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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E1 | F12 |
| 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 23, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jul 23, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Apr 14, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jul 3, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 3, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E1 | F12 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | 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 1, 2026 | |
| Jul 23, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2026 | |
| Jul 23, 2026 | K-0324 |
“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 |
|---|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Iowa Portfolio Opco Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Oakway Operations LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Iowa Portfolio Opco Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 15, 2024 |
| Oakway Operations LLC | Organization | Indirect owner |
| 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 |
|---|---|---|---|---|---|---|
| Heritage Care and Rehabilitation Center 501 South Kentucky Ave, Mason City, IA 50401 CCN 165367 | 13.4 km | 71 | Aug 14, 2025 | 181 harm2 open | — | |
| Good Shepherd Health Center 302 Second Street NE, Mason City, IA 50401 CCN 165072 | 14.6 km | 170 | Feb 24, 2026 | 341 IJ1 harm | $87k | |
| I O O F Home and Community Therapy Center 1037 19th Street SW, Mason City, IA 50401 CCN 165536 | 16.3 km | 82 | Mar 19, 2026 | 22 | $8,984 | |
| Manly Specialty Care 601 E South Street, Manly, IA 50456 CCN 165226 | 21.3 km | 44 | Mar 5, 2026 | 251 IJ | $14k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165347 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165347 | 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
| Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 23, 2026 |
| Jul 23, 2026 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2026 |
| Jul 23, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 30, 2026 |
| Jul 23, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2026 |
| Jul 23, 2026 | 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 23, 2026 |
| Jul 23, 2026 | 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 23, 2026 |
| Jul 23, 2026 | 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 31, 2026 |
| Jul 23, 2026 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2026 |
| Jul 23, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2026 |
| Jul 23, 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 | D · Potential harm Isolated | Corrected Aug 23, 2026 | Complaint |
| Jul 23, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 23, 2026 |
| Jul 23, 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 | F · Potential harm Widespread | Corrected Aug 23, 2026 |
| Apr 14, 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 Apr 16, 2026 | Complaint |
| Apr 14, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 16, 2026 | Complaint |
| Jan 8, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 15, 2026 | Complaint |
| Nov 18, 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 Nov 20, 2025 | Complaint |
| May 29, 2025 | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2025 |
| May 29, 2025 | 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 Jun 5, 2025 |
| Jul 3, 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 Jul 9, 2024 |
| Jul 3, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2024 |
| Jul 3, 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 Jul 15, 2024 |
| Jul 3, 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 | D · Potential harm Isolated | Corrected Jul 4, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.43 (case-mix index 1.26).
| 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 | Apr 2, 2025 |
| Avrum Rajchenbach | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 2, 2025 |
| Ahuva Shabat | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 2, 2025 |
| Legacy Healthcare Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Kristine Bates | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 9, 2025 |
| 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 |
| 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 |
| Kiley Shear | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Lindsey Thorson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 8, 2025 |
| 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 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Aug 15, 2024 |
| Rivka Rajchenbach | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 28, 2008 |
| 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 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 |
| 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 |
| Nora Springs Ia Property Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Kristine Bates | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2025 |
| 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 |
| 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 |
| Lisa Kapler | 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 |
| 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 |
| 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 |
| Lindsey Thorson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 8, 2025 |
| Elizabeth Van Veghel | 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 |
| 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 | — |