Anamosa Care Center — nursing home in Anamosa, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 64 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 51.5 CMS, MDS-derived
CMS Certification Number: 165375
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1998
Ownership type: For profit - Corporation
Operator (legal business name): Anamosa Nursing Home Company LLC
CMS chain: Not part of a CMS-reported chain
Phone: (319) 462-4356
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 30, 2026

Citations

25

11 health · 14 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D7	E8	F9
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165375
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 64
First approved: Jan 1, 1998
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 30, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jul 30, 2026	Health	Health Standard	4	Potential harm	—	Open →
Jun 12, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 12, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jan 6, 2025	Fire safety	Fire Safety Complaint	1	Potential harm	—	Open →
Jul 25, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jul 25, 2024	Health	Health Complaint, Health Standard	4	Actual harm	—	Open →
Mar 21, 2024	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D7	E8	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 30, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2026
Jul 30, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 31, 2026
Jul 30, 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 31, 2026
Jul 30, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 31, 2026
Jul 30, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 17, 2026
Jul 30, 2026	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 14, 2026
Jul 30, 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 Aug 17, 2026
Jul 30, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 17, 2026
Jun 12, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 13, 2025
Jun 12, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 16, 2025
Jun 12, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 13, 2025
Jun 12, 2025	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 Jun 30, 2025
Jun 12, 2025	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	D · Potential harm Isolated	Corrected Jun 30, 2025
Jan 6, 2025	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 9, 2025	Complaint
Jul 25, 2024	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 Aug 6, 2024	Complaint
Jul 25, 2024	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 7, 2024
Jul 25, 2024	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 6, 2024
Jul 25, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 6, 2024
Jul 25, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 7, 2024
Jul 25, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 7, 2024
Jul 25, 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 Aug 7, 2024
Jul 25, 2024	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Aug 6, 2024
Jul 25, 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 Aug 6, 2024
Jul 25, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 6, 2024
Mar 21, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 22, 2024	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.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.24

State avg 3.86US avg 3.90

Registered nurse (RN)0.69

State avg 0.74US avg 0.69

Licensed practical nurse0.35

State avg 0.56US avg 0.86

Nurse aide2.20

State avg 2.56US avg 2.35

Weekend total nurse2.75

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.81 (case-mix index 1.19).

Staff turnover

Total nursing staff turnover100.0%

State avg 44.1%US avg 45.3%

Registered nurse turnover100.0%

State avg 42.1%US avg 42.5%

Administrators who leftNot reported

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 30, 2026
Cycle 1 health score: 20
Total weighted score: 23

Operating entity

Anamosa Nursing Home Company LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

19

Organizations

4

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
John R Grubb Family Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 31, 2004
John W Grubb Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 19, 2021
Kimberly D Grubb Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 19, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
John R Grubb Family Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 31, 2004
John W Grubb Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 19, 2021
Kimberly D Grubb Trust	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 19, 2021
Isaac Dole	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Aug 19, 2026
Campbell Street Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2026
Kelsie Bates	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 10, 2019
Katherine Meyers	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 27, 2018
Ashley Wirth	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2025
Kimberly Grubb	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2026
John R Grubb Family Trust	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Oct 31, 2004
John W Grubb Trust	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Aug 19, 2021
Kimberly D Grubb Trust	Organization	Trustee	TRUSTEE OF THE SNF	not provided	Aug 19, 2021
Campbell Street Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2026
John R Grubb Family Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 31, 2024
John W Grubb Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 31, 2024
Kimberly D Grubb Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 31, 2024
Kelsie Bates	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 10, 2019
Katherine Meyers	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 27, 2018
Ashley Wirth	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 5, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1209 East Third Street, Anamosa, IA 52205
ZIP: 52205
County: Jones County FIPS 19105
State: Iowa
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Monticello Nursing & Rehab Center 500 Pinehaven Drive, Monticello, IA 52310 CCN 165279	15.5 km	75		Jun 24, 2026	37	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165375	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165375	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

Record-level source links for CCN 165375

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction