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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E10 | 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 1, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 1, 2026 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Oct 9, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Dec 31, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 20, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Jan 4, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 20, 2024 | Civil money penalty (fine) | $12,048 | — | 165199|Fine|79401 |
| Jan 4, 2024 | Civil money penalty (fine) | $7,615 | — | 165199|Fine|79356 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E10 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 1, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 6, 2026 | |
| Jul 1, 2026 | 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 Jul 2, 2026 | Complaint |
| Jul 1, 2026 |
“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 43 facilities.
43 facilities in 1 states. CMS chain ID 106.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Care Initiatives | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 12, 2010 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Care Initiatives | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 12, 2010 |
| Destiny Boeve | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Desire Gijima | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Lori Harvey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2013 |
| Michael Beal |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Northcrest Specialty Care 2001health Street, Waterloo, IA 50703 CCN 165165 | 94 | Aug 17, 2026 | 501 harm | — | |
| Odebolt Specialty Care 801 South Des Moines Street, Odebolt, IA 51458 CCN 165180 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Northcrest Specialty Care 2001health Street, Waterloo, IA 50703 CCN 165165 | 94 | Aug 17, 2026 | 501 harm | — | |
| Odebolt Specialty Care 801 South Des Moines Street, Odebolt, IA 51458 CCN 165180 | 38 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Accura Healthcare of Creston 1000 East Howard, Creston, IA 50801 CCN 165275 | 3.1 km | 31 | Jun 25, 2026 | 401 IJ1 harm | $17k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165199 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165199 | 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
| 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 Jul 2, 2026 |
| Jul 1, 2026 | 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 | Corrected Jul 2, 2026 |
| Jul 1, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 2, 2026 | Complaint |
| Jul 1, 2026 | 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 2, 2026 |
| Jul 1, 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 Jul 2, 2026 |
| Oct 9, 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 Oct 10, 2025 | Complaint |
| Oct 9, 2025 | 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 | D · Potential harm Isolated | Corrected Oct 10, 2025 | Complaint |
| May 8, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 12, 2025 |
| May 8, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 12, 2025 |
| May 8, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2025 |
| May 8, 2025 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2025 |
| May 8, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2025 |
| May 8, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| May 8, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 9, 2025 |
| May 8, 2025 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 9, 2025 |
| Dec 31, 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 Jan 1, 2025 | Complaint |
| Jun 20, 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 Jul 1, 2024 |
| Jun 20, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 25, 2024 |
| Jun 20, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 1, 2024 |
| Jun 20, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 1, 2024 |
| Jun 20, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Jun 20, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2024 |
| Jun 20, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 26, 2024 |
| Jun 20, 2024 | 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 | D · Potential harm Isolated | Corrected Jul 11, 2024 |
| Jun 20, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 11, 2024 |
| Jun 20, 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 11, 2024 |
| Jun 20, 2024 | 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 | E · Potential harm Pattern | Corrected Jul 11, 2024 |
| Jun 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 11, 2024 |
| Jan 4, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 11, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.92 (case-mix index 1.21).
| Individual |
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jun 1, 2020 |
| Lane Bowen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Mary Jane Carothers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Kevin Childs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2023 |
| Peter Corless | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Keith Krein | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 29, 2022 |
| Elizabeth Rust | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Denise Sturm | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Linda Upmeyer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 29, 2022 |
| Michael Beal | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2020 |
| David Dixon | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2016 |
| Emily Drake | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 4, 2023 |
| Tanya Gilyard | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 23, 2025 |
| Jeramy Kuhn | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 25, 2008 |
| Jessica Mcdyer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 22, 2023 |
| Johanna Volm | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2021 |
| Computershare Corporate Trust Company, Na | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Feb 1, 2025 |
| Computershare Corporate Trust Company, Na | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Desire Gijima | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2025 |
| Lori Harvey | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| 38 |
| Mar 12, 2026 |
251 IJ2 harm |
| $14k |
| Dunlap Specialty Care 1403 Harrison Road, Dunlap, IA 51529 CCN 165193 | 46 | Aug 6, 2026 | 421 IJ1 harm | $10k |
| Southridge Specialty Care 309 West Merle Hibbs Blvd., Marshalltown, IA 50158 CCN 165209 | 82 | Jul 15, 2026 | 441 IJ1 harm | $45k |
| Lantern Park Specialty Care 2200 Oakdale Road, Coralville, IA 52241 CCN 165214 | 90 | Jul 31, 2025 | 591 IJ4 harm2 open | $63k |
| Lyon Specialty Care 1010 South Union, Rock Rapids, IA 51246 CCN 165215 | 45 | Aug 19, 2026 | 14 | — |
| Corydon Specialty Care 745 East South Street, Corydon, IA 50060 CCN 165222 | 71 | Jan 29, 2026 | 311 harm | — |
| Ridgewood Specialty Care 1977 Albia Road, Ottumwa, IA 52501 CCN 165223 | 60 | Dec 22, 2025 | 311 IJ | $8,999 |
| Mar 12, 2026 |
251 IJ2 harm |
| $14k |
| Dunlap Specialty Care 1403 Harrison Road, Dunlap, IA 51529 CCN 165193 | 46 | Aug 6, 2026 | 421 IJ1 harm | $10k |
| Southridge Specialty Care 309 West Merle Hibbs Blvd., Marshalltown, IA 50158 CCN 165209 | 82 | Jul 15, 2026 | 441 IJ1 harm | $45k |
| Lantern Park Specialty Care 2200 Oakdale Road, Coralville, IA 52241 CCN 165214 | 90 | Jul 31, 2025 | 591 IJ4 harm2 open | $63k |
| Lyon Specialty Care 1010 South Union, Rock Rapids, IA 51246 CCN 165215 | 45 | Aug 19, 2026 | 14 | — |
| Corydon Specialty Care 745 East South Street, Corydon, IA 50060 CCN 165222 | 71 | Jan 29, 2026 | 311 harm | — |
| Ridgewood Specialty Care 1977 Albia Road, Ottumwa, IA 52501 CCN 165223 | 60 | Dec 22, 2025 | 311 IJ | $8,999 |