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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E15 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 14, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 9, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 9, 2026 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Oct 30, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 21, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 3, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 3, 2025 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Jan 10, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 15, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 11, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 11, 2024 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Jan 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E15 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 14, 2026 | 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 Jul 27, 2026 | Complaint |
| Jul 14, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2026 | Complaint |
“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.
25 facilities in 3 states. CMS chain ID 99.
Chain average overall rating (CMS): 2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Birchwood Healthcare Partners LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Campbell Street Ia 10 LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Campbell Street Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Holdco, Ia, 10, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Isaac Dole | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Altoona Nursing and Rehabilitation Center 200 Seventh Avenue SW, Altoona, IA 50009 CCN 165162 | 106 | Jul 16, 2026 | 791 harm | — | |
| Osage Rehab and Health Care Center 830 South Fifth Street, Osage, IA 50461 CCN 165173 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Holy Spirit Retirement Home 1701 West 25th Street, Sioux City, IA 51103 CCN 165266 | 0.8 km | 78 | Apr 30, 2026 | 45 | — | |
| Westwood Specialty Care 4201 Fieldcrest Drive, Sioux City, IA 51104 CCN 165271 | 2.2 km | 85 | Apr 29, 2026 | 892 harm | $176k | |
| St Luke's Regional Medical Center SNF 801 Fifth Street, Sioux City, IA 51102 CCN 165620 | 3.3 km | 20 | Jul 17, 2025 | 3 | — | |
| Accura Healthcare of Sioux City, LLC 3800 Indian Hills Drive, Sioux City, IA 51104 CCN 165435 | 5.8 km | 46 | Dec 4, 2025 | 38 | — | |
| Adept Nursing & Rehab of South Sioux City 3501 Dakota Avenue, South Sioux City, NE 68776 CCN 285076 | 6.1 km | 72 | Mar 18, 2026 | 401 IJ | $34k | |
| Continental Falls 3200 G Street, South Sioux City, NE 68776 CCN 285082 | 6.3 km | 77 | Jan 14, 2026 | 22 | — | |
| Sunrise Retirement Community 5501 Gordon Drive East, Sioux City, IA 51106 CCN 165473 | 9 km | 74 | Sep 11, 2025 | 21 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165174 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165174 | 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
| Jul 14, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2026 | Complaint |
| Apr 9, 2026 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 9, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 9, 2026 | 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 Apr 30, 2026 | Complaint |
| Apr 9, 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 | D · Potential harm Isolated | Corrected Apr 30, 2026 | Complaint |
| Apr 9, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 9, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 30, 2026 | Complaint |
| Apr 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 30, 2026 |
| Oct 30, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 11, 2025 | Complaint |
| Oct 30, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 11, 2025 | Complaint |
| Aug 21, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 13, 2025 | Complaint |
| Aug 21, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 13, 2025 | Complaint |
| Apr 3, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 27, 2025 | Complaint |
| Apr 3, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 27, 2025 |
| Apr 3, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 27, 2025 |
| Apr 3, 2025 | 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 | D · Potential harm Isolated | Corrected Apr 27, 2025 | Complaint |
| Apr 3, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 27, 2025 |
| Apr 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 27, 2025 |
| Jan 10, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Past non-compliance Jan 6, 2025 | Complaint |
| Jan 10, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Past non-compliance Jan 6, 2025 | Complaint |
| Jul 15, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 26, 2024 | Complaint |
| Jul 15, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 26, 2024 | Complaint |
| Jul 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 26, 2024 | Complaint |
| Apr 11, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 11, 2024 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 12, 2024 |
| Apr 11, 2024 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 25, 2024 |
| Apr 11, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 25, 2024 |
| Apr 11, 2024 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2024 |
| Apr 11, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 10, 2024 |
| Apr 11, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 11, 2024 |
| Apr 11, 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 May 11, 2024 |
| Apr 11, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 11, 2024 |
| Apr 11, 2024 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 11, 2024 |
| Jan 18, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 15, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.60 (case-mix index 1.20).
| Feb 1, 2025 |
| Paul Dudley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Cambria Emanuel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Tina Tassler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Acd Consolidated LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Bear Creek Sraf Gp Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Bear Creek Strategic Real Assets Fund LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Campbell Street Ia 10 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Campbell Street Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Defranco Investment Co Ltd | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Iaga SNF Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Iaga SNF Portfolio LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 27, 2025 |
| Iaga SNF Sioux City, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Nap Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Isaac Dole | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Paul Dudley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Cambria Emanuel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Tina Tassler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| 46 |
| Apr 2, 2026 |
881 IJ1 harm |
| $14k |
| Norwalk Nursing and Rehabilitation Center 921sunset Drive, Norwalk, IA 50211 CCN 165179 | 45 | Dec 31, 2025 | 18 | — |
| Cedar Falls Health Care Center 1728 West Eighth Street, Cedar Falls, IA 50613 CCN 165197 | 70 | Jul 30, 2026 | 721 harm | — |
| Iowa City Rehab & Health Care 3661 Rochester Avenue, Iowa City, IA 52245 CCN 165198 | 89 | Aug 3, 2026 | 64 | — |
| Granger Nursing & Rehabilitation Center 2001 Kennedy Street, Granger, IA 50109 CCN 165208 | 67 | Feb 26, 2026 | 57 | — |
| Oakland Manor 737 North Highway St., Oakland, IA 51560 CCN 165230Abuse icon | 61 | Aug 11, 2026 | 1013 harm | — |
| Regency Park Nursing & Rehab Center of Carroll 500 East Valley Drive, Carroll, IA 51401 CCN 165231 | 46 | Nov 20, 2025 | 101 harm | — |