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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D40 | E26 | F11 |
| Minimal | A· | B3 | C1 |
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 | |
|---|---|---|---|---|---|---|
| Sep 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 24, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jul 24, 2025 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Feb 17, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Aug 22, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 22, 2024 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Jun 13, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Apr 25, 2024 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Feb 29, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Complaint | 8 | Potential harm | — | Open → |
| Dec 21, 2023 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Nov 2, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Nov 2, 2023 | Health | Health Complaint, Health Standard | 27 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 25, 2024 | Denial of payment for new admissions | — | May 24, 2024 · 30 days | 165273|Payment Denial|2024-05-24 |
| Apr 25, 2024 | Civil money penalty (fine) | $30,675 | — | 165273|Fine|79407 |
| Nov 2, 2023 | Denial of payment for new admissions | — | Jan 19, 2024 · 28 days | 165273|Payment Denial|2024-01-19 |
| Nov 2, 2023 | Civil money penalty (fine) | $21,957 | — | 165273|Fine|79250 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D40 | E26 | F11 |
| Minimal | A· | B3 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 18, 2025 | 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 Oct 10, 2025 | Complaint |
| Jul 24, 2025 | 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 | D · Potential harm Isolated | Corrected Aug 23, 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.
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 |
|---|---|---|---|---|---|
| Kevin Babb | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Dec 2, 2015 |
| Jennifer Conner | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 2, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kevin Babb | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Dec 2, 2015 |
| Jennifer Conner | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 2, 2015 |
| American Healthcare Management Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Robert Conner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2001 |
| 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 |
|---|---|---|---|---|---|---|
| Greater Southside Health and Rehabilitation 5608 SW 9th Street, Des Moines, IA 50315 CCN 165175SFF CandidateAbuse icon | 1.5 km | 80 | Jul 22, 2026 | 925 IJ3 harm13 open | $223k | |
| Wesley on Grand 3520 Grand Avenue, Des Moines, IA 50312 CCN 165487 | 5.4 km | 80 | Jul 23, 2026 | 18 | — | |
| Scottish Rite Park Inc 2909 Woodland Avenue, Des Moines, IA 50312 CCN 165593 | 5.6 km | 51 | Aug 13, 2026 | 153 harm1 open | $47k | |
| Iowa Jewish Senior Life Center 900 Polk Boulevard, Des Moines, IA 50312 CCN 165006 | 6.9 km | 46 | Apr 2, 2026 | 39 | — | |
| Regency Care Center 815 High Road, Norwalk, IA 50211 CCN 165399Abuse icon | 7 km | 101 | May 12, 2026 | 541 IJ2 harm | $110k | |
| University Park Nursing and Rehabilitation Center 233 University Avenue, Des Moines, IA 50314 CCN 165272 | 7.1 km | 91 | Mar 5, 2026 | 24 | — | |
| Rehabilitation Center of Des Moines 701 Riverview, Des Moines, IA 50316 CCN 165268 | 7.7 km | 74 | Aug 27, 2026 | 531 harm2 open | — | |
| Ramsey Village 1611 27th Street, Des Moines, IA 50310 CCN 165514 | 7.8 km | 78 | Apr 23, 2026 | 601 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165273 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165273 | 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 24, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2025 |
| Jul 24, 2025 | 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 Aug 23, 2025 |
| Jul 24, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 23, 2025 |
| Jul 24, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 23, 2025 |
| Jul 24, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 23, 2025 |
| Jul 24, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2025 |
| Jul 24, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 23, 2025 |
| Jul 24, 2025 | 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 Aug 23, 2025 |
| Jul 24, 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 Aug 15, 2025 | Complaint |
| Jul 24, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2025 |
| Jul 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 15, 2025 |
| Feb 17, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 21, 2025 | Complaint |
| Feb 17, 2025 | 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 Feb 21, 2025 | Complaint |
| Feb 17, 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 21, 2025 | Complaint |
| Feb 17, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 21, 2025 | Complaint |
| Aug 22, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 1, 2024 |
| Aug 22, 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 Sep 27, 2024 |
| Aug 22, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 22, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 22, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 22, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 22, 2024 | 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 | E · Potential harm Pattern | Corrected Sep 16, 2024 | Complaint |
| Aug 22, 2024 | 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 | E · Potential harm Pattern | Corrected Sep 16, 2024 | Complaint |
| Aug 22, 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 Sep 16, 2024 |
| Aug 22, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 16, 2024 |
| Aug 22, 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 Sep 16, 2024 | Complaint |
| Aug 22, 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 Sep 16, 2024 | Complaint |
| Aug 22, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 16, 2024 | Complaint |
| Aug 22, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 16, 2024 | Complaint |
| Aug 22, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 16, 2024 | Complaint |
| Aug 22, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 16, 2024 | Complaint |
| Aug 22, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 16, 2024 | Complaint |
| Jun 13, 2024 | 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 | G · Actual harm Isolated | Corrected Jun 23, 2024 | Complaint |
| 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 | G · Actual harm Isolated | Corrected Jun 23, 2024 | Complaint |
| Apr 25, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Jun 23, 2024 | Complaint |
| Apr 25, 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 May 10, 2024 | Complaint |
| Apr 25, 2024 | 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 May 10, 2024 | Complaint |
| Apr 25, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 10, 2024 | Complaint |
| Apr 25, 2024 | 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 May 10, 2024 | Complaint |
| Feb 29, 2024 | 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 Mar 12, 2024 | Complaint |
| Feb 29, 2024 | 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 | Corrected Mar 12, 2024 | Complaint |
| Feb 29, 2024 | 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 | E · Potential harm Pattern | Corrected Mar 12, 2024 | Complaint |
| Jan 25, 2024 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 16, 2024 | Complaint |
| Jan 25, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 16, 2024 | Complaint |
| Jan 25, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2024 | Complaint |
| Jan 25, 2024 | 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 Feb 16, 2024 | Complaint |
| Jan 25, 2024 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2024 | Complaint |
| Jan 25, 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 16, 2024 | Complaint |
| Jan 25, 2024 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2024 | Complaint |
| Jan 25, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 16, 2024 | Complaint |
| Dec 21, 2023 | 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 | K · Immediate jeopardy Pattern | Corrected Jan 9, 2024 | Complaint |
| Dec 21, 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 | E · Potential harm Pattern | Corrected Jan 9, 2024 | Complaint |
| Dec 21, 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 | E · Potential harm Pattern | Corrected Feb 16, 2024 | Complaint |
| Nov 2, 2023 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2023 |
| Nov 2, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 8, 2023 |
| Nov 2, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2023 |
| Nov 2, 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 4, 2023 | Complaint |
| Nov 2, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 4, 2023 |
| Nov 2, 2023 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 4, 2023 | Complaint |
| Nov 2, 2023 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 16, 2024 | Complaint |
| Nov 2, 2023 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 4, 2023 |
| Nov 2, 2023 | 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 | E · Potential harm Pattern | Corrected Dec 4, 2023 | Complaint |
| Nov 2, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Nov 2, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2023 |
| Nov 2, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Nov 2, 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 Feb 16, 2024 | Complaint |
| Nov 2, 2023 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2023 | Complaint |
| Nov 2, 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 | E · Potential harm Pattern | Corrected Feb 16, 2024 | Complaint |
| Nov 2, 2023 | 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 16, 2024 | Complaint |
| Nov 2, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2023 | Complaint |
| Nov 2, 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 4, 2023 |
| Nov 2, 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 | F · Potential harm Widespread | Corrected Feb 16, 2024 | Complaint |
| Nov 2, 2023 | 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 Dec 4, 2023 | Complaint |
| Nov 2, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 4, 2023 | Complaint |
| Nov 2, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 4, 2023 |
| Nov 2, 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 4, 2023 |
| Nov 2, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 4, 2023 | Complaint |
| Nov 2, 2023 | F-0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 4, 2023 |
| Nov 2, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 4, 2023 |
| Nov 2, 2023 | 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 | B · Minimal Pattern | Corrected Dec 4, 2023 | Complaint |
| Nov 2, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Dec 4, 2023 |
| Nov 2, 2023 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Dec 4, 2023 |
| Nov 2, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Dec 4, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.13 (case-mix index 1.14).
| Joseph Herst | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 17, 2025 |
| Ted Leneave | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Lisa Toti | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Robert Conner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 2, 2015 |
| Jennifer Conner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 2, 2015 |
| First Interstate Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jun 1, 2002 |
| American Healthcare Management Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 26, 2025 |
| Brighton Consulting Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2002 |
| Martens & Company Cpa, LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2017 |
| Kevin Babb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2017 |
| Robert Conner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2001 |
| Joseph Herst | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| Ted Leneave | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Lisa Toti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| May 21, 2026 |
522 harm |
| $37k |
| Accura Healthcare of Onawa 222 North 15th Street, Onawa, IA 51040 CCN 165256 | 46 | Jul 9, 2026 | 391 harm | — |
| 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 |