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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E2 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| May 29, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 24, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Apr 25, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 25, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Dec 1, 2022 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E2 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 29, 2026 | 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 | Past non-compliance | Complaint |
| May 29, 2026 | 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 | Past non-compliance | Complaint |
“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 |
|---|---|---|---|---|---|
| Gary Routh | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 1, 1997 |
| Patricia Routh | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 1, 1997 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gary Routh | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 1, 1997 |
| Patricia Routh | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 1, 1997 |
| Clearview - Routh LP | Organization | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Feb 6, 1997 |
| Monica Casteel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 17, 2016 |
| Amber Fooken | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Mount Ayr Health Care Center 1504 East South Street, Mount Ayr, IA 50854 CCN 165224 | 1.2 km | 46 | Apr 14, 2026 | 18 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165269 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165269 | 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
| Sep 12, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 13, 2024 |
| Sep 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 17, 2024 |
| Sep 12, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 25, 2024 |
| Sep 12, 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 Sep 25, 2024 |
| Sep 12, 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 25, 2024 |
| Apr 25, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 1, 2024 |
| Apr 25, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 25, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 3, 2024 |
| Dec 1, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 5, 2023 |
| Dec 1, 2022 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 5, 2023 |
| Dec 1, 2022 | 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 Dec 6, 2022 |
| Dec 1, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 17, 2022 |
| Dec 1, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 30, 2022 |
| Dec 1, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 17, 2022 |
| Dec 1, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 7, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.15 (case-mix index 1.15).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Mar 23, 2017 |
| Whitney Marsh-Narigon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 15, 2018 |
| Robin Ramsey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 2, 2021 |
| Gary Routh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 1997 |
| Matthew Routh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 16, 2004 |
| Patricia Routh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 1997 |
| Kathleen Willcox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Access Technologies Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 25, 2021 |
| Bcg Holdings Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Brighton Consulting Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Cattail Bcg LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Cattail Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Ecsi Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Guardian Pharmacy LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2025 |
| Guardian Pharmacy of Iowa LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 31, 2021 |
| Guardian Pharmacy Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2025 |
| Iowa Health Care Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Key Rehabilitation Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2016 |
| Welgaard Cpas and Advisors | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 30, 2023 |
| Gary Routh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 9, 2025 |
| Kathleen Willcox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2025 |