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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E6 | F6 |
| 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 7, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 7, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Sep 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 10, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 10, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Apr 4, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 4, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E6 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 7, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 15, 2026 | |
| May 7, 2026 | K-0922 | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2026 | |
| May 7, 2026 | F-0580 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sioux Valley Memorial Hospital Association | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 19, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sioux Valley Memorial Hospital Association | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 19, 2023 |
| Lisa Alesch | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2026 |
| Dennis Brady | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2026 |
| Rozanne Gross | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2026 |
| Kristi Irwin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Happy Siesta Health Care Center 423 Roosevelt St, Remsen, IA 51050 CCN 165405 | 13.4 km | 62 | Jul 23, 2026 | 121 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165397 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165397 | 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
| D · Potential harm Isolated |
| Corrected Jun 3, 2026 |
| May 7, 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 | D · Potential harm Isolated | Corrected Jun 3, 2026 |
| May 7, 2026 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 3, 2026 |
| May 7, 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 Jun 3, 2026 |
| May 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 3, 2026 |
| Sep 25, 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 Nov 25, 2025 | Complaint |
| Apr 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 15, 2025 |
| Apr 10, 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 Apr 11, 2025 |
| Apr 10, 2025 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 25, 2025 |
| Apr 10, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2025 |
| Apr 10, 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 | D · Potential harm Isolated | Corrected Apr 25, 2025 |
| Apr 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 25, 2025 |
| Apr 4, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2024 |
| Apr 4, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2024 |
| Apr 4, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2024 |
| Apr 4, 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 | Waiver granted May 9, 2024 |
| Apr 4, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2024 |
| Apr 4, 2024 | 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 17, 2024 |
| Apr 4, 2024 | 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 Apr 17, 2024 |
| Apr 4, 2024 | 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 Apr 17, 2024 |
| Apr 4, 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 | E · Potential harm Pattern | Corrected Apr 17, 2024 |
| Apr 4, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 17, 2024 |
| Apr 4, 2024 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 17, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.90 (case-mix index 1.05).
| Jan 1, 2026 |
| Gary Jordan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2026 |
| Robert Leavitt | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2026 |
| Edward Schlenger | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2026 |
| John Schneider | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2026 |
| Heartland Care Center Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 19, 2023 |
| Sioux Valley Memorial Hospital Association | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 19, 2023 |
| Andrew Geha | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 19, 2019 |
| Tim Nielsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 20, 2025 |
| Tim Nielsen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 20, 2025 |
| Heartland Care Center Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 19, 2023 |
| Sioux Valley Memorial Hospital Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 19, 2023 |
| Andrew Geha | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 19, 2019 |
| Tim Nielsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 20, 2025 |