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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D16 | E4 | F5 |
| Minimal | A· | B· | C1 |
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 24, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 24, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Aug 15, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Aug 15, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Oct 12, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 12, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D16 | E4 | F5 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 24, 2025 | 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 Aug 1, 2025 | |
| Jul 24, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2025 | |
| Jul 24, 2025 |
“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 |
|---|---|---|---|---|---|
| Sarah K Cutler Hand | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 12, 2007 |
| George Nacos | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 12, 2007 |
| Amanda Skubal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 10, 2019 |
| Briana Skubal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 3, 2017 |
| Melinda Wells | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 21, 2024 |
| Dianne Bohling | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 18, 2014 |
| Lamoyne Buser | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2023 |
| Kasey Keltner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 22, 2017 |
| Daniel Wilson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 7, 2025 |
| Thomas M Huston | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 18, 2020 |
| Kasey Keltner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2018 |
| Elyssa Mcfarland | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 7, 2025 |
| Steven a Sents | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2005 |
| Brighton Consulting Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Digital Stew Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Healthcare of Iowa Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 31, 2017 |
| Kristina George | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2025 |
| Millennium Rehab & Consulting Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 31, 2017 |
| Tdt Cpa's and Advisors PC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2012 |
| William Burke Ltd | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2013 |
| Sarah K Cutler Hand | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 23, 2025 |
| George Nacos | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 23, 2025 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Sunrise Terrace Nursing & Rehabilitation Center 706 West Central Avenue, Winfield, IA 52659 CCN 165327 | 17.3 km | 46 | Aug 26, 2026 | 5 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165476 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165476 | 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
| 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 Aug 23, 2025 |
| Aug 15, 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 Sep 3, 2024 |
| Aug 15, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 4, 2024 |
| Aug 15, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Aug 15, 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 Sep 3, 2024 |
| Aug 15, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | 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 Sep 13, 2024 |
| Aug 15, 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 Sep 13, 2024 |
| Aug 15, 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 | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 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 Sep 13, 2024 |
| Aug 15, 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 Sep 13, 2024 |
| Aug 15, 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 Sep 13, 2024 |
| Aug 15, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Sep 13, 2024 |
| Oct 12, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 20, 2023 |
| Oct 12, 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 Nov 12, 2023 |
| Oct 12, 2023 | 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 Nov 12, 2023 |
| Oct 12, 2023 | 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 Nov 12, 2023 |
| Oct 12, 2023 | 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 Nov 12, 2023 |
| Oct 12, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 12, 2023 |
| Oct 12, 2023 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 12, 2023 |
| Oct 12, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 12, 2023 |
| Oct 12, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.75 (case-mix index 1.03).