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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E2 | F10 |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Aug 6, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Feb 26, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 26, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jan 30, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Aug 19, 2024 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Mar 14, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Mar 14, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Nov 20, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 19, 2024 | Civil money penalty (fine) | $24,922 | — | 165485|Fine|79486 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E2 | F10 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 6, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Aug 22, 2026 | Complaint |
| Aug 6, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 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 this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cassie Davis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 2, 2018 |
| Robert Lamp | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 25, 2024 |
| Ruth Merchant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2025 |
| Nancy Schrupp | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2009 |
| Katelyn Thofson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 5, 2014 |
| Brittany Waletzko Bartz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Sharina Winter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 4, 2024 |
| Kevin Bidne | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2025 |
| Jerry Brunsvold | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Timothy Knutson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 20, 2024 |
| Mari Kroneman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Carolyn Loftaas | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 20, 2021 |
| Josh Steinberg | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 20, 2022 |
| Lynn Davis | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2005 |
| Peter Julseth | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 20, 2022 |
| Brian Nelson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 10, 2017 |
| Nsb Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jun 29, 2007 |
| Bcg Holdings Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Brighton Consulting Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Cattail Bcg LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Cattail Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Cliftonlarsonallen | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 25, 2021 |
| Ecsi Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Fox Rehab Ot Ia LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2024 |
| Fox Rehab Pt Ia PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2024 |
| Fox Rehab Slp Ia PLLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2024 |
| Iowa Health Care Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Mercy Health Services- Iowa Corp | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 27, 2021 |
| Next Generation Technologies | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 2, 2022 |
| Nsb Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 29, 2007 |
| Brittany Waletzko Bartz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 10, 2025 |
| Sharina Winter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 10, 2025 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165485 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165485 | 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
| Feb 26, 2026 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 22, 2026 |
| Feb 26, 2026 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 25, 2026 |
| Feb 26, 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 Mar 3, 2026 |
| Feb 26, 2026 | 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 Mar 3, 2026 |
| Feb 26, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Feb 26, 2026 | 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 Mar 17, 2026 |
| Feb 26, 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 Mar 17, 2026 |
| Feb 26, 2026 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Jan 30, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 13, 2025 |
| Jan 30, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 29, 2025 |
| Jan 30, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 30, 2025 | 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 Jan 31, 2025 |
| Jan 30, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 4, 2025 |
| Jan 30, 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 | B · Minimal Pattern | Corrected Jan 31, 2025 |
| Aug 19, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Sep 19, 2024 | Complaint |
| Aug 19, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Sep 19, 2024 | Complaint |
| Aug 19, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Sep 19, 2024 | Complaint |
| Aug 19, 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 Sep 19, 2024 | Complaint |
| Mar 14, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 5, 2024 |
| Mar 14, 2024 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 5, 2024 |
| Mar 14, 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 | D · Potential harm Isolated | Corrected Apr 2, 2024 |
| Mar 14, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 4, 2024 |
| Mar 14, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 25, 2024 |
| Mar 14, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2024 |
| Mar 14, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Mar 14, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Mar 14, 2024 | 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 1, 2024 |
| Mar 14, 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 Apr 5, 2024 |
| Nov 20, 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 | G · Actual harm Isolated | Corrected Dec 4, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.20 (case-mix index 1.25).