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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E11 | F5 |
| Minimal | A· | B· | C2 |
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 | |
|---|---|---|---|---|---|---|
| Jun 25, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jun 25, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Oct 30, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 15, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 15, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint, Health Standard | 25 | Immediate jeopardy | — | Open → |
| May 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Jan 31, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 11, 2024 | Civil money penalty (fine) | $16,801 | — | 165275|Fine|79472 |
| Jan 31, 2024 | Denial of payment for new admissions | — | Feb 23, 2024 · 28 days | 165275|Payment Denial|2024-02-23 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E11 | F5 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 25, 2026 | 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 Jul 10, 2026 | Complaint |
| Jun 25, 2026 | 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 Jul 10, 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 |
|---|---|---|---|---|---|---|
| Creston Specialty Care 1001 Cottonwood Drive, Creston, IA 50801 CCN 165199 | 3.1 km | 74 | Jul 1, 2026 | 312 harm | $20k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165275 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165275 | 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
| Jun 25, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 25, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 25, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 13, 2026 |
| Oct 30, 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 Dec 12, 2025 | Complaint |
| Oct 30, 2025 | 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 | D · Potential harm Isolated | Corrected Dec 12, 2025 | Complaint |
| Jul 11, 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 | J · Immediate jeopardy Isolated | Corrected Jul 25, 2024 |
| Jul 11, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 31, 2024 |
| Jul 11, 2024 | 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 | E · Potential harm Pattern | Corrected Aug 8, 2024 | Complaint |
| Jul 11, 2024 | 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 Aug 8, 2024 |
| Jul 11, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2024 |
| Jul 11, 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 Aug 8, 2024 |
| Jul 11, 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 Aug 8, 2024 |
| Jul 11, 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 | E · Potential harm Pattern | Corrected Aug 8, 2024 | Complaint |
| Jul 11, 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 8, 2024 | Complaint |
| Jul 11, 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 Aug 8, 2024 | Complaint |
| Jul 11, 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 Aug 8, 2024 | Complaint |
| Jul 11, 2024 | 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 Aug 8, 2024 |
| Jul 11, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 8, 2024 |
| Jul 11, 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 | F · Potential harm Widespread | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0946 | Provide training in compliance and ethics. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Aug 8, 2024 |
| May 16, 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 Jun 1, 2024 | Complaint |
| Mar 21, 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 | F · Potential harm Widespread | Corrected Mar 22, 2024 | Complaint |
| Feb 1, 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 8, 2024 | Complaint |
| Feb 1, 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 Feb 26, 2024 | Complaint |
| Feb 1, 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 Feb 26, 2024 | Complaint |
| Feb 1, 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 Feb 26, 2024 | Complaint |
| Jan 31, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 23, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.62 (case-mix index 1.29).
| 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 |
| Kristopher Glaser | 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 |
| Daniel Miller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2025 |
| Ricky Rohrig | 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 |
| Cara Williams | 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 Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 3, 2025 |
| Aviv Healthcare of the Midwest LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 3, 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 |
| Kimmons Healthcare Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 3, 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 |
| Kristopher Glaser | 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 |
| Daniel Miller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Ricky Rohrig | 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 |
| Cara Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| 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 South Des Moines 4911 SW 19th Street, Des Moines, IA 50315 CCN 165273 | 89 | Sep 18, 2025 | 852 IJ2 harm | $53k |
| 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 |