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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D21 | E10 | F7 |
| 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 9, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 9, 2026 | Health | Health Complaint, Health Standard | 10 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jul 27, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 13, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jun 13, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jan 12, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D21 | E10 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2026 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 28, 2026 | Complaint |
| Jul 9, 2026 | 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 Jul 28, 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 this facility only.
44 facilities in 4 states. CMS chain ID 8.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aviv Healthcare of the Midwest LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Avenue94 LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Aviv Healthcare Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Kimmons Healthcare Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Ktl Enterprises LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Little River Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Zrr Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Brady Allen | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Kristopher Glaser | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Megan Kleinsasser | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Ted Leneave | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Lisa Toti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aviv Healthcare of the Midwest LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Avenue94 LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Aviv Healthcare Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Kimmons Healthcare Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Accura Healthcare of Lake City, LLC 1409 West Main Street, Lake City, IA 51449 CCN 165082 | 46 | Apr 23, 2026 | 451 IJ | $35k | |
| Accura Healthcare of Carlisle 680 Cole Street, Carlisle, IA 50047 CCN 165255 | 80 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pleasant View Care Center 200 Shannon Drive, Whiting, IA 51063 CCN 165296 | 10.8 km | 70 | Jul 3, 2025 | 20 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165256 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165256 | 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
| Jul 9, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 28, 2026 | Complaint |
| Jul 9, 2026 | 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 28, 2026 |
| Jul 9, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 28, 2026 | Complaint |
| Jul 9, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 28, 2026 |
| Jul 9, 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 Jul 28, 2026 | Complaint |
| Jul 9, 2026 | 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 Jul 28, 2026 |
| Jul 9, 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 28, 2026 |
| Jul 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 28, 2026 |
| May 8, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2025 |
| May 8, 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 May 22, 2025 |
| May 8, 2025 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 22, 2025 |
| May 8, 2025 | 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 May 22, 2025 |
| May 8, 2025 | 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 May 22, 2025 |
| May 8, 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 May 22, 2025 |
| Jul 27, 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 Aug 12, 2024 | Complaint |
| Jul 27, 2024 | 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 Aug 12, 2024 | Complaint |
| Jul 27, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 12, 2024 | Complaint |
| Jun 13, 2024 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jul 18, 2024 |
| Jun 13, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 26, 2024 |
| Jun 13, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jul 18, 2024 |
| Jun 13, 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 17, 2024 |
| Jun 13, 2024 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2024 |
| Jun 13, 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 | F · Potential harm Widespread | Corrected Jul 17, 2024 |
| Jun 13, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 18, 2024 |
| Jun 13, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jul 18, 2024 |
| Jun 13, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 17, 2024 |
| Jun 13, 2024 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 17, 2024 |
| Jun 13, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 26, 2024 |
| Jun 13, 2024 | 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 Jun 26, 2024 |
| Jun 13, 2024 | 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 Jun 26, 2024 |
| Jun 13, 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 Jun 26, 2024 |
| Jun 13, 2024 | 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 Jun 26, 2024 |
| Jun 13, 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 Jun 26, 2024 |
| Jun 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 26, 2024 |
| Jan 12, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 1, 2024 | Complaint |
| Jan 12, 2024 | 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 Feb 1, 2024 | Complaint |
| Jan 12, 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 | Past non-compliance Jul 11, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.71 (case-mix index 1.19).
| not provided |
| Feb 1, 2025 |
| Ktl Enterprises LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Little River Investments LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Zrr Opco LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Brady Allen | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Kristopher Glaser | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Megan Kleinsasser | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Ted Leneave | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Lisa Toti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2025 |
| Accura Management Consulting Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Brady Allen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Paul Dudley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Kristopher Glaser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Jordan Infante | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Megan Kleinsasser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Ted Leneave | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Jessica Slemp | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Lisa Toti | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Accura Management Consulting Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Aviv Financing II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Aviv Healthcare of the Midwest LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 12, 2025 |
| Aviv Healthcare Properties Operating Partnership I LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Aviv Op Limited Partner LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Iowa Lincoln County Property LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Ohi Healthcare Properties Limited Partnership | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Omega Healthcare Investors Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Brady Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Paul Dudley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Kristopher Glaser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Jordan Infante | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Megan Kleinsasser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Ted Leneave | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Jessica Slemp | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Lisa Toti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| May 21, 2026 |
522 harm |
| $37k |
| Accura Healthcare of South Des Moines 4911 SW 19th Street, Des Moines, IA 50315 CCN 165273 | 89 | Sep 18, 2025 | 852 IJ2 harm | $53k |
| Accura Healthcare of Creston 1000 East Howard, Creston, IA 50801 CCN 165275 | 31 | Jun 25, 2026 | 401 IJ1 harm | $17k |
| Accura Healthcare of New Hampton 530 South Linn Avenue, New Hampton, IA 50659 CCN 165302 | 52 | Dec 5, 2025 | 35 | — |
| Shell Rock Senior Living 920 North Cherry Street, Shell Rock, IA 50670 CCN 165309 | 41 | Sep 4, 2025 | 401 IJ1 harm | $17k |
| Accura Healthcare of Le Mars 954 7th Avenue SE, Le Mars, IA 51031 CCN 165311 | 46 | Jul 16, 2026 | 402 harm | — |
| Accura Healthcare of Pleasantville, LLC 909 North State Street, Pleasantville, IA 50225 CCN 165324 | 46 | Apr 30, 2026 | 451 IJ1 harm | $29k |