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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E14 | F8 |
| 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 | |
|---|---|---|---|---|---|---|
| Jan 22, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | 1 | Open → |
| Jan 22, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Nov 21, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Oct 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 20, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 30, 2023 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Aug 30, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E14 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 22, 2026 | 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 Apr 13, 2026 | |
| Jan 22, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 4, 2026 | |
| Jan 22, 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 43 facilities.
43 facilities in 1 states. CMS chain ID 106.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Care Initiatives | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2000 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Care Initiatives | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2000 |
| Michael Beal | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Sep 15, 2025 |
| Desire Gijima | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Carla Mahler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Chase Oehlertz |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Northcrest Specialty Care 2001health Street, Waterloo, IA 50703 CCN 165165 | 94 | Aug 17, 2026 | 501 harm | — | |
| Odebolt Specialty Care 801 South Des Moines Street, Odebolt, IA 51458 CCN 165180 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Northcrest Specialty Care 2001health Street, Waterloo, IA 50703 CCN 165165 | 94 | Aug 17, 2026 | 501 harm | — | |
| Odebolt Specialty Care 801 South Des Moines Street, Odebolt, IA 51458 CCN 165180 | 38 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Zearing Health Care, LLC 404 East Garfield St, Zearing, IA 50278 CCN 165320 | 18.8 km | 40 | Jun 30, 2026 | 221 IJ2 harm | $37k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165390 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165390 | 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 |
| D · Potential harm Isolated |
| Plan of correction, not yet verified |
| Jan 22, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 13, 2026 |
| Jan 22, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 13, 2026 |
| Jan 22, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2026 |
| Jan 22, 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 Feb 3, 2026 |
| Jan 22, 2026 | 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 Feb 3, 2026 |
| Jan 22, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 3, 2026 |
| Jan 22, 2026 | 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 Feb 3, 2026 |
| Nov 19, 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 Nov 20, 2025 | Complaint |
| Nov 21, 2024 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Nov 27, 2024 |
| Nov 21, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 27, 2024 |
| Nov 21, 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 | E · Potential harm Pattern | Corrected Nov 27, 2024 |
| Nov 21, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 29, 2024 |
| Nov 21, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 27, 2024 |
| Nov 21, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2024 |
| Nov 21, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2024 |
| Nov 21, 2024 | 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 Dec 6, 2024 |
| Nov 21, 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 Dec 6, 2024 |
| Nov 21, 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 Dec 6, 2024 |
| Nov 21, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 6, 2024 |
| Nov 21, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 6, 2024 | Complaint |
| Oct 17, 2024 | 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 Oct 18, 2024 | Complaint |
| Dec 20, 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 21, 2023 | Complaint |
| Dec 20, 2023 | 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 | E · Potential harm Pattern | Corrected Dec 21, 2023 | Complaint |
| Aug 30, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 12, 2023 |
| Aug 30, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 14, 2023 |
| Aug 30, 2023 | 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 | E · Potential harm Pattern | Corrected Sep 14, 2023 |
| Aug 30, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2023 |
| Aug 30, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2023 |
| Aug 30, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 12, 2023 |
| Aug 30, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2023 |
| Aug 30, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 14, 2023 |
| Aug 30, 2023 | 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 Sep 14, 2023 |
| Aug 30, 2023 | 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 Sep 11, 2023 |
| Aug 30, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2024 |
| Aug 30, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 25, 2023 |
| Aug 30, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| Aug 30, 2023 | 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 Sep 25, 2023 |
| Aug 30, 2023 | 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 Sep 25, 2023 |
| Aug 30, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 25, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.69 (case-mix index 1.05).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Mar 7, 2019 |
| Michael Beal | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2020 |
| Lane Bowen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Mary Jane Carothers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Kevin Childs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2023 |
| Peter Corless | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Keith Krein | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 29, 2022 |
| Elizabeth Rust | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Denise Sturm | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Linda Upmeyer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Michael Beal | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2020 |
| David Dixon | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2016 |
| Emily Drake | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 4, 2023 |
| Tanya Gilyard | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 23, 2025 |
| Jeramy Kuhn | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 25, 2008 |
| Jessica Mcdyer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 22, 2023 |
| Johanna Volm | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2021 |
| Computershare Corporate Trust Company, Na | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Jan 1, 2025 |
| Computershare Corporate Trust Company, Na | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 11, 2025 |
| Desire Gijima | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 11, 2025 |
| Chase Oehlertz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 11, 2025 |
| 38 |
| Mar 12, 2026 |
251 IJ2 harm |
| $14k |
| Dunlap Specialty Care 1403 Harrison Road, Dunlap, IA 51529 CCN 165193 | 46 | Aug 6, 2026 | 421 IJ1 harm | $10k |
| Creston Specialty Care 1001 Cottonwood Drive, Creston, IA 50801 CCN 165199 | 74 | Jul 1, 2026 | 312 harm | $20k |
| Southridge Specialty Care 309 West Merle Hibbs Blvd., Marshalltown, IA 50158 CCN 165209 | 82 | Jul 15, 2026 | 441 IJ1 harm | $45k |
| Lantern Park Specialty Care 2200 Oakdale Road, Coralville, IA 52241 CCN 165214 | 90 | Jul 31, 2025 | 591 IJ4 harm2 open | $63k |
| Lyon Specialty Care 1010 South Union, Rock Rapids, IA 51246 CCN 165215 | 45 | Aug 19, 2026 | 14 | — |
| Corydon Specialty Care 745 East South Street, Corydon, IA 50060 CCN 165222 | 71 | Jan 29, 2026 | 311 harm | — |
| Mar 12, 2026 |
251 IJ2 harm |
| $14k |
| Dunlap Specialty Care 1403 Harrison Road, Dunlap, IA 51529 CCN 165193 | 46 | Aug 6, 2026 | 421 IJ1 harm | $10k |
| Creston Specialty Care 1001 Cottonwood Drive, Creston, IA 50801 CCN 165199 | 74 | Jul 1, 2026 | 312 harm | $20k |
| Southridge Specialty Care 309 West Merle Hibbs Blvd., Marshalltown, IA 50158 CCN 165209 | 82 | Jul 15, 2026 | 441 IJ1 harm | $45k |
| Lantern Park Specialty Care 2200 Oakdale Road, Coralville, IA 52241 CCN 165214 | 90 | Jul 31, 2025 | 591 IJ4 harm2 open | $63k |
| Lyon Specialty Care 1010 South Union, Rock Rapids, IA 51246 CCN 165215 | 45 | Aug 19, 2026 | 14 | — |
| Corydon Specialty Care 745 East South Street, Corydon, IA 50060 CCN 165222 | 71 | Jan 29, 2026 | 311 harm | — |