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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E6 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 31, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 31, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jan 15, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jan 15, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 11, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 11, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 13, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Nov 13, 2023 | Health | Health Complaint, Health Standard | 10 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E6 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 4, 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 Jun 20, 2026 | Complaint |
| Dec 31, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 24, 2026 | |
| Dec 31, 2025 |
“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 |
|---|---|---|---|---|---|
| Holdco Goldfinch, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Holdco Goldfinch, LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2020 |
| Campbell Street Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2020 |
| Managerco Goldfinch, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2020 |
| Jana Cates | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| 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.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165233 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165233 | 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
| 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 |
| D · Potential harm Isolated |
| Corrected Jan 24, 2026 |
| Dec 31, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 24, 2026 |
| Dec 31, 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 Jan 30, 2026 |
| Dec 31, 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 Jan 30, 2026 |
| Dec 31, 2025 | 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 Jan 30, 2026 |
| Dec 31, 2025 | 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 Jan 30, 2026 |
| Dec 31, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 30, 2026 |
| Jan 15, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 21, 2025 |
| Jan 15, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 21, 2025 |
| Jan 15, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 25, 2025 |
| Jan 15, 2025 | 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 | Corrected Feb 21, 2025 |
| Jan 15, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 15, 2025 |
| Jan 15, 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 Feb 15, 2025 |
| Jan 15, 2025 | 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 Feb 15, 2025 |
| Jan 15, 2025 | F-0948 | Ensure that paid feeding assistants have the training they need. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 15, 2025 |
| Sep 11, 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 Sep 16, 2024 | Complaint |
| Sep 11, 2024 | 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 | D · Potential harm Isolated | Corrected Sep 16, 2024 | Complaint |
| Jan 11, 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 | Past non-compliance Jan 11, 2024 | Complaint |
| Jan 11, 2024 | 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 | D · Potential harm Isolated | Past non-compliance Jan 11, 2024 | Complaint |
| Nov 13, 2023 | 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 Dec 13, 2023 |
| Nov 13, 2023 | 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 Nov 16, 2023 |
| Nov 13, 2023 | 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 Dec 13, 2023 | Complaint |
| Nov 13, 2023 | 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 | Corrected Dec 13, 2023 |
| Nov 13, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 13, 2023 |
| Nov 13, 2023 | 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 Dec 13, 2023 |
| Nov 13, 2023 | 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 Dec 13, 2023 |
| Nov 13, 2023 | 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 Dec 13, 2023 |
| Nov 13, 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 | D · Potential harm Isolated | Corrected Dec 13, 2023 |
| Nov 13, 2023 | 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 Dec 14, 2023 |
| Nov 13, 2023 | 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 Dec 13, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.91 (case-mix index 1.15).
| not provided |
| May 5, 2022 |
| Robert Conner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2024 |
| Isaac Dole | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2020 |
| Tasha Westphal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 16, 2024 |
| 100 Ram Drive Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2026 |
| Campbell Street Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 21, 2025 |
| Holdco Goldfinch, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2020 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2026 |
| Welltower Nnn Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2026 |
| Welltower Op LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2026 |
| Jana Cates | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 5, 2022 |
| Robert Conner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2024 |
| Isaac Dole | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2020 |
| Tasha Westphal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 16, 2024 |
| 46 |
| Apr 2, 2026 |
881 IJ1 harm |
| $14k |
| Casa De Paz Health Care Center 2121 West 19th Street, Sioux City, IA 51103 CCN 165174 | 71 | Jul 14, 2026 | 45 | — |
| 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 | — |