Denison Care Center — nursing home in Denison, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 46 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 29.6 CMS, MDS-derived
CMS Certification Number: 165238
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 4, 1994
Ownership type: For profit - Corporation
Operator (legal business name): Opco Denison Ia LLC
CMS chain: Campbell Street Services 25 facilities
Phone: (712) 263-5611
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Aug 20, 2026

Citations

24

10 health · 14 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D10	E2	F10
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165238
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 46
First approved: Nov 4, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 20, 2026	Health	Health Complaint	1	Actual harm	1	Open →
Oct 23, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Jul 3, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jul 3, 2025	Health	Health Standard	1	Potential harm	—	Open →
Jul 11, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jul 11, 2024	Health	Health Standard	0	No citations	—	Open →
May 24, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
May 24, 2023	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D10	E2	F10
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 20, 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	Plan of correction, not yet verified Aug 27, 2026	Complaint
Oct 23, 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	G · Actual harm Isolated	Corrected Nov 4, 2025	Complaint
Oct 23, 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 Nov 4, 2025	Complaint
Jul 3, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 11, 2025
Jul 3, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 11, 2025
Jul 3, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 11, 2025
Jul 3, 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 Jul 12, 2025
Jul 3, 2025	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 Jul 11, 2025
Jul 11, 2024	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 22, 2024
Jul 11, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 18, 2024
Jul 11, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 18, 2024
Jul 11, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 18, 2024
Jul 11, 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 22, 2024
Jul 11, 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	Corrected Aug 18, 2024
May 24, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 8, 2023
May 24, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 5, 2023
May 24, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 5, 2023
May 24, 2023	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 8, 2023
May 24, 2023	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 17, 2023
May 24, 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 Jun 17, 2023
May 24, 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 Jun 17, 2023
May 24, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 17, 2023
May 24, 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	D · Potential harm Isolated	Corrected Jun 17, 2023
May 24, 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 Jun 17, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.66

State avg 3.86US avg 3.90

Registered nurse (RN)0.63

State avg 0.74US avg 0.69

Licensed practical nurse0.85

State avg 0.56US avg 0.86

Nurse aide2.18

State avg 2.56US avg 2.35

Weekend total nurse3.07

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.06 (case-mix index 1.26).

Staff turnover

Total nursing staff turnover35.5%

State avg 44.1%US avg 45.3%

Registered nurse turnoverNot reported

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 3, 2025
Cycle 1 health score: 48
Total weighted score: 36

Operating entity

Opco Denison Ia LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Campbell Street Services

25 facilities in 3 states. CMS chain ID 99.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2

Ownership disclosures

Disclosures

24

Organizations

14

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Holdco, Ia, 10, LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Birchwood Healthcare Partners LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Isaac Dole	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Holdco, Ia, 10, LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Birchwood Healthcare Partners LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Isaac Dole	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Feb 1, 2025
Isaac Dole	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 1, 2025
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	Feb 1, 2025
Brittany Martz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 31, 2025
5v+ Seniors Healthcare Fund Gp, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 9, 2025
5v+ Seniors Healthcare Fund, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 9, 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 Denison LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025
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 9, 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
Brittany Martz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 31, 2025

Same chain in Iowa

All 24 in chain →

Facility	Beds	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	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	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1202 Ridge Road, Denison, IA 51442
ZIP: 51442
County: Crawford County FIPS 19047
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Gracewell, an Eventide Community 114 South 20th Street, Denison, IA 51442 CCN 165532	2 km	84		Aug 28, 2025	20	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165238	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165238	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

Record-level source links for CCN 165238

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction