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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D29 | E7 | 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 | |
|---|---|---|---|---|---|---|
| Mar 26, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 26, 2026 | Health | Health Complaint, Health Standard | 14 | Actual harm | — | Open → |
| Oct 16, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Apr 9, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 9, 2025 | Health | Health Standard | 9 | Actual harm | — | Open → |
| Dec 17, 2024 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Aug 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 23, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 23, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Apr 4, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 26, 2026 | Denial of payment for new admissions | — | Apr 24, 2026 · 52 days | 165555|Payment Denial|2026-04-24 |
| Mar 26, 2026 | Civil money penalty (fine) | $14,518 | — | 165555|Fine|142284 |
| Mar 26, 2026 | Civil money penalty (fine) | $12,438 | — | 165555|Fine|142283 |
| Oct 16, 2025 | Civil money penalty (fine) | $16,544 | — | 165555|Fine|135268 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D29 | E7 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 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 | G · Actual harm Isolated | Corrected Jun 15, 2026 | Complaint |
| Mar 26, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Apr 16, 2026 | Complaint |
“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.
25 facilities in 3 states. CMS chain ID 99.
Chain average overall rating (CMS): 2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Isaac Dole | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Isaac Dole | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2025 |
| Isaac Dole | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 3, 2025 |
| Birchwood Healthcare Partners LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2025 |
| Campbell Street Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Altoona Nursing and Rehabilitation Center 200 Seventh Avenue SW, Altoona, IA 50009 CCN 165162 | 106 | Jul 16, 2026 | 791 harm | — | |
| Osage Rehab and Health Care Center 830 South Fifth Street, Osage, IA 50461 CCN 165173 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Spurgeon Manor 1204 Linden Street, Dallas Center, IA 50063 CCN 165591 | 9.6 km | 55 | Apr 22, 2026 | 20 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165555 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165555 | 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
| Mar 26, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 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 Apr 16, 2026 |
| Mar 26, 2026 | 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 Jun 15, 2026 | Complaint |
| Mar 26, 2026 | 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 Apr 16, 2026 |
| Mar 26, 2026 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 16, 2026 |
| Mar 26, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 16, 2026 |
| Mar 26, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| Mar 26, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 16, 2026 | Complaint |
| Mar 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 Apr 16, 2026 | Complaint |
| Mar 26, 2026 | 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 Apr 16, 2026 |
| Mar 26, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| Mar 26, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| Oct 16, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 27, 2025 | Complaint |
| Oct 16, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 27, 2025 | Complaint |
| Oct 16, 2025 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 27, 2025 | Complaint |
| Apr 9, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 23, 2025 |
| Apr 9, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 23, 2025 |
| Apr 9, 2025 | 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 May 1, 2025 |
| Apr 9, 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 | E · Potential harm Pattern | Corrected May 1, 2025 |
| Apr 9, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 1, 2025 |
| Apr 9, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 1, 2025 |
| Apr 9, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 1, 2025 |
| Apr 9, 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 May 1, 2025 |
| Apr 9, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 1, 2025 |
| Apr 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 1, 2025 |
| Dec 17, 2024 | 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 Jan 7, 2025 | Complaint |
| Dec 17, 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 Jan 7, 2025 | Complaint |
| Dec 17, 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 Jan 7, 2025 | Complaint |
| Dec 17, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Dec 17, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 | Complaint |
| Dec 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Aug 3, 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 Aug 22, 2024 | Complaint |
| May 23, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| May 23, 2024 | 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 Jun 11, 2024 |
| May 23, 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 Jun 20, 2024 |
| May 23, 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 Jun 20, 2024 |
| May 23, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| May 23, 2024 | 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 20, 2024 |
| May 23, 2024 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| May 23, 2024 | 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 Jun 20, 2024 |
| May 23, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Apr 4, 2024 | 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 Apr 23, 2024 | Complaint |
| Apr 4, 2024 | 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 Apr 23, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.17 (case-mix index 1.32).
| Nov 3, 2025 |
| Holdco, Ia 5, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2025 |
| Cassidy Dinkla | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2025 |
| Isaac Dole | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2025 |
| Dale Grunewald | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2025 |
| Kody Petrich | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2025 |
| Brenda Satterfield | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2025 |
| Adel Property, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| Campbell Street Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2025 |
| Cyclone Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| Holdco, Ia 5, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2025 |
| Cassidy Dinkla | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| Isaac Dole | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| Dale Grunewald | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| Kody Petrich | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| Brenda Satterfield | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2025 |
| 46 |
| Apr 2, 2026 |
881 IJ1 harm |
| $14k |
| Casa De Paz Health Care Center 2121 West 19th Street, Sioux City, IA 51103 CCN 165174 | 71 | Jul 14, 2026 | 45 | — |
| Norwalk Nursing and Rehabilitation Center 921sunset Drive, Norwalk, IA 50211 CCN 165179 | 45 | Dec 31, 2025 | 18 | — |
| Cedar Falls Health Care Center 1728 West Eighth Street, Cedar Falls, IA 50613 CCN 165197 | 70 | Jul 30, 2026 | 721 harm | — |
| Iowa City Rehab & Health Care 3661 Rochester Avenue, Iowa City, IA 52245 CCN 165198 | 89 | Aug 3, 2026 | 64 | — |
| Granger Nursing & Rehabilitation Center 2001 Kennedy Street, Granger, IA 50109 CCN 165208 | 67 | Feb 26, 2026 | 57 | — |
| Oakland Manor 737 North Highway St., Oakland, IA 51560 CCN 165230Abuse icon | 61 | Aug 11, 2026 | 1013 harm | — |