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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D19 | E8 | F15 |
| 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 15, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 15, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| May 29, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Nov 5, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Sep 26, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 20, 2024 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 19, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 26, 2024 | Denial of payment for new admissions | — | Oct 24, 2024 · 25 days | 165209|Payment Denial|2024-10-24 |
| Sep 26, 2024 | Civil money penalty (fine) | $45,406 | — | 165209|Fine|79493 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D19 | E8 | F15 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 15, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 29, 2026 | |
| Jul 15, 2026 | 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 Jul 24, 2026 | |
| Jul 15, 2026 | K-0345 |
“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% | Mar 1, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Care Initiatives | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2014 |
| Desire Gijima | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Carla Mahler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Dylan Spina | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 24, 2023 |
| 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 Marshalltown 2401 South Second Street, Marshalltown, IA 50158 CCN 165451Abuse icon | 0.5 km | 84 | Mar 12, 2026 | 482 harm | $9,350 | |
| Harmony Marshalltown 910 East Olive, Marshalltown, IA 50158 CCN 165385 | 2.3 km | 72 | May 20, 2026 | 732 IJ1 harm1 open | $79k | |
| Iowa Veterans Home 1301 Summit, Marshalltown, IA 50158 CCN 16A002 | 4.7 km | 702 | Apr 16, 2026 | 22 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165209 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165209 | 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
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Aug 28, 2026 |
| Jul 15, 2026 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 16, 2026 |
| Jul 15, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 16, 2026 |
| Jul 15, 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 Jul 29, 2026 |
| Jul 15, 2026 | 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 Jul 29, 2026 |
| Jul 15, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 29, 2026 |
| Jul 15, 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 29, 2026 |
| May 29, 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 19, 2025 |
| May 29, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2025 |
| May 29, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2025 |
| May 29, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance May 29, 2025 | Complaint |
| May 29, 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 May 30, 2025 |
| May 29, 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 May 30, 2025 | Complaint |
| May 29, 2025 | 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 May 30, 2025 | Complaint |
| May 29, 2025 | 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 | D · Potential harm Isolated | Corrected May 30, 2025 | Complaint |
| May 29, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 30, 2025 |
| Nov 5, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Nov 5, 2024 | 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 Nov 18, 2024 | Complaint |
| Nov 5, 2024 | 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 | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Nov 5, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Sep 26, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Sep 27, 2024 | Complaint |
| Sep 26, 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 | D · Potential harm Isolated | Corrected Sep 27, 2024 | Complaint |
| Jun 20, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 11, 2024 |
| Jun 20, 2024 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 11, 2024 |
| Jun 20, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 11, 2024 |
| Jun 20, 2024 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 11, 2024 |
| Jun 20, 2024 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 26, 2024 |
| Jun 20, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 11, 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 | F · Potential harm Widespread | Corrected Jul 2, 2024 |
| Jun 20, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 2, 2024 |
| Jun 20, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2024 |
| Jun 20, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 2, 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 Jul 10, 2024 |
| Jun 20, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jul 30, 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 10, 2024 | Complaint |
| Jun 20, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| Jun 20, 2024 | 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 Jul 10, 2024 |
| Mar 21, 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 Apr 12, 2024 | Complaint |
| Mar 21, 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 | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Dec 19, 2023 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 10, 2024 | Complaint |
| Dec 19, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 10, 2024 | Complaint |
| Dec 19, 2023 | 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 Jan 10, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.88 (case-mix index 1.30).
| 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 | Jan 1, 2025 |
| Computershare Corporate Trust Company, Na | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2025 |
| Desire Gijima | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Dylan Spina | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 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 |
| Creston Specialty Care 1001 Cottonwood Drive, Creston, IA 50801 CCN 165199 | 74 | Jul 1, 2026 | 312 harm | $20k |
| 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 |
| Creston Specialty Care 1001 Cottonwood Drive, Creston, IA 50801 CCN 165199 | 74 | Jul 1, 2026 | 312 harm | $20k |
| 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 |