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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E1 | F10 |
| Minimal | A· | B3 | 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 | |
|---|---|---|---|---|---|---|
| Aug 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 15, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 9, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 9, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Oct 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 3, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 3, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E1 | F10 |
| Minimal | A· | B3 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 17, 2026 | 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 Sep 16, 2026 | Complaint |
| Apr 15, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 15, 2026 | |
| Apr 15, 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 |
|---|---|---|---|---|---|
| Gorgona Sub Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Aug 15, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gorgona Sub Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Aug 15, 2024 |
| Legacy Healthcare Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Craig Allen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Karla Beasley | 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 |
|---|---|---|---|---|---|---|
| Oelwein Health Care Center 600 Seventh Street SE, Oelwein, IA 50662 CCN 165341 | 0.3 km | 61 | Mar 26, 2026 | 20 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165340 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165340 | 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
| 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 Apr 24, 2026 |
| Apr 15, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 15, 2026 | 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 May 15, 2026 |
| Dec 4, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 3, 2026 | Complaint |
| Apr 9, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 12, 2025 |
| Apr 9, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 12, 2025 |
| Apr 9, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 1, 2025 |
| Apr 9, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Apr 9, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 9, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 9, 2025 |
| Oct 29, 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 Nov 29, 2024 | Complaint |
| Jul 3, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 24, 2024 |
| Jul 3, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jul 3, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jul 3, 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 Jul 22, 2024 |
| Jul 3, 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 3, 2024 |
| Jul 3, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Aug 3, 2024 |
| Jul 3, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Aug 3, 2024 |
| Jul 3, 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 | B · Minimal Pattern | Corrected Aug 3, 2024 |
| Nov 8, 2023 | 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 Nov 16, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.76 (case-mix index 1.58).
| 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 |
| Sheri Burken | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Cassandra Cook | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Colin Deford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 18, 2025 |
| 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 |
| 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 |
| 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 |
| Menachem Shabat | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Kayleigh Shamp | 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 |
| Elizabeth Van Veghel | 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 |
| 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 |
| Mn8 Rh Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Craig Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Colin Deford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 18, 2025 |
| 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 |
| Manor House Care Center 1212 South Stuart Street, Sigourney, IA 52591 CCN 165325 | 55 | Jun 25, 2026 | 171 harm | — |
| Bloomfield Care Center 800 North Davis Street, Bloomfield, IA 52537 CCN 165326 | 91 | Jul 30, 2026 | 181 harm | — |