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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E2 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Oct 2, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 2, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Sep 19, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jun 22, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 22, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E2 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Oct 2, 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 Nov 25, 2025 | |
| Oct 2, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 25, 2025 | |
| Sep 19, 2024 | K-0761 |
“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 |
|---|---|---|---|---|---|
| Ruthven Community Care Center Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 1984 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ruthven Community Care Center Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 1984 |
| 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 |
| Ruthven Community Care Center Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 1984 |
| T.p. Anderson & Company | Organization |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Palo Alto County Hospital 3201 First Street, Emmetsburg, IA 50536 CCN 16E668 | 17 km | 22 | Jul 17, 2025 | 7 | — | |
| Lakeside Lutheran Home 301 North Lawler Street, Emmetsburg, IA 50536 CCN 165492 | 17.7 km | 55 | Feb 26, 2026 | 621 harm | — | |
| Emmetsburg Care Center 2405 21st Street, Emmetsburg, IA 50536 CCN 165352 | 18 km | 46 | May 11, 2026 | 351 IJ1 harm | $26k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165486 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165486 | 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
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Sep 28, 2024 |
| Sep 19, 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 25, 2024 |
| Sep 19, 2024 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 25, 2024 |
| Jun 22, 2023 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 30, 2023 |
| Jun 22, 2023 | 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 Jul 3, 2023 |
| Jun 22, 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 Jun 30, 2023 |
| Jun 22, 2023 | 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 Jun 23, 2023 |
| Jun 22, 2023 | 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 23, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.68 (case-mix index 1.21).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2012 |
| Bruce Feldmann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Michael Hamm | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Christa Hart | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 23, 2023 |
| Dennis King | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Maricia Langner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Lisa Markley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| James Neighbors | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Julie Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Gregory Olson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| David Osthus | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2020 |
| Sarah Rabel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 12, 2019 |
| Ryan Sikora | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Susan Stearns | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 29, 2017 |
| Candice White | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Diana Wichman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 25, 2002 |
| Bruce Feldmann | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Christa Hart | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 23, 2023 |
| Dennis King | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Maricia Langner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Lisa Markley | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| James Neighbors | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Julie Nelson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2009 |
| Gregory Olson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Sarah Rabel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 12, 2019 |
| Ryan Sikora | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2023 |
| Susan Stearns | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 29, 2017 |
| Candice White | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2009 |
| Diana Wichman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 25, 2002 |
| 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 |
| Ruthven Community Care Center Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 1984 |
| T.p. Anderson & Company | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2012 |
| Bruce Feldmann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Michael Hamm | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2020 |
| Christa Hart | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 23, 2023 |
| David Osthus | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2020 |
| Sarah Rabel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2019 |
| Ryan Sikora | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Susan Stearns | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 29, 2017 |
| Diana Wichman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 25, 2002 |