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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D4 | E3 | F4 |
| 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 | 2 | Potential harm | — | Open → |
| Jul 23, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jun 12, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 12, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jun 20, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D4 | E3 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2026 | |
| Jul 23, 2026 | 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 Jul 23, 2026 | |
| Jul 23, 2026 | F-0803 |
“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 |
|---|---|---|---|---|---|
| Cornerstone Senior Communities of Remsen | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 19, 2005 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cornerstone Senior Communities of Remsen | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 19, 2005 |
| Cornerstone Senior Communities of Remsen | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 20, 2005 |
| Ltc Accounting Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Premier Senior Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Williams & Company PC | Organization |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Heartland Care Center 604 East Fenton Po Box 608, Marcus, IA 51035 CCN 165397 | 13.4 km | 38 | May 7, 2026 | 26 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165405 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165405 | 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
| E · Potential harm Pattern |
| Corrected Jul 27, 2026 |
| 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 11, 2025 |
| Jun 12, 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 Jun 25, 2025 |
| Jun 12, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2025 |
| Jun 12, 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 | D · Potential harm Isolated | Corrected Jun 25, 2025 |
| Jun 12, 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 Jun 25, 2025 |
| Jun 20, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 27, 2024 |
| Jun 20, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 27, 2024 |
| Jun 20, 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 19, 2024 |
| Apr 17, 2024 | 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 | Past non-compliance Apr 4, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.13 (case-mix index 1.16).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2020 |
| Mark Cody | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| Cheryl Cronin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Thomas Draper | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Andrew Geha | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Elizabeth Gergen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 10, 2017 |
| Margaret Heidesch | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Jennifer Kuiken | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 22, 2016 |
| Valerie Owens | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 18, 2023 |
| Brian Sanow | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 27, 2021 |
| Judith Schultz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Susan Sievers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Jackie Staab | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 7, 2001 |
| Helen Steele | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Mark Cody | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2012 |
| Cheryl Cronin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Thomas Draper | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Margaret Heidesch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Judith Schultz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Susan Sievers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Helen Steele | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Cornerstone Senior Communities of Remsen | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 20, 2005 |
| Ltc Accounting Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2020 |
| Premier Senior Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2020 |
| Williams & Company PC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Mark Cody | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2012 |
| Andrew Geha | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Elizabeth Gergen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2017 |
| Jennifer Kuiken | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 22, 2016 |
| Valerie Owens | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 18, 2023 |
| Brian Sanow | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 27, 2021 |
| Jackie Staab | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 7, 2001 |