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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D16 | E6 | F· |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 10, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Mar 12, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 12, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 4, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 6, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Apr 25, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 25, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Nov 1, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D16 | E6 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 10, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Jun 10, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 1, 2026 | Complaint |
“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 |
|---|---|---|---|---|---|
| Menachem Shabat | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Gorgona Sub Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Aug 15, 2024 |
| Cascade Capital Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Ccg Gorgona LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Gorgona Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Gorgona Propco Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Menachem Shabat | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Gorgona Sub Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Aug 15, 2024 |
| Cascade Capital Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Ccg Gorgona LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 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 |
|---|---|---|---|---|---|---|
| Fonda Specialty Care 607 Queen Street, Fonda, IA 50540 CCN 165312 | 21.2 km | 46 | Mar 19, 2026 | 29 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165343 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165343 | 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 10, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Jun 10, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 1, 2026 | Complaint |
| Jun 10, 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 1, 2026 | Complaint |
| Mar 12, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 1, 2026 |
| Mar 12, 2026 | 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 Apr 1, 2026 |
| Mar 12, 2026 | 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 Apr 1, 2026 |
| Mar 12, 2026 | 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 Apr 1, 2026 |
| Mar 12, 2026 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 1, 2026 |
| Mar 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 1, 2026 |
| Jan 8, 2026 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 9, 2026 | Complaint |
| Jan 8, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 9, 2026 | Complaint |
| Jan 8, 2026 | 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 Jan 9, 2026 | Complaint |
| Sep 4, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 18, 2025 | Complaint |
| Sep 4, 2025 | 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 | G · Actual harm Isolated | Corrected Sep 18, 2025 | Complaint |
| Sep 4, 2025 | 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 | D · Potential harm Isolated | Corrected Oct 2, 2025 | Complaint |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 6, 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 Apr 5, 2025 |
| Mar 6, 2025 | 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 Apr 5, 2025 |
| Apr 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 25, 2024 |
| Nov 1, 2023 | 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 Dec 1, 2023 | Complaint |
| Nov 1, 2023 | 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 Dec 1, 2023 | Complaint |
| Nov 1, 2023 | 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 Dec 1, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.08 (case-mix index 1.35).
| Aug 15, 2024 |
| Gorgona Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Gorgona Propco Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Brian Friedman | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 5, 2025 |
| Avrum Rajchenbach | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 5, 2025 |
| Rivka Rajchenbach | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 5, 2025 |
| Ahuva Shabat | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Mar 5, 2025 |
| 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 |
| 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 |
| Leszek Marczewski | 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 |
| Kayla Shull | 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 |
| Elizabeth Van Veghel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Kaylea Wibben | 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 |
| Doros Generation Trust U/a/D 1/3/12 | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Aug 15, 2024 |
| 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 |
| Doros Generation Trust U/a/D 1/3/12 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 5, 2025 |
| 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 | Mar 5, 2025 |
| Legacy Healthcare Financial Services 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 |
| Oakway Operations LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 5, 2025 |
| Sac City Ia Property Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Karla Beasley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Linsey Behounek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Jenny Borcherding | Individual | 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 |
| Laura Friedenberg | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Jennifer Hedberg | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Christina Hennager | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Larina Heying | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Mindy Houston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Krystle Jaeger | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Michele Knutson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Melissa Larson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Leszek Marczewski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Dorothy Mcclure | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Patricia Otterbeck | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Chaim Rajchenbach | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Kathleen Scott | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Joshua Seu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Menachem Shabat | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Kiley Shear | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Kayla Shull | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Sandra Staudt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Elizabeth Van Veghel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Kaylea Wibben | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Bobbie Wierschem | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Rosemary Wood | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Amy Wright | 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 |
| 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 | — |