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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E2 | F1 |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Jun 25, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jun 25, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| May 15, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 15, 2025 | Health | Health Complaint, Health Standard | 9 | Actual harm | — | Open → |
| Jul 18, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 18, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D11 | E2 | F1 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 25, 2026 | 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 Jul 21, 2026 | Complaint |
| Jun 25, 2026 | 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 Jul 21, 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.
96 facilities in 4 states. CMS chain ID 306.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Legacy Healthcare Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Karla Beasley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Linsey Behounek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Jenny Borcherding | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Alisha Brubaker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Harmony Cedar Rapids 1940 First Avenue NE, Cedar Rapids, IA 52402 CCN 165017 | 96 | Apr 21, 2026 | 341 harm | $11k | |
| Harmony Davenport 815 East Locust Street, Davenport, IA 52803 CCN 165033 | 88 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Stone Cottage Care Center 900 South Stone Street, Sigourney, IA 52591 CCN 165381 | 0.3 km | 41 | May 28, 2026 | 951 IJ1 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165325 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165325 | 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-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 21, 2026 |
| Jun 25, 2026 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | B · Minimal Pattern | Corrected Jul 21, 2026 |
| Jun 25, 2026 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Jul 21, 2026 |
| May 15, 2025 | 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 | G · Actual harm Isolated | Corrected Jun 5, 2025 | Complaint |
| May 15, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 27, 2025 |
| May 15, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| May 15, 2025 | 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 Jun 5, 2025 |
| May 15, 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 Jun 5, 2025 |
| May 15, 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 Jun 5, 2025 |
| May 15, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| May 15, 2025 | 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 | E · Potential harm Pattern | Corrected Jun 5, 2025 |
| May 15, 2025 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| May 15, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| Jul 18, 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 17, 2024 |
| Jul 18, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 17, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.76 (case-mix index 1.11).
| Aug 15, 2024 |
| Sheri Burken | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Laura Friedenberg | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Jennifer Hedberg | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Christina Hennager | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Larina Heying | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Mindy Houston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Krystle Jaeger | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Michele Knutson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Melissa Larson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Dorothy Mcclure | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Patricia Otterbeck | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Chaim Rajchenbach | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Kathleen Scott | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Joshua Seu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Menachem Shabat | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Kiley Shear | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Sandra Staudt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Julia Van Patten-Richard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Elizabeth Van Veghel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Shipeng Wei | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Bobbie Wierschem | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Rosemary Wood | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Amy Wright | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Menachem Shabat | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 15, 2024 |
| Brian Friedman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 3, 2012 |
| Avrum Rajchenbach | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 28, 2008 |
| Rivka Rajchenbach | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 28, 2008 |
| Ahuva Shabat | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 3, 2012 |
| Cascade Capital Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Cascade Capital Partners LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Ccg Gorgona LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Gorgona Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Gorgona Propco Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Gorgona Sub Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 3, 2025 |
| Mn8 Rh Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Sheri Burken | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Shipeng Wei | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Aug 3, 2026 |
50 |
| — |
| Harmony Waterloo 201 West Ridgeway Avenue, Waterloo, IA 50701 CCN 165034Abuse icon | 88 | Jun 11, 2026 | 571 IJ | $95k |
| Harmony Dubuque 901 West Third Street, Dubuque, IA 52001 CCN 165104 | 75 | Aug 25, 2026 | 482 harm5 open | $19k |
| Harmony House Health Care Center 2950 West Shaulis Road, Waterloo, IA 50701 CCN 165152SFF Candidate | 65 | Jun 30, 2026 | 392 IJ2 harm | $32k |
| Rehabilitation Centers of Independence West Campus 1610 Third Street NE, Independence, IA 50644 CCN 165303 | 70 | Apr 1, 2026 | 302 IJ | $23k |
| Bloomfield Care Center 800 North Davis Street, Bloomfield, IA 52537 CCN 165326 | 91 | Jul 30, 2026 | 181 harm | — |
| Hallmark Care Center 215 Highway 30 SW, Mount Vernon, IA 52314 CCN 165333 | 55 | Apr 9, 2026 | 18 | — |