| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D21 | E7 | F33 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 26, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 26, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| May 22, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jan 23, 2025 | Fire safety | Fire Safety Standard | 21 | Potential harm | — | Open → |
| Jan 23, 2025 | Health | Health Complaint, Health Standard | 8 | Actual harm | — | Open → |
| Feb 15, 2024 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Feb 15, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 23, 2025 | Denial of payment for new admissions | — | Feb 19, 2025 · 5 days | 165492|Payment Denial|2025-02-19 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D21 | E7 | F33 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 26, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 25, 2026 | |
| Feb 26, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 25, 2026 | |
| Feb 26, 2026 | K-0914 |
“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 |
|---|---|---|---|---|---|
| Iowa Trust & Savings Bank | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 23, 2013 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Iowa Trust & Savings Bank | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 23, 2013 |
| Lakeside Lutheran Home | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 1968 |
| Hallie Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2024 |
| Jeri Bodle | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 13, 2024 |
| Thomas Getta | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Palo Alto County Hospital 3201 First Street, Emmetsburg, IA 50536 CCN 16E668 | 0.7 km | 22 | Jul 17, 2025 | 7 | — | |
| Emmetsburg Care Center 2405 21st Street, Emmetsburg, IA 50536 CCN 165352 | 1.8 km | 46 | May 11, 2026 | 351 IJ1 harm | $26k | |
| Ruthven Community Care Center 2701 Mitchell Street Box 0, Ruthven, IA 51358 CCN 165486 | 17.7 km | 46 | Oct 2, 2025 | 10 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165492 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165492 | 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
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Feb 25, 2026 |
| Feb 26, 2026 | 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 Feb 25, 2026 |
| Feb 26, 2026 | 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 Feb 27, 2026 |
| Feb 26, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2026 |
| May 22, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| May 22, 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 4, 2025 | Complaint |
| May 22, 2025 | 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 Jun 4, 2025 | Complaint |
| May 22, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 4, 2025 | Complaint |
| May 22, 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 4, 2025 | Complaint |
| Jan 23, 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 | G · Actual harm Isolated | Corrected Feb 4, 2025 | Complaint |
| Jan 23, 2025 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Feb 17, 2025 |
| Jan 23, 2025 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Feb 6, 2025 |
| Jan 23, 2025 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Feb 1, 2025 |
| Jan 23, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Feb 17, 2025 |
| Jan 23, 2025 | K-0200 | Meet other general requirements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 26, 2025 |
| Jan 23, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Feb 26, 2025 |
| Jan 23, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 24, 2025 |
| Jan 23, 2025 | 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 | F · Potential harm Widespread | Corrected Jan 28, 2025 |
| Jan 23, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 5, 2025 |
| Jan 23, 2025 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 29, 2025 |
| Jan 23, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 23, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 6, 2025 |
| Jan 23, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 28, 2025 |
| Jan 23, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 30, 2025 |
| Jan 23, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 1, 2025 |
| Jan 23, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 23, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 1, 2025 |
| Jan 23, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 24, 2025 |
| Jan 23, 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 Jan 31, 2025 |
| Jan 23, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 1, 2025 |
| Jan 23, 2025 | 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 Feb 24, 2025 |
| Jan 23, 2025 | 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 | D · Potential harm Isolated | Corrected Feb 14, 2025 | Complaint |
| Jan 23, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 14, 2025 | Complaint |
| Jan 23, 2025 | 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 Feb 14, 2025 | Complaint |
| Jan 23, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 14, 2025 | Complaint |
| Jan 23, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 14, 2025 |
| Jan 23, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 14, 2025 |
| Jan 23, 2025 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Feb 14, 2025 |
| Feb 15, 2024 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 5, 2024 |
| Feb 15, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 6, 2024 |
| Feb 15, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 22, 2024 |
| Feb 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 | F · Potential harm Widespread | Corrected Feb 23, 2024 |
| Feb 15, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Feb 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 26, 2024 |
| Feb 15, 2024 | 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 5, 2024 |
| Feb 15, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 22, 2024 |
| Feb 15, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 26, 2024 |
| Feb 15, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 23, 2024 |
| Feb 15, 2024 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 23, 2024 |
| Feb 15, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 4, 2024 |
| Feb 15, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 4, 2024 |
| Feb 15, 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 Mar 22, 2024 |
| Feb 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 Mar 22, 2024 |
| Feb 15, 2024 | 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 Feb 28, 2024 |
| Feb 15, 2024 | 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 Feb 28, 2024 |
| Feb 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 Feb 28, 2024 |
| Feb 15, 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 Feb 28, 2024 |
| Feb 15, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 28, 2024 |
| Feb 15, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Feb 15, 2024 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.02 (case-mix index 1.11).
| Jul 1, 2016 |
| Katelyn Jenkins | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 2, 2024 |
| Jesus Lara | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 21, 2024 |
| Lisa Mcewen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 22, 2022 |
| Heather Weir | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 6, 2019 |
| Joan Barber | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2018 |
| Edwin Burdof | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 19, 2023 |
| Mark Evans | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Kathy Merrill | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Frederick Morlock | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| Larry Sonsken | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| Frank Veltri | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2016 |
| John Wolf | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Joan Barber | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2018 |
| William Kinnetz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Larry Sonsken | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2019 |
| Frank Veltri | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2019 |
| Iowa Trust & Savings Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Oct 23, 2013 |
| Bcg Holdings Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2025 |
| Blue Stone Therapy Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2015 |
| 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 21, 2025 |
| Cattail Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2025 |
| Ecsi Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2025 |
| Hughes Pharmacy Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 31, 2012 |
| Iowa Health Care Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2025 |
| Visual Edge It Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 9, 2015 |
| Winther Stave & Co LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 17, 2012 |
| Hallie Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2025 |
| Shawn Erickson-Welter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2012 |
| Thomas Getta | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2025 |
| Gregory Hoyman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 31, 2012 |
| Steven Hoyman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 31, 2012 |