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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D5 | E6 | F4 |
| 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, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 9, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jan 10, 2025 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Aug 18, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 18, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Mar 7, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D5 | E6 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2025 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2025 | |
| Jul 9, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 7, 2025 | |
| Jan 10, 2025 | F-0600 |
“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.
5 facilities in 1 states. CMS chain ID 867.
Chain average overall rating (CMS): 4.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nancy Frahm | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Jan 1, 2011 |
| Ann Irvine | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Jan 1, 2011 |
| Terry a Ciecko | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Jul 19, 2010 |
| Randall W Joseph | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Jul 19, 2010 |
| Barbara L Svitek | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Jul 19, 2010 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Nancy Frahm | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Jan 1, 2011 |
| Ann Irvine | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Jan 1, 2011 |
| Terry a Ciecko | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Jul 19, 2010 |
| Randall W Joseph | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Jul 19, 2010 |
| Barbara L Svitek | Individual | Direct owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Great River Care Center 1400 West Main, Mc Gregor, IA 52157 CCN 165301 | 39 | Dec 2, 2025 | 61 IJ | $8,281 | |
| Edgewood Convalescent Home 513 Bell Street, Edgewood, IA 52042 CCN 165379 | 56 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Accura Healthcare of New Hampton 530 South Linn Avenue, New Hampton, IA 50659 CCN 165302 | 1.3 km | 52 | Dec 5, 2025 | 35 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165297 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165297 | 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
| 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 Jan 29, 2025 |
| Complaint |
| Jan 10, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 29, 2025 | Complaint |
| Jan 10, 2025 | 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 Jan 29, 2025 | Complaint |
| Jan 10, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 29, 2025 | Complaint |
| Jan 10, 2025 | 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 Jan 29, 2025 | Complaint |
| Aug 18, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 27, 2024 |
| Aug 18, 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 Aug 27, 2024 |
| Aug 18, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 27, 2024 |
| Mar 7, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 13, 2024 |
| Mar 7, 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 | E · Potential harm Pattern | Corrected Mar 13, 2024 |
| Mar 7, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2024 |
| Mar 7, 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 | D · Potential harm Isolated | Corrected Mar 13, 2024 |
| Mar 7, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 13, 2024 |
| Mar 7, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 13, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.84 (case-mix index 1.20).
| 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| 17% |
| Jul 19, 2010 |
| Kristen Frazer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2025 |
| Jon Maher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Mariah Riley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 7, 2025 |
| Terry a Ciecko | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 17, 2016 |
| Nancy Frahm | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 17, 2016 |
| Ann Irvine | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 17, 2016 |
| Randall W Joseph | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 17, 2016 |
| Barbara L Svitek | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 17, 2016 |
| Terry a Ciecko | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 17, 2016 |
| Nancy Frahm | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 17, 2016 |
| Ann Irvine | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 17, 2016 |
| Terry a Ciecko | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 19, 2010 |
| Nancy Frahm | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2011 |
| Kristen Frazer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2025 |
| Ann Irvine | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 7, 2019 |
| Randall W Joseph | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 19, 2010 |
| Jon Maher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Mariah Riley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Barbara L Svitek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 19, 2010 |
| Sep 25, 2025 |
12 |
| — |
| Elkader Care Center 116 Reimer Street SW, Elkader, IA 52043 CCN 165391 | 40 | Dec 18, 2025 | 41 harm | — |
| Evans Senior Living Community 1010 North Elm Street, Cresco, IA 52136 CCN 165491 | 43 | Aug 14, 2025 | 11 | — |