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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D4 | E5 | F2 |
| 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 | 3 | Potential harm | — | Open → |
| Jul 15, 2026 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 29, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jul 25, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 25, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D4 | E5 | F2 |
| 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 21, 2026 | |
| Jul 15, 2026 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 16, 2026 | |
| Jul 15, 2026 | K-0753 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Generations Senior Management, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2019 |
| Ltc Accounting Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Kimberly Bulter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 20, 2016 |
| Tonya Mcewen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 3, 2016 |
| Steven Scurr | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Roger Arends | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 18, 2014 |
| Jo Bergman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Peg Clemens | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Richard Eckerman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2019 |
| Jane Goodlaxson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Carol Hartwig | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 18, 2014 |
| Bradley Stevens | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 18, 2014 |
| Caleb Walton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 15, 2020 |
| Joni Zacharias | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2019 |
| Jane Goodlaxson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Generations Senior Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2025 |
| Ltc Accounting Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2025 |
| Kimberly Bulter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 20, 2016 |
| Tonya Mcewen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 3, 2016 |
| Steven Scurr | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Caleb Walton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Westbrook Acres 605 Garfield Street, Gladbrook, IA 50635 CCN 165446 | 12.9 km | 54 | Jun 3, 2026 | 351 harm | $9,347 | |
| Grundy Care Center 102 East J Avenue, Grundy Center, IA 50638 CCN 165241 | 17.2 km | 40 | Jan 8, 2026 | 593 IJ | $49k | |
| Creekside 503 Wical Way, Grundy Center, IA 50638 CCN 165623 | 17.4 km | 55 | Jul 8, 2026 | 16 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165254 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165254 | 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 restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 20, 2026 |
| Jul 15, 2026 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2026 | Complaint |
| Jul 15, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2026 |
| Jul 15, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 17, 2026 |
| Jul 15, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 22, 2026 |
| Feb 5, 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 | Corrected Feb 18, 2026 | Complaint |
| May 29, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| May 29, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 2, 2025 |
| Jul 25, 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 31, 2024 |
| Jul 25, 2024 | 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 | E · Potential harm Pattern | Corrected Aug 2, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.04 (case-mix index 1.17).