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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E6 | F8 |
| 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 3, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 3, 2025 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Aug 15, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 15, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Mar 7, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E6 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 3, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 15, 2025 | |
| Jul 3, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 11, 2025 | |
| Jul 3, 2025 | F-0803 |
“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 |
|---|---|---|---|---|---|
| John Garred | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | Aug 16, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| John Garred | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | Aug 16, 2022 |
| Megan Burgess | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 6, 2026 |
| Paul Dudley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 7, 2024 |
| Joshua Gross | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 21, 2014 |
| Renae Gulick | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 26, 2021 |
| Lori Jensen |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Accura Healthcare of Onawa 222 North 15th Street, Onawa, IA 51040 CCN 165256 | 10.8 km | 46 | Jul 9, 2026 | 391 harm | — | |
| Carl T Curtis Health Education Center Nursing Home 923 Senior Circle, Macy, NE 68039 CCN 28A065 | 16.6 km | 25 | Jan 29, 2026 | 23 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165296 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165296 | 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
| E · Potential harm Pattern |
| Corrected Jul 15, 2025 |
| Complaint |
| Jul 3, 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 Jul 15, 2025 |
| Jul 3, 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 Jul 15, 2025 |
| Aug 15, 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 Sep 3, 2024 |
| Aug 15, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Aug 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 9, 2024 |
| Aug 15, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 23, 2024 |
| Aug 15, 2024 | 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, 2024 |
| Aug 15, 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 Aug 27, 2024 |
| Aug 15, 2024 | 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 | D · Potential harm Isolated | Corrected Aug 27, 2024 |
| Aug 15, 2024 | 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 Aug 27, 2024 |
| Aug 15, 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 Aug 27, 2024 |
| Aug 15, 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 | E · Potential harm Pattern | Corrected Aug 21, 2024 |
| Aug 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 27, 2024 |
| Mar 7, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 9, 2024 |
| Mar 7, 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 Mar 20, 2024 |
| Mar 7, 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 Mar 20, 2024 |
| Mar 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 20, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.13 (case-mix index 1.19).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Sep 2, 1990 |
| Kathryn Keane | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 8, 2014 |
| Lillian Shuck | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 14, 2025 |
| Teresa Ernst | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Kathryn Keane | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 20, 2014 |
| Sara Mathews | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2013 |
| Dana Kirby | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2025 |
| Janice Klimaides | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2025 |
| Rhonda Wilt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2025 |
| Northwest Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Oct 5, 2011 |
| 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 |
| Iowa Health Care Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Redlers Long Term Care Pharmacy | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Reliant Pro Rehab LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2025 |
| Reliant Rehabilitation Holdings Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2025 |
| Williams & Company PC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 8, 2013 |
| Paul Dudley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 7, 2024 |
| Joan Guentz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2009 |
| Kathryn Keane | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 8, 2014 |