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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D6 | E9 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 21, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Mar 12, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 3, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 3, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jun 19, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 19, 2024 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Jan 24, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 19, 2024 | Civil money penalty (fine) | $10,839 | — | 165151|Fine|79463 |
| Jan 24, 2024 | Civil money penalty (fine) | $8,824 | — | 165151|Fine|79388 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D6 | E9 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 21, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 22, 2026 | |
| May 21, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 22, 2026 | |
| May 21, 2026 | F-0552 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Lexington Square Irrevocable Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 7, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Lexington Square Irrevocable Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 7, 2017 |
| Terri Abell | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 20, 2016 |
| Halley Anderson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 18, 2023 |
| Michael Blume | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 20, 2016 |
| Heather Hoskins | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Southeast Iowa Healthcare Center 3140 Plank Road, Keokuk, IA 52632 CCN 165797 | 1 km | 55 | Jul 1, 2026 | 91 IJ | $17k | |
| River Hills Village in Keokuk 20 Village Circle, Keokuk, IA 52632 CCN 165396 | 1.9 km | 84 | Sep 18, 2025 | 171 harm | — | |
| Montrose Health Center 400 South 7th Street, Montrose, IA 52639 CCN 165304 | 11.8 km | 44 | Mar 26, 2026 | 261 IJ3 harm1 open | $43k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165151 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165151 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Jun 20, 2026 |
| May 21, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 20, 2026 |
| May 21, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 20, 2026 |
| May 21, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 20, 2026 |
| Mar 12, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 23, 2026 | Complaint |
| Apr 3, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 3, 2025 |
| Apr 3, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 3, 2025 |
| Jun 19, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 20, 2024 |
| Jun 19, 2024 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 7, 2024 |
| Jun 19, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 7, 2024 |
| Jun 19, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 19, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 19, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 19, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jan 24, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 16, 2024 | Complaint |
| Dec 6, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Dec 29, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.97 (case-mix index 2.75).
| Mar 15, 2011 |
| David Israel | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 12, 2025 |
| Paige Peterson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 7, 2022 |
| Murray Stanley | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 7, 2022 |
| Lexington Square Irrevocable Trust | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 7, 2017 |
| Terri Abell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 3, 2022 |
| Michael Blume | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Heather Hoskins | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 20, 2024 |
| Murray Stanley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Paige Peterson | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 6, 2022 |
| Murray Stanley | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 1, 2017 |
| Bell Bank Arrowhead Office | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jun 15, 2022 |
| Halley Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 17, 2025 |
| Michael Blume | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 20, 2024 |
| Murray Stanley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2017 |