Findings include: 1. A photo dated 3.14.24 at 9:46 a.m. revealed multiple dead ants in random areas on the floor and along the base boards in room [ROOM NUMBER]. 2. A photo dated 3.14.24 at 9:51 a.m. revealed multiple dead ants in random areas on the floor and along the base boards in room [ROOM NUMBER]. 3. During an interview 3.14.24 at 2 p.m. Staff A, Certified Nursing Assistant (CNA) confirmed she observed ants in room [ROOM NUMBER], when it was occupied by Resident #1 and room [ROOM NUMBER] occupied by Resident #4 around the holidays when the residents received snacks and treats from their families and friends. During an interview 3.14.24 at 2:13 p.m. Staff B, CNA confirmed on 3.11.24 she observed live ants in room [ROOM NUMBER] as they climbed around a piece of food on the resident's floor.…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2025-07-31 · tag F0637 — pattern
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    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 complete a Minimum Data Set (MDS) Significant Change in Condition Assessment (SCSA) for 1 of 1 residents reviewed for bowel and bladder (Resident #3). The facility identified a census of 40 residents.Findings include:A Quarterly Nursing Assessment Progress Note dated 1/07/25 at 10:25 PM documented Resident #15 utilized the toilet to void, was always incontinent of urine and occasionally incontinent of bowel and required extensive assistance from staff for personal hygiene.Resident #3 1/08/25 Annual MDS Assessment showed a Brief Interview for Mental Status (BIMS) score of 15/15 indicating intact cognition. The Resident had an upper extremity impairment (shoulder, elbow, wrist, hands) and a lower extremity impairment (hip, knee, ankle, foot) on one side of the body and utilized a walker. The MDS documented Resident #3 was independent in toileting hygiene and frequently incontinent 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

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ACCURA HEALTHCARE — 41 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 →

RatingThis homeChain avg
Overall 4 of 52.5+1.5 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 5 of 53.1+1.9 vs chain
Quality measures 4 of 52.8+1.2 vs chain
The other 40 homes this chain runs (chain average 2.5★, per CMS)
1 of 5Aberdeen Health And RehabAberdeen, SD 1 of 5Accura HealthCare of TekamahTekamah, NE 1 of 5Accura Healthcare of CarrollCarroll, IA 1 of 5Accura Healthcare of MarshalltownMarshalltown, IA 1 of 5Accura Healthcare of Newton East, LLCNewton, IA 1 of 5Accura Healthcare of O'NeillO' Neill, NE 1 of 5Accura Healthcare of Pleasantville, LLCPleasantville, IA 1 of 5Accura Healthcare of ShenandoahShenandoah, IA 1 of 5Green Lea Senior LivingMabel, MN 1 of 5Lake Andes Senior LivingLake Andes, SD 1 of 5Shell Rock Senior LivingShell Rock, IA 2 of 5Accura Healthcare of Cascade LLCCascade, IA 2 of 5Accura Healthcare of CrestonCreston, IA 2 of 5Accura Healthcare of FranklinFranklin, NE 2 of 5Accura Healthcare of Knoxville, LLCKnoxville, IA 2 of 5Accura Healthcare of Lake City, LLCLake City, IA 2 of 5Accura Healthcare of MuscatineMuscatine, IA 2 of 5Accura Healthcare of OnawaOnawa, IA 2 of 5Accura Healthcare of Spirit LakeSpirit Lake, IA 2 of 5Sterling Park Health Care CenterWaite Park, MN 2 of 5Woodlyn Heights Healthcare CenterInver Grove Heights, MN 3 of 5Accura Healthcare of Ames, LLCAmes, IA 3 of 5Accura Healthcare of Aurelia, LLCAurelia, IA 3 of 5Accura Healthcare of Cherokee, LLCCherokee, IA 3 of 5Accura Healthcare of FullertonFullerton, NE 3 of 5Accura Healthcare of Pomeroy, LLCPomeroy, IA 3 of 5Accura Healthcare of StantonStanton, IA 3 of 5Accura Healthcare of ToledoToledo, IA 3 of 5Meadow ManorGrand Meadow, MN 3 of 5Prairie View Senior LivingTracy, MN 3 of 5Traditions Memory Care of NewtonNewton, IA 4 of 5Accura HealthCare of North PlatteNorth Platte, NE 4 of 5Accura Healthcare of Le MarsLe Mars, IA 4 of 5Accura Healthcare of MilfordMilford, IA 4 of 5Accura Healthcare of Ogden, LLCOgden, IA 4 of 5Accura Healthcare of Sioux City, LLCSioux City, IA 4 of 5Faulkton Senior LivingFaulkton, SD 5 of 5Accura HealthCare of HartingtonHartington, NE 5 of 5Accura Healthcare of BancroftBancroft, IA 5 of 5Karlstad Healthcare Center INCKarlstad, MN

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 / managerTypeRoleSince
AVIV HEALTHCARE OF THE MIDWEST LLCOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 02/01/2025
AVENUE94 LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/01/2025
AVIV HEALTHCARE HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/01/2025
KIMMONS HEALTHCARE INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/01/2025
KTL ENTERPRISES LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/01/2025
LITTLE RIVER INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/01/2025
ZRR OPCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 02/01/2025
ALLEN, BRADYIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
GLASER, KRISTOPHERIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
KLEINSASSER, MEGANIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
LENEAVE, TEDIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
TOTI, LISAIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
ACCURA MANAGEMENT CONSULTING SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
CUTLER, DARRONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
HAGEMAN, DEZIRAEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
OLTHOFF, DANIELLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2025
AVIV FINANCING II LLCOrganizationADP OF THE SNFsince 02/01/2025
AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LPOrganizationADP OF THE SNFsince 02/01/2025
AVIV OP LIMITED PARTNER LLCOrganizationADP OF THE SNFsince 02/01/2025
IOWA LINCOLN COUNTY PROPERTY LLCOrganizationADP OF THE SNFsince 02/01/2025
OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIPOrganizationADP OF THE SNFsince 02/01/2025
OMEGA HEALTHCARE INVESTORS INCOrganizationADP OF THE SNFsince 02/01/2025

CMS files one row per role, so the 37 rows in the source record cover these 22 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.

14 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.

$4.9M
Net patient revenuemost recent cost report
-12.1%
Operating marginrevenue minus expenses
$221K
Related-party expense4% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 8%Other / private 26%

This home reported $221K 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

$324per resident / day
operating cost
$9,860per month
≈ monthly operating cost
$289per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.

Typical monthly cost in Iowa
$9,277/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,381/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165302. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-31, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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