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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D16 | E7 | F10 |
| 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 | |
|---|---|---|---|---|---|---|
| May 11, 2026 | Health | Health Complaint | 8 | Potential harm | — | Open → |
| Jan 8, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 28, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 28, 2025 | Health | Health Standard | 6 | Immediate jeopardy | — | Open → |
| Feb 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Jun 22, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 22, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 28, 2025 | Civil money penalty (fine) | $25,695 | — | 165352|Fine|134600 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D16 | E7 | F10 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 11, 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 29, 2026 | Complaint |
| May 11, 2026 | 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 May 29, 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 |
|---|---|---|---|---|---|
| Cascade Capital Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Aug 15, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cascade Capital Holdings 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 |
| 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 |
| 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 |
|---|---|---|---|---|---|---|
| Lakeside Lutheran Home 301 North Lawler Street, Emmetsburg, IA 50536 CCN 165492 | 1.8 km | 55 | Feb 26, 2026 | 621 harm | — | |
| Palo Alto County Hospital 3201 First Street, Emmetsburg, IA 50536 CCN 16E668 | 2.1 km | 22 | Jul 17, 2025 | 7 | — | |
| Ruthven Community Care Center 2701 Mitchell Street Box 0, Ruthven, IA 51358 CCN 165486 | 18 km | 46 | Oct 2, 2025 | 10 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165352 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165352 | 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
| May 11, 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 | E · Potential harm Pattern | Corrected May 29, 2026 | Complaint |
| May 11, 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 May 29, 2026 | Complaint |
| May 11, 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 May 29, 2026 | Complaint |
| May 11, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 29, 2026 | Complaint |
| May 11, 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 May 29, 2026 | Complaint |
| May 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 29, 2026 | Complaint |
| Jan 8, 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 Jan 20, 2026 | Complaint |
| Jan 8, 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 Jan 20, 2026 | Complaint |
| Jul 28, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | J · Immediate jeopardy Isolated | Corrected Aug 15, 2025 |
| Jul 28, 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 Aug 15, 2025 |
| Jul 28, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 22, 2025 |
| Jul 28, 2025 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 22, 2025 |
| Jul 28, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2025 |
| Jul 28, 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 Aug 15, 2025 |
| Jul 28, 2025 | 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 Aug 15, 2025 |
| Jul 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 15, 2025 |
| Feb 20, 2025 | 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 Mar 20, 2025 | Complaint |
| Sep 12, 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 | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Sep 12, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Sep 12, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Sep 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Sep 12, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Sep 12, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Sep 12, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Sep 12, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 4, 2024 | Complaint |
| Sep 12, 2024 | 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 Oct 4, 2024 |
| Sep 12, 2024 | 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 Oct 4, 2024 | Complaint |
| Sep 12, 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 Oct 4, 2024 |
| Sep 12, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 4, 2024 | Complaint |
| Jun 22, 2023 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 26, 2023 |
| Jun 22, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 26, 2023 |
| Jun 22, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 11, 2023 |
| Jun 22, 2023 | 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 11, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.15 (case-mix index 1.23).
| 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 |
| Lee Kamstra | 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 |
| Dawn Runksmeier | 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 |
| Kay Thayer | 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 |
| 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 |
| Emmetsburg Ia Property Holdings, 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 | Feb 28, 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 |
| 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 |
| Lee Kamstra | 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 |
| 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 |
| Dawn Runksmeier | 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 |
| Sandra Staudt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Kay Thayer | 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 |
| 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 | — |